Local 77 Operating Engineers Funds

MemberXG Benefit system

Want to check eligibility or the status of your claim? Log on to MemberXG and check your information online, available 24 hours a day, seven days a week.

 

Important Notices

Notice of Privacy Practice

Nondiscrimination Notice

Downloads (Forms)

Annuity Fund Beneficiary Designation Form
Change of Address Form (Pension Fund)
Change in Beneficiary Form (Health and Welfare)
Change in Beneficiary Form (Pension)
Coordination of Benefits Form
Electronic Funds Transfer (EFT) Form
Enrollment Form
HIPAA Authorization Form
Pension Federal Tax Withholding Form
Request for Federal Income Tax Withholding From Sick Pay
Weekly Accident & Sickness And/Or Maintenance of Benefits Form

Summary Plan Descriptions

Local 77 Health and Welfare SPD
Insert to SPD
Local 77 Pension Plan SPD

For Your Benefit Newsletters

April 2017
January 2017
October 2016
July 2016
April 2016
January 2016
October 2015
July 2015
April 2015
January 2015
October 2014
July 2014
April 2014
January 2014
October 2013
July 2013
April 2013
January 2013
October 2012
July 2012
April 2012
January 2012
October 2011
July 2011
April 2011
January 2011

Useful Links

American Health Holding
CareFirst PPO
CareMark

Useful Numbers

American Health Holding 800-641-5566

Carefirst 800-235-5160

Caremark 866-282-8503

Vision Service Plan 800-877-7195

These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.