{"id":173,"date":"2023-10-30T11:01:29","date_gmt":"2023-10-30T11:01:29","guid":{"rendered":"https:\/\/ufcw880funds.com\/?page_id=173"},"modified":"2025-08-04T14:26:12","modified_gmt":"2025-08-04T14:26:12","slug":"health-and-welfare-forms","status":"publish","type":"page","link":"https:\/\/ufcw880funds.com\/?page_id=173","title":{"rendered":"Health and Welfare Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"173\" class=\"elementor elementor-173\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-325b242 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"325b242\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-460a1b9\" data-id=\"460a1b9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6feeaf3 elementor-widget elementor-widget-theme-site-logo elementor-widget-image\" data-id=\"6feeaf3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-site-logo.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/ufcw880funds.com\">\n\t\t\t<img decoding=\"async\" width=\"300\" height=\"55\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2024\/05\/cropped-FUND-new-log-transparent.png\" class=\"attachment-medium size-medium wp-image-340\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2024\/05\/cropped-FUND-new-log-transparent-300x55.png 300w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2024\/05\/cropped-FUND-new-log-transparent-1024x188.png 1024w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2024\/05\/cropped-FUND-new-log-transparent-768x141.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2024\/05\/cropped-FUND-new-log-transparent.png 1402w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b41f29 elementor-widget elementor-widget-uael-modal-popup\" data-id=\"8b41f29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-modal-popup.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"8b41f29-overlay\" data-trigger-on=\"button\" data-close-on-esc=\"no\" data-close-on-overlay=\"no\" data-exit-intent=\"\" data-after-sec=\"\" data-after-sec-val=\"\" data-cookies=\"\" data-cookies-days=\"\" data-cookies-type=\"default\" data-custom=\"\" data-custom-id=\"\" data-content=\"content\" data-autoplay=\"no\" data-device=\"false\" data-async=\"\" class=\"uael-modal-parent-wrapper uael-module-content uamodal-8b41f29 uael-aspect-ratio-16_9 -popup\">\n\t<div id=\"modal-8b41f29\" class=\"uael-modal uael-center-modal uael-modal-custom uael-modal-content uael-effect-1   uael-aspect-ratio-16_9\">\n\t\t<div class=\"uael-content\">\n\t\t\t\t\t\t<div class=\"uael-modal-text uael-modal-content-data clearfix\">\n\t\t\t<div class=\"uael-text-editor elementor-inline-editing\" data-elementor-setting-key=\"ct_content\" data-elementor-inline-editing-toolbar=\"advanced\"><ol>\n<li>Click on the image<\/li>\n<li>download and save to your device<\/li>\n<li>Either fill out the form and save then email to: hwforms@ufcw880funds.com or print out and fill it out.<\/li>\n<\/ol>\n<\/div>\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t\n\t\t<span class=\"uael-modal-close uael-close-icon elementor-clickable uael-close-custom-top-right\" >\n\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-times\" viewBox=\"0 0 352 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M242.72 256l100.07-100.07c12.28-12.28 12.28-32.19 0-44.48l-22.24-22.24c-12.28-12.28-32.19-12.28-44.48 0L176 189.28 75.93 89.21c-12.28-12.28-32.19-12.28-44.48 0L9.21 111.45c-12.28 12.28-12.28 32.19 0 44.48L109.28 256 9.21 356.07c-12.28 12.28-12.28 32.19 0 44.48l22.24 22.24c12.28 12.28 32.2 12.28 44.48 0L176 322.72l100.07 100.07c12.28 12.28 32.2 12.28 44.48 0l22.24-22.24c12.28-12.28 12.28-32.19 0-44.48L242.72 256z\"><\/path><\/svg>\t\t<\/span>\n\t\t\t<div class=\"uael-overlay\"><\/div>\n<\/div>\n\n<div class=\"uael-modal-action-wrap\">\n\t\t\t<div class=\"uael-button-wrapper elementor-button-wrapper elementor-align-center\">\n\t\t\t<a href=\"javascript:void(0);\" class=\"uael-trigger elementor-button-link elementor-button elementor-clickable elementor-size-lg\" data-modal=\"8b41f29\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-align-icon- elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text elementor-inline-editing\" data-elementor-setting-key=\"btn_text\" data-elementor-inline-editing-toolbar=\"none\" >Click Here for instructions <\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e2efeee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e2efeee\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-2e6c007\" data-id=\"2e6c007\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b839036 elementor-widget elementor-widget-heading\" data-id=\"b839036\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Dental<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0e2d841 elementor-widget elementor-widget-image\" data-id=\"0e2d841\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-Claim-Form-2023.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-793x1024.png\" class=\"attachment-large size-large wp-image-189\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-793x1024.png 793w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-232x300.png 232w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-768x992.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental.png 922w\" sizes=\"(max-width: 793px) 100vw, 793px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-a975382\" data-id=\"a975382\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c83a332 elementor-widget elementor-widget-heading\" data-id=\"c83a332\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Medical Only<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26edfc3 elementor-widget elementor-widget-image\" data-id=\"26edfc3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical-Only-Fillable-Form_-2022.