Life Changing Events
Any of the following events requires Participants and/or dependents to send the proper associated documentation to the Welfare Fund office (Links Below):

Marriage

1. Copy of Marriage certificate
2. Benefits Enrollment Form - For Members, Spouses and Dependents to Age 26
3. Plumbers Local 130 COB Inquiry Form
   
4. Beneficiary Designation Form (Death Benefit)

Divorce or Legal Separation

1. Copy of Divorce decree or Court Order
2. Beneficiary Designation Form (Death Benefit)

Birth

1. Copy of Child’s birth Certificate
2. Copy of Social Security Card
   
3. Benefits Enrollment Form - For Members, Spouses and Dependents to Age 26
4. Beneficiary Designation Form (Death Benefit)
5. Plumbers Local 130 COB Inquiry Form

Termination of Spouse’s primary insurance

• Letter of Termination from Primary insurance

New employment of spouse

• Plumbers Local 130 COB Inquiry Form

Change of address

• Change of Address Form

All Forms/Documentation

• Benefits Enrollment Form - For Members, Spouses and Dependents to Age 26
• Plumbers Local 130 COB Inquiry Form
• Beneficiary Designation Form (Death Benefit)
• Change of Address Form
• Accident Form
• Subrogation Agreement for Plumbers Welfare Fund Local 130 UA
• LASIK Claim Form
• Industrial Eyes Authorization Form

All Welfare Fund forms need to be faxed to : (312) 226-7285