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HEALTH & WELFARE

UFCW 648-REPRESENTING SAN FRANCISCO'S RETAIL CLERKS


Members enrolled in the food & drug industry open health plan may search for contracted doctors by clicking here
- Blue Cross

Delta Dental

 

 Affordable, high-quality eyecare plans VSP

 

Form Title

UFCW Employee Benefits Plan of Northern California
UFCW Employee Benefits Plan of Northern California Statement of Claims for Group Hospital - Surgical - Medical Benefits
Application for Eligibility Extension Because of Disability
Direct Reimbursement Claim Form
Request for Reimbursement of Prescription Drug Co-Payments
Sick Leave Claim Form
Student Certification
Pension Enrollment
Instruction for Completing an Application for Retirement Benefits
Inquiry Regarding Pension Credits
Walgreen & Local 648 Welfare Trust Enrollment/Change Form
Walgreen  Member Prescription Reimbursement Claim Form
Walgreen Request For Leave