Yonkers Firefighters

INTERNATIONAL ASSOCIATION OF FIREFIGHTERS, NYSPFFA, AFL-CIO,CLC

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MetLife Essential Protection Plan
Local 628 Executive Board, Shop Stewards, & UFOA
Department Phone Numbers
Paperless Payroll
207a Forms and Info
- Employee Attestation Form
- 207a Medical Provider Letter
- 207a Informational Packet
- 207a Form
- PMA Management Corp. Contact Info
- YFD 207a Application
YFD Sick Leave Flow Chart
The Preferred Group
The Preferred Group Direct Deposit Form
- The Preferred Group Direct Deposit Form
United Health Care (myuhc.com)
Reimbursement Form
Benefits Sheet
- L628 - Benefits Sheet
Benefits Explanation Book
- Benefits Explanation Book
Participating Provider Co-Payment
- Explanation of Participating Provider Co-Payment Benefit
- Examples of Acceptable Participating Provider Co-Payments Submitted to Local 628
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
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
Mental Health
- Mental Health - Examples of EOB and Member Summary Voucher
- Mental Health - Superbill (Therapist Invoice)
- Mental Health Benefit Breakdown Sheet
- Beacon Health - Mental Health / Substance Abuse Treatment Claim Form
Dental
- LOCAL 628 PARTICIPATING DENTISTS
- Explanation of Dental Benefit
- Examples of Acceptable Dental Reimbursement Claims Submitted to Local 628
- L628 - Dental Claim Form
Vision
- Participating Opticians
- Explanation of Benefit
- L628 - Vision 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
Inner Imaging
- Inner Imaging Body Scan
PMA Management Corp
Important Forms / Life Insurance
- ANNUAL RESPIRATORY/PHYSICAL FORM
- Local 628 - Life Insurance Election Form
- Dependant Membership Update Form
- VisionCare Form
- Important 207a Information
- 207a Procedures and Deadlines
Red Alert
Tour Calendar
Tier 2, 5 & 6 Benefits Information
NY State Deferred Compensation Plan
NYSLRS Benefit Information
- Explanation of Retirement Benefits
Request Forms (Political, Charity & Donations)
- Charitable Events and Organizations
- Sports Teams, Clubs, etc.
- Application for Donation
Events Calendar
Eboard Calendar
Important Links
- Sept. 11 Victims Compensation Fund
Endorsements
Member Directory
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Yonkers Fire Department

Jan 07, 2021

Commissioner

Robert Sweeney

Deputy Chief of Operations

John Folkerts

Deputy Chief of Personnel

Joe Citrone

Deputy Chief of Fire Prevention

Chris DeSantis

Click here for the City of Yonkers Fire Department website.

IAFF Local 628

470 Nepperhan Avenue
Yonkers, NY 10701
914-476-1200