Welcome

 

to the

AFL-CIO

Health & Welfare Plan

Aflogo

 

What's your Plan for being the healthiest You, you can be?

 

Forms:

 

AFL-CIO Enrollment Form

AFL-CIO Member Change Form

AFL-CIO Medical Claim Form

Canadian Claim Secure Rx Claim Form

Non Canadian Foreign Claims Transmittal

OptumRx Member Reimbursement Pharmacy Form

OptumRx New Prescription Mail-In Order Form

ULLICO Enrollment and Beneficiary Form

Vision Out-Of-Network Claim Form

 

Firefighters Enrollment Form

Firefighters Member Change Form

Firefighters Medical Claim Form

 

Glass Molders Enrollment Form

Glass Molders Member Change Form

Glass Molders Medical Claim Form.pdf

 

Housing Investment Trust Enrollment Form

Housing Investment Trust Member Change Form

Housing Investment Trust Medical Claim Form

 

Ironworkers Medical Claim Form

Ironworkers Enrollment Form

Ironworkers Member Change Form

 

UHC Dental Claim Form

UHC Dental Foreign Claim Form

UHC Foreign Claim Form

 

 

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AFL-CIO

America's Union Movement