Local 399 Operating Engineers |
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 Please keep your contact information updated
Health & Welfare Dept.Adding a Spouse or Child to your Insurance
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| How do I add my new wife / baby to the insurance? |
| Complete a Dependent Change Form (shown below) and submit it to the Health & Welfare Fund Office with a copy of the state/county issue marriage license or birth certificate via: |
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Click form to view/download |
| • Fax (312) 842-0291 |
| • Email: click here to submit |
| • Mail (or drop off at): Local 399 Health & Welfare Department 2260 S. Grove Street, Chicago, IL 60616 |
| Please don't forget to sign the bottom of the form! |