Welfare Fund Forms

Dear CSBA Member,

Below please find CSBA Security Benefit Fund (Welfare Fund) forms for use exclusively by CSBA members in good standing. They are posted here for your convenience. Should you have any question with regard to their appropriate use or coverage conditions and limitations, please call Alicare at 1-866-647-4617.

PDF

CSBA Enrollment Form Instructions for Local 237 WF

DOC

CSBA Enrollment Form for Local 237 WF

PDF

CSBA-Amalgamated Benefits Enrollment Form

PDF

Acknowledgment Letter

PDF

Alicare Welcome Letter 2021

PDF

CSBA Security Benefits Fund Master Claim Form

PDF

ASO-SIDS Plan Description and Fee Schedule

PDF

Dental Form – ASO-SIDS

PDF

Unum Claim Form for Income Protection Benefits

PDF

CSBA Group Long Term Disability policy booklet

PDF

CSBA Group Short Term Disability policy booklet

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