HEALTH & WELFARE

To get the following health and welfare forms, click on this link, www.weebf.org and then click on Forms.

  • Address Change Request Form
  • Cobra Premium Waiver
  • Coordination of Benefits Form 
  • Dependent Re-Enrollment Form
  • Disability Claim Form
  • Flex Forms
  • Health & Welfare Member Account Authorization for Release
  • Insurance Premium Reimbursement Form
  • Member Account Authorization for Release
  • Sub Account Form
  • Sub Fund W-4 Form

Health & Welfare Fund Office
Wisconsin Electrical Employees Benefit Fund
2730 Dairy Drive Suite 101
Madison, WI 53718
(608) 276-9111 or (800) 422-2128

www.healtheos.com - PPO Network & Utilization Review

www.hdhelpsu.com - Health Dynamics

www.prudential.com/online/retirement - Wisconsin NECA-IBEW Retirement Plan

This website was built, hosted and produced by IBEW members. - Web Connectivity