Home
Forms Library
1199 online application

1199 application for membership-2025

1199 online application Preview on Page 1

Show details

4.9 out of 5

33 votes

The document is an enrollment form for Young Adult coverage under the 1199SEIU Greater New York Benefit Fund, allowing members to apply for health benefits for their dependent children aged 19 to 26. It includes instructions for submission, required information about the member and dependent, and details regarding other health insurance access. The form emphasizes the need for signatures from both the member and dependent to ensure enrollment.

Here's how it works

01. Edit your 1199 online application 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 1199 application via email, link, or fax. You can also download it, export it or print it out.

The best way to modify 1199 application for membership 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. Follow the instructions below to complete 1199 application for membership online quickly and easily:

Sign in to your account. Log in with your credentials or register a free account to test the service prior to choosing 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 1199 application for membership. Easily add and underline text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your document.
Get the 1199 application for membership accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Make the most of DocHub, one of the most easy-to-use editors to promptly handle 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.

How much are 1199 union dues per month?

Dues pay for the legal experts who work with us to negotiate our contracts, the organizers who help us solve problems on the job, and the campaigns we run to support workers who want to join our union. In 1199, dues are capped at $100 per month.

How do I get out of 1199 union?

To opt out of 1199SEIU dues: Enter your information into the form below and click submit. On the resulting page, click the link to open your customized form. You will also receive an email with a link to your form. Print the form. Sign and date the form. Mail the completed form to the address at the top of the form.

How much does 1199 union pay?

Average 1199 SEIU hourly pay ranges from approximately $18.77 per hour for Telephone Representative to $53.98 per hour for Respiratory Therapist.

How do I become a member of 1199?

Become a lifetime member by applying online and paying the one-time fee. If you are paying by check, please download and complete the Membership Application Form. Once youre approved for our membership, you are a member for life.

Who is eligible for 1199SEIU members?

Members are generally eligible for benefits after they have been working for a contributing employer for 180 days or more, in most cases, except for Genesis and Actors Fund employees, who become eligible after 90 days. If you have questions about your eligibility, call the Fund at (646) 473-9200.

1199 application form

1199 application for membership online 1199 application for membership pdf 1199 union application form 1199 application for membership form pdf 1199 application for membership form 1199 Coordination of Benefits Form for child 1199 reimbursement form 1199 reimbursement for continuing education

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How much are union dues per month?

What are typical union dues? Elected officials of the union set union dues and typically hover around 1-2%. The most common structure sets dues as a percentage of gross earnings. If dues are 1%, workers pay $1 for every $100 earned.

How much are local 99 union dues?

How much are member dues? Member dues are 2.12% of your gross pay.

How much are 1199 dues?

In 1199, dues are capped at $100 per month. Members making more than $7,500 monthly or $90,000 annually will pay $125 per month. When workers join 1199, they do not begin paying dues until they have successfully negotiated a first contract that wins improvements to their jobs.

1199 application for membership-2025

Here's how it works

The best way to modify 1199 application for membership in PDF format online

Complete this form in 5 minutes or less

Got questions?

How much are 1199 union dues per month?

How do I get out of 1199 union?

How much does 1199 union pay?

How do I become a member of 1199?

Who is eligible for 1199SEIU members?

Complete this form in 5 minutes or less

People also ask

How much are union dues per month?

How much are local 99 union dues?

How much are 1199 dues?

1199 enrollment form

Try more PDF tools