ROOFERS LOCAL UNION NO. 22

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    FORMS

    Welfare

    2022 Welfare Plan Summary of Benefits & Coverages

    2021 Welfare Plan Summary of Benefits & Coverages

    2021 Excellus Health Insurance Plan Features

    2021 Welfare Plan Summary Plan Description

    Dental Claim Authorization Form

    Summary of Privacy Practices

    Authorization to Release Information Form

    Coverage Rights Under Cobra

    ULLICO Life Insurance Beneficiary Form

    Important Information regarding Prescriptions

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    Pension

    Pension Plan Summary Plan Description

    Pension Direct Deposit Authorization Form

    Pension Death Beneficiary Designation Form

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    Supplemental

    Supplemental Retirement Plan Summary Plan Description

    In-Service Withdrawal/Rollover Form

    Supplemental Death Beneficiary Designation Form

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    Other Benefits

    Rochester Homebuyer Services Grant Assistance Programs

    CONTACT US

    Tel: 585-235-0080 | Fax: 585-235-1977

    EMAIL US

    ContactUs@RoofersLocal22.com

    OPENING HOURS

    Mon - Fri: 8am - 4:30pm

    Sat - Sun: Closed

    ROOFERS LOCAL NO. 22

    The United Union of Roofers, Waterproofers, and Allied Workers, Local Union No. 22 was established and chartered in 1919. Local 22 Roofers is based in Rochester, New York, and currently has 249 members and 21 Apprentices.

    OUR COMMITMENT

    VISIT US

    Our work continues today with an emphasis on training, safety, and cooperation. Our goal is to provide the safest and best-trained roofers in the industry for our signatory contractors.

    280 Metro Park

    Rochester, NY 14623

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