Yonkers Firefighters
Yonkers Firefighters
INTERNATIONAL ASSOCIATION OF FIREFIGHTERS, NYSPFFA, AFL-CIO,CLC
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MetLife Essential Protection Plan
MetLife Registration Instructions
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207a Forms and Info
Employee Attestation Form
207a Medical Provider Letter
207a Informational Packet
207a Form
PMA Management Corp. Contact Info
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YFD Sick Leave Flow Chart
The Preferred Group
The Preferred Group Direct Deposit Form
The Preferred Group Direct Deposit Form
United Health Care (myuhc.com)
Reimbursement Form
Benefits Sheet
L628 - Benefits Sheet
Benefits Explanation Book
Benefits Explanation Book
Participating Provider Co-Payment
Explanation of Participating Provider Co-Payment Benefit
Examples of Acceptable Participating Provider Co-Payments Submitted to Local 628
Getting Reimbursed for Copays -Find and Print Your EOB's (explanation of benefits) Online
Medical/Surgical/Dr. Visits EOB's - Register Here *Group # 030500
Prescription Drug Claims, Balances and History - Register Here
Understanding Your EOB
Out-of-Network Reimbursement
Explanation of 20% Out-of-Network Reimbursement
Explanation of Out-of-Network Major Medical Deductible Reimbursement
Examples of Acceptable 20% Out-of-Network Claims Submitted to Local 628
Mental Health
Mental Health - Examples of EOB and Member Summary Voucher
Mental Health - Superbill (Therapist Invoice)
Mental Health Benefit Breakdown Sheet
Beacon Health - Mental Health / Substance Abuse Treatment Claim Form
Dental
LOCAL 628 PARTICIPATING DENTISTS
Explanation of Dental Benefit
Examples of Acceptable Dental Reimbursement Claims Submitted to Local 628
L628 - Dental Claim Form
Vision
Participating Opticians
Explanation of Benefit
L628 - Vision Claim Form
Commonly Asked Vision Questions
Prescription Drug
Explanation of Prescription Drug Benefit
Examples of Acceptable Prescription Drug Reimbursement Claims Submitted to Local 628
Maternity - Adoption
Marriage, Baby, Divorce Checklists
Newlywed Checklist
New Baby Checklist
Divorce Checkilst
Physical Incentive
Explanation of Benefit
Examples of Acceptable Physical incentive Reimbursement Claims Submitted to Local 628
Inner Imaging
Inner Imaging Body Scan
PMA Management Corp
Important Forms / Life Insurance
ANNUAL RESPIRATORY/PHYSICAL FORM
Local 628 - Life Insurance Election Form
Dependant Membership Update Form
VisionCare Form
Important 207a Information
207a Procedures and Deadlines
Red Alert
Tour Calendar
Tier 2, 5 & 6 Benefits Information
NY State Deferred Compensation Plan
NYSLRS Benefit Information
Explanation of Retirement Benefits
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IAFF Local 628
470 Nepperhan Avenue
Yonkers, NY 10701
914-476-1200
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