What You Should Know

  • This insurance is voluntary
  • You must pay the quarterly premiums before your dues will be accepted. Be sure to review the rates.  Do not accept coverage if you cannot pay the premiums!
  • You cannot cancel the coverage unless you have a qualifying event (coverage gained elsewhere)
  • You must re-enroll to keep your current coverage
  • Be sure to return the respective enrollment forms AND the signed contract
  • We cannot accept late forms.
    Be sure to submit your forms AND contract NO LATER than November 30, 2021.
  • Print the forms AND contract from the website (www.ualocal136.org – Resources Tab): complete, sign and return them to the union hall by mail, fax or email

How to Submit Your Forms & Contract

By Mail: 2300 St. Joseph Industrial Park Dr.
Evansville, IN 47720
By Fax: 812-423-5517
By Email: kathy@ualocal136.org

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