Benefits:      Office  847-680-0032

                  Fax     847-680-0219

To Download Benefit Forms : click on the appropriate form:

All forms are PDF`s

WRA form.

CHANGE_OF_ADDRESS_FORM.

Vacation Form 

Disability Claim Form  2 pages

Disability Continuation Form

Blue Cross/ Blue Shield Claim Form

PBA Claim Form

In Sevice Supplemental Pension Withdrawl Form New York Life

THE FOLLOWING FORMS ARE FOR THE MONTHLY PAYROLL REPORTS

PLEASE SEND IN THE REQUIRED NUMBER OF COPIES:

1)Local Union Benefits Office

2)NEBF 

3)NECA ( if a member)

4)Totals for all benefits

Please click on the report that is reqiured:

Inside Monthly Payroll report

Residential Monthly Payroll report

VDV Monthly Payroll Report

VDV National Agreement

VDV doing Fire Alarm at the Inside rate

Health and Welfare Links

PBA Health Care Claims and Questions  http://pbaclaims.com/

Professional Benefit Administrators was established in 1985 as a Third Party Administrator dedicated to providing the highest quality in Customer Service and Plan Administration.

New York Life  Suplemental Pension Login  https://bcomplete.com

Caremark Presciption Drug Program https://www.caremark.com/wps/portal

As one of the nation's leading prescription benefit managers (PBM) Caremark is recognized as being on the forefront of pharmacy and medical cost management.

 MEMBERS ASSITANCE PROGRAM :

         EMPLOYEE RESOURCE SYSTEMS,INC

           for the Employee / Member Assistance

              Family Relationship, Substance Abuse,

                 Psychological,Financial Budget,

                  Job Performance,

                     Legal Assistance

                       ERS website-click here: www.ers-usa.org

                                     username: ibew150

                                     password: member