There's a wealth of information on the Welfare Fund web site
Oct 1, 2009 5:45 PM
Facts, details, forms and links are among the many features available to members on the ever-expanding Welfare Fund Web site, www.uftwf.org. Members can, among other things, read about their benefits in the Red Apple, find details about the drug program, look for participating optical or hearing aid centers and obtain downloadable forms for almost all the many benefits the Fund offers.
There are also links to the major health plan Web sites, Summary Program Descriptions (SPDs), SIDS dental panelists and the drug program administrator.
However, members should be aware that the site does not include forms for optical or hearing aid certificates. These forms are not included because they must be validated before being issued.
Members who are not Web-connected may obtain any Welfare Fund form from their chapter leader or from the Fund’s hotline, 1-212-539-0539.
Here is a list of the forms that are available from the Fund’s Web site:
- Enrollment Form
- Change of Status Form
- Anesthesia Benefit Claim Form - HIP Subscribers Only
- HIPAA: Privacy Practices Statement
- HIPAA: Personal Representative Form
- HIPAA: Protected Health Information Authorization Form
- Dental Schedule Effective 07/01/06
- Dental Claim Form Instructions
- Dental Claim Form
- Dental Enroll/Transfer Form
- Dependent Child Affidavit
- Dependent Student Certification Form
- Direct Access Dental Plan
- UFT Direct Rx Access Enrollment Letter
- UFT Direct Rx Access Enrollment Application
- UFT Direct Rx Access Terms & Conditions
- Direct Drug Reimbursement Form
- Disabled Dependent Child Affidavit
- Durable Medical Equipment
Deductible Reimbursement Form
- Mandatory Generic Price Waiver Form
- Medicare Part D Creditable Coverage
- Medicare Part D Reimbursement Claim Form
- Optional Rider Claim Form For NON-NYC Health Insurance Plans
- Optional Rider Claim Form For NYC Health Insurance Plans
- Optional Rider Claim Questionnaire
- Prescription Appliance and/or Medical Equipment Claim Form - HIP Subscribers Only
- Pre-Office Visit Form
- Personal Medication Question Guide Form
Not available on the Web site:
- Disability Claim Form (DBL 1)
- Optical and Hearing Aid Benefit
Certificates (requires validation).

