Get Life Event - Local 26 Ibew-neca Joint Trust Funds - Ewtf

Filling out the LIFE EVENT form is an important step for individuals under the jurisdiction of Local 26, IBEW to add a new dependent. This guide will walk you through the process of completing the form online, ensuring that all necessary information is accurately provided.

Follow the steps to complete the LIFE EVENT form successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin with Part I, where you will provide your participant information. Fill in your last name, first name, middle initial, street address, city, state, zip code, telephone number, email address, social security number, date of birth, and gender.
3. Move to Part II, where you will enter the new dependent's information. Provide their last name, first name, middle initial, social security number, gender, and date of birth. If the dependent is your spouse, also include the date of marriage.
4. You will need to provide the name, address, and telephone number of the dependent’s other insurance company. If the dependent does not have any other insurance or health care coverage, check the designated box.
5. Select the type of coverage applicable to your dependent by marking the relevant options: medical, dental, vision, hospitalization, or prescription.
6. Specify the effective date of the coverage you are applying for and indicate whether it is an individual or family plan.
7. Make sure to attach a copy of the birth certificate or a verification of birth from the hospital’s medical records department for the dependent.
8. Lastly, review your provided information for accuracy. You will need to sign the form where indicated. Include the date of completion.
9. Once all sections are completed and verified, save your changes, and choose to download, print, or share the form as necessary.

Complete your LIFE EVENT form online today to ensure your dependent receives their benefits without delay.