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Enrolment/Changes |
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As a Member of the International Association of Heat and Frost Insulators & Allied Workers, Local No. 118 Health and Wellness Trust Fund, 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 & Wellness Plan. You must complete
the MSP Application for Group
Enrolment form if you wish to be covered for MSP under the Health & Wellness 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 & Wellness Plan and you want to add or
delete a dependent.
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