Get 1199 Adding Spouse

Filling out the 1199 Adding Spouse form is an important step in enrolling your partner in the 1199SEIU Greater New York Benefit Fund plan. This guide will provide you with easy-to-follow instructions to ensure that the process is smooth and efficient.

Follow the steps to successfully complete your enrollment.

1. Click the ‘Get Form’ button to access the 1199 Adding Spouse document and open it for editing.
2. Begin by clearly printing your full name in the designated field. Make sure to use black or blue ink if you are filling this out by hand.
3. Input your Social Security number in the provided section. Ensure that this number is accurate to avoid processing delays.
4. Fill in your address, including city, state, and zip code. This information must be complete and current.
5. Provide your telephone number for any necessary follow-up communications regarding the enrollment.
6. Indicate your employer's name in the specified section, as this is required for processing your request.
7. Enter your spouse's full name in the appropriate field, ensuring it matches their identification documents.
8. Answer whether your spouse has previously been enrolled in the Greater New York Benefit Fund by selecting 'yes' or 'no'. If 'no', you will need to complete an Enrollment Change Form.
9. Review the consent statement regarding paycheck deductions carefully. This is an authorization to your employer to deduct the required premium from your wages.
10. Sign and date the form at the bottom to confirm your authorization and provide consent. Your signature is essential for the processing of this request.
11. Lastly, ensure all information is accurate, and submit the completed form to your employer for processing.

Start the process today by filling out the 1199 Adding Spouse form online.