Complete a Name Change Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.

Contact the Fund Office and ask to speak with an Accounts Receivable Specialist. They will verify eligibility and request a new Welfare ID card. Your new ID card will arrive within 7-10 business days from the date you notify the Fund Office that you need a new card.

The Service Providers page provides links to the Welfare service providers BlueCross BlueShield of Kansas City, Connection Dental, Sav-Rx, and New Directions . Once you have selected the desired provider site, you may login to your account if applicable and search for in-network providers.

If you would like to view your Medical EOBs, please visit the BlueCross BlueShield of Kansas City website. Once you are on the BCBS website, you will need to login to your account to access your EOBs.

How to Read Your BCBS EOB thoroughly explains the layout of your Medical EOB and how to easily read the information provided.
How to Read Your RedCard EOB thoroughly explains the layout of your Dental and Vision EOBs and how to easily read the information provided.

If you receive services from a non-participating provider and they are unable to submit the claim on your behalf, then you may have to submit the claim to the Plan. If you need to submit a claim, you will need to request an itemized bill from the provider then complete a Member Reimbursement Claim Form. Forward the itemized bill and completed form to the address as it appears on the claim form

Complete a Beneficiary Designation Form and mail to the Fund Office.

To enroll your spouse for coverage under the Plan, submit a completed Information Verification Form along with a copy of the marriage certificate to the Fund Office. Make sure to include all dependents on the form or it will not be accepted.

To enroll your dependent child for coverage under the Plan, submit a completed Dependent Child Enrollment Form or Information Verification Form along with a copy of the birth certificate or adoption papers to the Fund Office. If you are not married to your child’s birth mother/father, then you would also need to complete a Dependent Affidavit Form, have it notarized, and submit it to the Fund Office with any supporting documents.

Submit an Initial Disability Claim Form to the Fund Office. For additional update requests, you may complete the Supplemental Disability Claim Form. If you are disabled on Workers Compensation, you must submit Proof of Compensation and be unable to engage in any occupation or employment for wage or profit.

You can review the Summary Plan Description electronically or you can call the Fund Office to request a hardcopy of the SPD Booklet.

Complete a Change of Address Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.

Complete a Name Change Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.

Complete a Distribution Application. You should apply for your pension at least 90 days prior to your retirement date. Please complete the forms and mail along with any noted documentation to the Fund Office.

Complete a Direct Deposit Form and mail it to the Fund Office.

To change the amount of the taxes withheld from your pension payment, complete a Tax Withholding Form and return it to the Fund Office.

Complete a Beneficiary Designation Form and mail to the Fund Office.

Complete a Change of Address Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.

Complete a Name Change Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.

To apply for a withdrawal, you will need to complete a Distribution Application. Please complete the form and mail along with any noted documentation to the Fund Office.

Complete a Beneficiary Designation Form and mail to the Fund Office.