D.A. Townley  -  Plan Administrators Iron Workers Union Local 97 International Association of Bridge, Structural, Ornamental and Reinforcing Iron Workers 
 

health
benefits

        
 
 
 
 
 
 
 
 
 
 
 
 
   
        
   
 
 
 
 
   
 
 
 
 
 
   
 

Enrolment/Changes

As a Member of the Ironworkers Local 97 Health & Welfare Plan, the Plan Administrator requires certain information from you in order to provide your health coverage and ensure that any claims that you may submit are processed correctly.

As a new Member to the Plan, please complete the Enrolment Card and Beneficiary Designation to provide the Plan Administrator with the full information regarding yourself, your selected beneficiary and all dependents that you wish to cover under the Health & Welfare Plan. If you wish to cover your common law spouse, you must also complete the Common Law Spouse Declaration. Finally, you must complete the MSP Application for Group Enrolment form if you wish to be covered for MSP under the Ironworkers Health & Welfare Plan.

If you are an existing Member of the Plan, you must notify the Plan Administrator immediately if your personal information, dependent information or beneficiary has changed in order to ensure that coverage is continued and claims are assessed properly. If your personal information, dependent information or beneficiary has changed, please complete the Enrolment Card and Beneficiary Designation in full to notify the Plan Administrator. You should complete the MSP Group Change Form if you are covered for MSP under the Health & Welfare Plan and you want to add or delete a dependent.


 

Related Links
Health & Welfare Enrolment Card and Beneficiary Designation
Common Law Spouse Declaration
MSP Application for Group Enrolment
MSP Group Change
 
 
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