Service Employees International Union Local 105 Health & Welfare Fund

• Annual Open Enrollment - 2023 - Zones - 1-4
• Annual Open Enrollment - 2023 - Zones - 5-8
• Annual Open Enrollment - 2023 - Posting Notice
• Employer Remittance Form and Instructions
• New Administrator Notice
• New Administrator – Billing Enclosure
• New Administrator – New Remittance Address

Payment for April employment is due May 15th. This payment updates eligibility for the month of June.

Corrections may be made by either sending the Administration Office a supplemental report or by including them on the next month’s employer remittance report. Please note, if you are taking a credit for an employee reported in error, you need to notify the Administration Office prior to the month of coverage. If eligibility has been updated for a month for which you are taking credit, the Affordable Health Care Act does not allow coverage to be terminated retroactively. For example, you discover that you reported an employee on your April hours report in error. As long as you notify the Administration Office prior to June 1st, you will be allowed to take a credit. If the Administration Office is notified on or after June 1st, no credit will be allowed.

Contact the Administration Office at (888) 563-0665, extension 3336. You can request either a hard copy billing be mailed to you, or a PDF emailed to you.