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| GHI Forms |
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HCFA 1500
Used for most services. |
Mail completed form to:
GHI PO Box 2832 New York, NY 10116-2832 |
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Dental Form |
Mail completed form to:
GHI PO Box 2838 New York, NY 10116-2838 |
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Prescription Form
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Mail completed form to:
Paid Prescriptions, Inc. PO Box 6121 Fair Lawn, NJ 07410-0999 |
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| DavisVision Forms |
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Vision Care Claim Form |
Mail completed form to:
Vision Care Processing Unit PO Box 2270 Schenectady, NY 12301 |
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| Other Claim Forms |
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Disability Claim Form |
Mail completed form to:
Metal Lathers 46 Fund Office 260 East 78th Street New York, NY 10021-2095 Attn: Tony D'Amico |
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| Beneficiary Cards |
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Annuity Account Beneficiary Card |
Mail completed form to:
Metal Lathers 46 Fund Office 260 East 78th Street New York, NY 10021-2095 Attn: Carol Stephenson |
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Life Insurance Beneficiary Card |
Mail completed form to:
Metal Lathers 46 Fund Office 260 East 78th Street New York, NY 10021-2095 Attn: Carol Stephenson |
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Pension Fund Beneficiary Card |
Mail completed form to:
Metal Lathers 46 Fund Office 260 East 78th Street New York, NY 10021-2095 Attn: Carol Stephenson |
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Vacation Fund Beneficiary Card |
Mail completed form to:
Metal Lathers 46 Fund Office 260 East 78th Street New York, NY 10021-2095 Attn: Carol Stephenson |
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