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USW District 7

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May 20, 2015


The Company informed your Union that they have asked the Personnel Service Center to randomly select members to verify their dependent. To those randomly selected, you will receive a form that requires you to fill out the form and supply some documentation.

If you get a form you will be asked to confirm the gender of your dependent and confirm if your Spouse qualifies for other group sponsored employee health plan coverage (if they don’t have other coverage due to not meeting the criteria, answer yes).
Step 2 will require sending a copy of pages 1 & 2 of your 2014 Federal tax return with all financial information blacked out and the first 5 numbers of all Social Security numbers blacked out.
Step 3 will require your signature

If you have questions about the verification form or need help please contact the Union Hall at 260-632-4816.



U.S.W. LOCAL 715




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Wednesday, June 10th


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