Yonkers Firefighters

INTERNATIONAL ASSOCIATION OF FIREFIGHTERS, NYSPFFA, AFL-CIO,CLC

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Member Home
Tier 5+6 Albany Rally RSVP
Local 628 Executive Board, Shop Stewards, & UFOA
Department Phone Numbers
MetLife Essential Protection Plan
- MetLife Registration Instructions
Paperless Payroll
207a Forms and Info
- Employee Attestation Form
- 207a Medical Provider Letter
- 207a Informational Packet
- 207a Form
- PMA Management Corp. Contact Info
- YFD 207a Application
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
Request Forms (Political, Charity & Donations)
- Charitable Events and Organizations
- Sports Teams, Clubs, etc.
- Application for Donation
Events Calendar
Eboard Calendar
Important Links
- Sept. 11 Victims Compensation Fund
Endorsements
Member Directory
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TIER 5+6 Albany Rally

IAFF Local 628

470 Nepperhan Avenue
Yonkers, NY 10701
914-476-1200