IBEW Local Union 480
                   Jackson, MS                                                

N.E.C.A.- I.B.E.W Local 480

Insurance Forms & Retirement
Quick References:
Questions About EOB or Claims - 1-855-445-3927
Submit Dental Claims to:
IBEW Local 480 3150 US Route 60 ONA, WV 2554
New Explanation of Plan Changes
Document
Explanation Of Plan Changes
American Benefit Accident Form
Document
Accident Form
Cigna Life Insurance Beneficiary Designation Form
Document
Life Insurance Beneficiary Form

Pension Plan Beneficiary Form

Document
Pension Beneficiary Form
Health & Welfare Enrollment Form
Document
Health and Welfare Enrollment Form
Neca Ibew Local 480 Re-Enrollment Form
Document
Re-enrollment Form- both forms required
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