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  • 1199 Enrollment Form

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Retiree Health Benefits for the 1199SEIU National Benefit Fund .... contact lenses once every two years at a participating ..... (unlimited) supply for generic drugs .

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1199SEIU Syracuse Office Phone Number:(315) 424-1743Address:250 S. Clinton Street, Suite 200, Syracuse, NY 13203Area:1199SEIU OfficesDivision:1199 SEIU

Our Email Contact Address is memberservices@1199federalcu.org. We have also implemented an enhanced phone system.

What's my Member ID? Your Member ID is a ten-digit number beginning with "9" that appears on your Health Benefits ID card.

Just call (888) 819-1199. Download the Provider Recruitment Form from our website at .1199SEIUBenefits.org/ providers/forms-for-providers. Submit the completed form by fax to (646) 473-7213 or by email to Providers@1199Funds.org.

Fax it to (646) 473-6829 or mail it to 1199SEIU Benefit Funds, PO Box 1144, New York, NY 10108-1144.

Simply complete your membership application online by clicking on the link below entitled “Open an Account” or click on the button below to view and print the application and return it to us with an initial deposit of at least $100 to open your Share Savings Account, along with a one-time membership fee of $5.

To opt out of 1199SEIU dues: Print the form. If you check the appropriate box about needing a printed version, we'll mail you a copy of the form. Sign and date the form. Mail the completed form to the address at the top of the form.

More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors' visits, dental and vision care, prescription drugs, etc. — with no or minimal out-of-pocket expenses for themselves and their families. In all, the benefit covers more than 450,000 lives.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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