Yonkers Firefighters Local 628

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Member Resources
Member Home
207a Forms and Info
- 207a Instructions for Filling Out
- 207A Contractual Procedures and Deadlines
- YFD 207a Application
- State Form
Benefits Sheet
- Benefits Sheet
Benefits Explanation Book
- Benefits Book
Getting Reimbursed for Copays -Find and Print Your EOB's (explanation of benefits) Online
- Hospital and Related Expenses EOB's - Register Here
- Medical/Surgical/Dr. Visits EOB's - Register Here *Group # 030500
- Prescription Drug Claims, Balances and History - Register Here
- Mental Health and Substance Abuse EOB's - Register Here
- Understanding Your EOB
Reimbursement Form
Reimbursement Deadline
Dental
- 628 Dental Claim Form
- Participating Dentists
  - PRINTABLE PARTICIPATING PROVIDERS SHEET
- Explanation of Dental Benefit
- Examples of Acceptable Dental Reimbursement Claims Submitted to Local 628
  - Participating Dentist Bill with Payment by Credit Card
  - Participating Dentist Bill with Payment By Check
Vision
- Participating Opticians
- Explanation of Benefit
- Vision Care Expense 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 2017
- Examples of Acceptable Physical incentive Reimbursement Claims Submitted to Local 628
- NY Sports Club Discount Membership
Participating Provider Co-Payment
- Explanation of Participating Provider Co-Payment Benefit
- Examples of Acceptable Participating Provider Co-Payments Submitted to Local 628
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
Important Forms
- UFOA Standard Life Forms
- FireFighter Standard Life Forms
- Dependant Membership Update Form
- VisionCare Form
- Important 207a Information
- 207a Procedures and Deadlines
- Dental Form
Tour Calendar
RedAlert
Paperless Payroll
Tier 5 & 6 Benefits Information
Requesting that 628 Fund a Charity Event, Sports Team, Etc.
- Charitable Events and Organizations
- Sports Teams, Clubs, etc.
- Application for Donation
Important Links
- Sept. 11 Victims Compensation Fund
Events Calendar
Eboard Calendar
Local 628 Executive Board, UFOA, & Shop Stewards
Endorsements
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IAFF Local 628

Yonkers, NY 10701

IAFF Local 628 Yonkers Fire Fighters
470 Nepperhan Avenue Yonkers, NY 10701	Phone: 914-476-1200 Fax: 914-476-7978 Email: yonkersff@optonline.net
Mailing Address: Yonkers Firefighters, Local 628 PO Box 1071 Yonkers, NY 10703

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