32bj claim form fund 2026

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  1. Click ‘Get Form’ to open the 32bj claim form in the editor.
  2. Begin by filling out the Patient Information section. Enter the patient's name, birthdate, and relationship to the member. Ensure all required fields are completed.
  3. Next, provide Member Information. Include the member's name, birthdate, address, and social security number. This information is crucial for processing your claim.
  4. Complete the Spouse Information section if applicable. Fill in the spouse's details and confirm if they are covered by another dental benefits plan.
  5. In the Dentist Information section, enter the dentist's name, license number, and contact details. Attach any necessary documents such as x-rays or treatment charts.
  6. Finally, review all entries for accuracy before signing and dating the authorization sections at the bottom of the form.

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The maximum regular pension for Program A is $1,400 per month. Reduced Pension. A Program A participant may retire with a Reduced Pension beginning at Normal Retirement Age if he or she has achieved Vested Status.
For additional information or questions about your benefits, call Member Services at 800-551-3225.
The labor union SEIU 32BJ provides health coverage for around 200,000 union members and their families in the Northeast. Their members work mainly in the building trades and consist of building services workers, porters, doormen, janitors, and airport workers.
For additional information or questions about your benefits, call Member Services at: 800-551-3225.

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