Request for Information

The Southern California IBEW-NECA Health Trust Fund seeks to maintain current records of all its participants and eligible dependents. Please complete and return to the Administrative Trust Funds Office the enclosed "Information Request Form 2013", so that we may ensure that demographic and participant/family records are accurate. This form can also be downloaded from the Trust Funds' website at www.scibew-neca.org.

To enroll eligible dependents (spouse, Domestic Partner, and dependent children), please contact the Administrative Trust Funds Office and request an Enrollment Form or Family Account Change form. You may also download these forms from the Trust Funds' website at www.scibew-neca.org.

Thank you for your cooperation and assistance in maintaining accurate records for your family and the Plan.

Download Information Request Form 2013 >>


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