Below are copies of the most requested forms. You can also contact the Fund Office for the form you need.
- AFL-CIO Health & Welfare Fund – Enrollment Application
- AFL-CIO Health & Welfare Fund – Change Form
- OptumRx – Member Reimbursement Pharmacy Form
- OptumRx – New Prescription Mail-In Order Form
- Life Insurance – Enrollment and Beneficiary Form
- Vision Plan Out-of-Network Claim Form
If you need a dental, vision, or medical claim form, contact the Fund Office.