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(630) 516-8008

(630) 516-8008

questions@tuckpointersbenefits.com

660 Industrial Drive
Suite 201
Elmhurst, IL 60126

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Forms

Welfare Fund Forms

  • Enrollment Form
  • Annual Coordination of Benefits Form
  • Flexible Spending Account Reimbursement Request Form
  • Injury and Accident Claim Form
  • Short-Term Disability Claim Form
  • Short-Term Supplemental Disability Claim Form
  • IRS Form W-9 for Dental and Medical Providers

Pension Forms

  • Pension Application Form
  • Designation of Beneficiary Form Pension
  • Direct Deposit Form
  • IRS W-4P Withholding Certificate for Pension Payments

Annuity Forms

  • Annuity Designation of Beneficiary Form
  • Annuity Distribution Form

Employer Forms

  • Journeyman Reporting Form
  • Journeyman Assistant Reporting Form

Useful Links

  • Blue Cross Blue Shield of IL
  • Express Scripts - Prescription Drug Benefits
  • Dental Provider Network (DNOA Pro)
  • Hearing Aid Discounts
  • Fidelity Annuity
  • BAC Administrative District Council 1
  • The Bricklayers and Trowel Trades International Pension Plan
Questions?
Call the Fund Office at 630-516-8008

660 Industrial Drive, Suite 201, Elmhurst, IL 60126

Office Hours: 7:00 a.m. to 3:00 p.m., Monday to Friday
  • Home
  • News
  • Contact
  • Welfare
  • Annuity
  • Pension

(630) 516-8008

Mon-Fri: 7:00am – 3:00pm

questions@tuckpointersbenefits.com

660 Industrial Drive
Suite 201
Elmhurst, IL 60126

© Tuckpointers Local 52 Benefits Fund – 2022. All rights reserved.

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  • Pension
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  • News
  • Forms
  • FAQs
  • Contact

(630) 516-8008