1199seiu waiver: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to modify 1199seiu waiver in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our feature-rich and user-friendly PDF editor is easy. Make the steps below to complete 1199seiu waiver online easily and quickly:

Log in to your account. Sign up with your credentials or register a free account to test the product prior to upgrading the subscription.
Import a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit 1199seiu waiver. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your document.
Get the 1199seiu waiver accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to rapidly manage your documentation online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

How do I verify my 1199 eligibility?

We make it easy for you to verify your 1199SEIU patients eligibility and claims status! Our Interactive Voice Response system (IVR) is available 24 hours a day, 7 days a week. Simply call (888) 819-1199 and enter your tax ID number, the members ID number and date of birth.

At what age can I retire from 1199 pension?

Retire at age 65 or older with 25 pension credits. You will receive a full, unreduced pension. Retire at age 65 or older with at least 5, but less than 25 credits. Your final pension amount will depend on how many credits you have earned at retirement.

How do I opt out of 1199?

To opt out of the 1199SEIU Coordinated Care Program, print and complete this form and return it to: 1199SEIU Benefit Funds, Member Eligibility, PO Box 1035, New York, NY 10108-1035, or fax it to (646) 473-8878.

Who is eligible for 1199 insurance?

Members are eligible for health benefits once they have been working for a contributing employer for 100 hours or more per month for two consecutive months.

How long does it take to be vested in 1199?

Generally, if you work 870 hours or more in a calendar year, you will earn one year of pension credit and one year of vesting service.

Related forms

be ready to get more