1. Click on the image
  2. download and save to your device
  3. Either fill out the form and save then email to: [email protected] or print out and fill it out.
Click Here for instructions

Dental

Medical Only

Time Loss-Pregnancy

Enrollment From

Time Loss

Time Loss- Supplemental

Covid Test Reimbursement

Copyright © 2023 UFCW Local 880 Benefit Funds

Scroll to Top