Yonkers Firefighters Local 628
INTERNATIONAL ASSOCIATION OF FIREFIGHTERS, NYSPFFA, AFL-CIO, CLC
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Getting Reimbursed for Copays -Find and Print Your EOB's (explanation of benefits) Online
Participating Provider Co-Payment
Out-of-Network Reimbursement
Dental
Vision
Prescription Drug
Maternity - Adoption
Marriage, Baby, Divorce Checklists
Physical Incentive
Inner Imaging
Important Forms
Red Alert
Tour Calendar
Tier 2, 5 & 6 Benefits Information
NY State Deferred Compensation Plan
Requesting that 628 Fund a Charity Event, Sports Team, Etc.
Events Calendar
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Local 628 Executive Board, UFOA, & Shop Stewards
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Home
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Member Resources
Member Home
Paperless Payroll
207a Forms and Info
207a Instructions for Filling Out
207A Contractual Procedures and Deadlines
YFD 207a Application
State Form
Reimbursement Form
The Preferred Group
Benefits Sheet
Benefits Explanation Book
Benefits Book
Getting Reimbursed for Copays -Find and Print Your EOB's (explanation of benefits) Online
Hospital and Related Expenses EOB's - Register Here
Medical/Surgical/Dr. Visits EOB's - Register Here *Group # 030500
Prescription Drug Claims, Balances and History - Register Here
Mental Health and Substance Abuse EOB's - Register Here
Understanding Your EOB
Participating Provider Co-Payment
Explanation of Participating Provider Co-Payment Benefit
Examples of Acceptable Participating Provider Co-Payments Submitted to Local 628
Out-of-Network Reimbursement
Explanation of 20% Out-of-Network Reimbursement
Explanation of Out-of-Network Major Medical Deductible Reimbursement
Examples of Acceptable 20% Out-of-Network Claims Submitted to Local 628
Dental
628 Dental Claim Form
Participating Dentists
PRINTABLE PARTICIPATING PROVIDERS SHEET
Explanation of Dental Benefit
Examples of Acceptable Dental Reimbursement Claims Submitted to Local 628
Participating Dentist Bill with Payment by Credit Card
Participating Dentist Bill with Payment By Check
Vision
Participating Opticians
Explanation of Benefit
Vision Care Expense Claim Form
Commonly Asked Vision Questions
Prescription Drug
Explanation of Prescription Drug Benefit
Examples of Acceptable Prescription Drug Reimbursement Claims Submitted to Local 628
Maternity - Adoption
Marriage, Baby, Divorce Checklists
Newlywed Checklist
New Baby Checklist
Divorce Checkilst
Physical Incentive
Explanation of Benefit
Examples of Acceptable Physical incentive Reimbursement Claims Submitted to Local 628
NY Sports Club Discount Membership
Inner Imaging
Important Forms
UFOA Standard Life Forms
FireFighter Standard Life Forms
Dependant Membership Update Form
VisionCare Form
Important 207a Information
207a Procedures and Deadlines
Dental Form
Red Alert
Tour Calendar
Tier 2, 5 & 6 Benefits Information
NY State Deferred Compensation Plan
Requesting that 628 Fund a Charity Event, Sports Team, Etc.
Charitable Events and Organizations
Sports Teams, Clubs, etc.
Application for Donation
Events Calendar
Eboard Calendar
Local 628 Executive Board, UFOA, & Shop Stewards
Important Links
Sept. 11 Victims Compensation Fund
Endorsements
Member Directory
Login
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Capt. Kenneth Gallagher
Jan 04, 2012
IAFF Local 628
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