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"784\" height=\"1024\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical-784x1024.png\" class=\"attachment-large size-large wp-image-188\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical-784x1024.png 784w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical-230x300.png 230w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical-768x1004.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Medical.png 916w\" sizes=\"(max-width: 784px) 100vw, 784px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-1a2d4fb\" data-id=\"1a2d4fb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-91c2445 elementor-widget elementor-widget-heading\" data-id=\"91c2445\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Time Loss-Pregnancy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dac522c elementor-widget elementor-widget-image\" data-id=\"dac522c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Pregnancy-Time-Loss-form-Highlighted-2022.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-preg.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-f2aa1bc\" data-id=\"f2aa1bc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aaa1862 elementor-widget elementor-widget-heading\" data-id=\"aaa1862\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Enrollment From <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5764c3 elementor-widget elementor-widget-image\" data-id=\"f5764c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25-3.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"1024\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25-791x1024.png\" class=\"attachment-large size-large wp-image-410\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25-791x1024.png 791w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25-232x300.png 232w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25-768x994.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2025\/08\/Enrollment-Form-update-8-25.png 816w\" sizes=\"(max-width: 791px) 100vw, 791px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-accb6f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"accb6f6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-afc0b38\" data-id=\"afc0b38\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-097bd73 elementor-widget elementor-widget-heading\" data-id=\"097bd73\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Time Loss <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-588a66b elementor-widget elementor-widget-image\" data-id=\"588a66b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Stmt.-of-Claim-Time-Loss-Benefits-Non-Highlighted-2022.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-793x1024.png\" class=\"attachment-large size-large wp-image-189\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-793x1024.png 793w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-232x300.png 232w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental-768x992.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Dental.png 922w\" sizes=\"(max-width: 793px) 100vw, 793px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-8592bee\" data-id=\"8592bee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc9ef88 elementor-widget elementor-widget-heading\" data-id=\"cc9ef88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Time Loss- Supplemental<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7131755 elementor-widget elementor-widget-image\" data-id=\"7131755\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Stmt.-of-Claim-Time-Loss-Benefits-Non-Highlighted-2022.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"783\" height=\"1024\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-Supp-783x1024.png\" class=\"attachment-large size-large wp-image-186\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-Supp-783x1024.png 783w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-Supp-229x300.png 229w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-Supp-768x1005.png 768w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Time-loss-Supp.png 919w\" sizes=\"(max-width: 783px) 100vw, 783px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-b6ac708\" data-id=\"b6ac708\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8078883 elementor-widget elementor-widget-heading\" data-id=\"8078883\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-medium\">Covid Test Reimbursement <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-532da52 elementor-widget elementor-widget-image\" data-id=\"532da52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/Form-for-Covid-Test-Reimbursement-2023.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"669\" height=\"855\" src=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/covid-reim.png\" class=\"attachment-large size-large wp-image-228\" alt=\"\" srcset=\"https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/covid-reim.png 669w, https:\/\/ufcw880funds.com\/wp-content\/uploads\/2023\/10\/covid-reim-235x300.png 235w\" sizes=\"(max-width: 669px) 100vw, 669px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-16504fe\" data-id=\"16504fe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Click on the image download and save to your device Either fill out the form and save then email to: hwforms@ufcw880funds.com 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<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"disabled","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"disabled","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-173","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/pages\/173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=173"}],"version-history":[{"count":71,"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/pages\/173\/revisions"}],"predecessor-version":[{"id":413,"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=\/wp\/v2\/pages\/173\/revisions\/413"}],"wp:attachment":[{"href":"https:\/\/ufcw880funds.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}