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  • Change Of Address Request - Umwa Health And Retirement Funds - Umwafunds

Get Change Of Address Request - Umwa Health And Retirement Funds - Umwafunds

Change of Address Request UMWA Health and Retirement Funds Attn: Call Center 2121 K Street, NW, Suite 350 Washington, DC 20037 Please print clearly and provide all information requested. Mineworker/Widow.

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How to fill out the Change Of Address Request - UMWA Health And Retirement Funds - Umwafunds online

Changing your address is a crucial step to ensure that you continue receiving important information from the UMWA Health and Retirement Funds. This guide will provide you with clear instructions on how to accurately complete the Change Of Address Request form online.

Follow the steps to successfully complete your change of address request.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter your mineworker or widow name in the designated field. Ensure you use your full name, including last, first, and middle names.
  3. Provide your ID number or Social Security number in the corresponding section. This is necessary for identification purposes.
  4. Fill in your telephone number, including the area code, to ensure easy contact.
  5. List all dependents currently living with you in the provided section. Make sure to include their full names as needed.
  6. In the 'New Physical Address' section, write your complete new street address, city or town, state, and zip code.
  7. If your mailing address differs from your physical address, fill out the 'New Mailing Address' section as well, providing the complete street, city or town, state, and zip code.
  8. Complete the 'Old Address' section by writing your previous physical address. This aids in updating your records.
  9. Sign the form in the 'Signature' field and enter the date of signing. This indicates that the information provided is accurate.
  10. If signing for a beneficiary, ensure to include any required legal documentation, like proof of power of attorney or guardianship status.
  11. After filling out all sections, save your changes. You may also download, print, or share the form as necessary.

Start completing your Change Of Address Request online today for a smooth transition!

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Did you know the UMWA Health & Retirement Funds is a separate organization from the union? If you are a coal retiree and have a question concerning your pension or your retirement health care, please call 1-800-291-1425 or visit umwafunds.org. To find out more about the creation of the UMWA H. & R.

The United Mine Workers of America Health and Retirement Funds Funds' Call Center: (800) 291-1425. Pharmacy: (800) 294-4741. Precertification: (800) 292-2288. Provider Services Claims: (888) 865-5290. Main Administration Number: (202) 521-2201.

The United Mine Workers of America Health and Retirement Funds. The United Mine Workers of America Health and Retirement Funds (the “Funds”) is a group of multi-employer plans that provide health and pension benefits to retired coal miners and their eligible dependents.

The Funds is the primary payer for Medicare Part B services if you have no other group health plan that is primary. You are required to notify the Funds when you become eligible for Medicare. When you are Medicare-eligible, you must enroll in Part B in order to keep your Funds' health services card.

Submit paper claims to: UMWA Health and Retirement Funds, PO Box 389, Ephraim, UT 84627-0361.

Current Beneficiaries Contact the Funds Pension Call Center at (800) 291-1425 for assistance in completing the application.

An appeal of a denied claim must be filed within 180 days of the date of denial.

The Combined Benefit Fund provides health and death benefits to individuals who were eligible to receive and receiving benefits from the 1950 Benefit Plan or the 1974 Benefit Plan on July 20, 1992. All major policy decisions for the Combined Benefit Fund are made by seven trustees.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232