The United Federation of Teachers - A Union of Professionals

November 21, 2009  

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You must keep Fund up to date

Members must notify the Welfare Fund office of any change in their marital or dependent status and/or beneficiary by filing a Change of Status Form.

The form is available online, from chapter leaders, borough offices or from the Fund’s hotline, 1-212-539-0539.

When enrolling or changing dependents, members must attach photocopies of necessary documentation to the form. The fund reserves the right to request additional documentation verifying the bona fide relationship of any dependent to a member.

Only members who are notifying the Welfare Fund of any change in their marital or dependent status and/or beneficiary should use the Change of Status form or online process. New members who are joining the Fund for the first time must file the Enrollment Form or enroll online.

If a member returns to service after having been on leave, a Department of Education Form ERB 2000 and EB 1054 must be completed to reinstate health care. If the member was off payroll for 18 months or more, it is necessary to complete a new enrollment form for the Welfare Fund.

In completing the Enrollment Form, new members must include appropriate supporting documents for dependents and sign and date Section D of the form in order to avoid delays in accessing benefits.

Members should be aware that there are separate processes for enrolling in the Welfare Fund, a New York City health benefit plan and the UFT.

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