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UFCW 1625 OPEN ENROLLMENT

WELCOME, PARTICIPANTS OF UFCW LOCAL 1625 AND EMPLOYERS HEALTH AND WELFARE FUND!

The Fund will be conducting annual open enrollment period from October 1st, 2021 to November 15th, 2021.

If you are currently enrolled and wish to continue the same coverage, no action is required.

The deadline to complete the enrollment is November 15th, 2021.

If you are enrolling new dependents, you will be required to submit copies of the following supporting documents:

•          Social Security Card

•          Birth Certificate

•          Legal Adoption documents

•          Court documents declaring dependency

These documents must be submitted to the Fund’s Administrative Manager, NEBA, or your new dependents will not be added to the plan.  This information can be provided by uploading your documents when you are completing your application, via secure portal upload – https://www.nebainc.com/1625upload/ or fax at (954) 266-2079.

Please continue by clicking the Open Enrollment Website button on this page. The website will guide you through the open enrollment process. If you have any questions, please feel free to contact us at (800) 842-5899 during regular business hours of M-F, 8:00 am – 5:00 pm EST.

Links

Open Enrollment Website


Announcements

Open Enrollment Announcement


Enrollment Documents

2022 OE Benefits Summary

2022 Orange Summary of Benefits Coverage

Enrollment Form for UFCW 1625