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Teamsters Health & Welfare and Pension funds of philadelphia and vicinity
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Teamsters Health & Welfare and Pension funds of philadelphia and vicinity
Toggle Navigation
Home
About Us
History of Funds
Fund Trustees
Key Fund Personnel
Participating Locals
Employer List
Health
Medical
Pharmacy
Dental
Vision
Health Documents
Health Forms Gallery
Pension
Pension Overview
Pension Documents
Pension FAQs
Pension Forms Gallery
Add-On Benefits
Resources
FAQs
Helpful Links
Videos
Unions/Employers
COBRA
Member Login
Newsletters
Health Forms Gallery
Tori
2026-01-05T17:48:02+00:00
Forms Gallery
Medical & Pharmacy
Beneficiary and Census Form
Formulario para Beneficiarios y Tarjeta Censal
COB Declaration of Health Coverage
Formulario para Declaración de Cobertura de Salud del Cónyuge
HIPPA Authorization
Formulario para Autorización de HIPPA
Change of Address
Formulario para Cambio de Dirección
Dental & Vision
Dental Claim Form
Disability
Weekly Disability Claim Form
Weekly Disability Continuation Form
Application for Handicapped Coverage
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