Health and Welfare Fund – Forms/Notices

Due to the “stay-at-home” mandate as a result of COVID-19 and to protect our members and Fund Office staff, members must call the Fund Office first and refrain from visiting the Fund Office.  All non-essential appointments are either being handled through a  phone call or re-scheduled to a later date.  If you need any documents notarized, please read the Executive Order signed by Governor J.B. Pritzker. Thank you for your patience and understanding.


FORMS – If you are unable to access any of the following forms, please contact the Fund Office to request the specific form(s) you need.

Reciprocity

Change of Address

If you recently moved, please login to your www.My150.com account to easily update your address by clicking on your My Profile.  By updating your address on My150 all Local 150 entities will be notified of your updated address (i.e., District Office, Apprenticeship Training, Fund Office, etc.). Alternatively, you can complete the following Change of Address Form and submit the form to the Fund Office.

OHC Forms

VOYA Financial

The following form is used to update the MCL $10,000 basic death benefit (for members only) and for the Supplemental Life Insurance.  Once the form is completed, please mail to:

Kocher Insurance Group, Inc.
ATTN: Will McCabe
1165 N. Clark Street, 7th Floor
Chicago, IL 60610

Welfare Fund Forms

Miscellaneous Forms

Welfare Fund Notices