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United Food and Commercial Workers Union Local 152 Health and Welfare Fund fax number
(856) 793-3100
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Fund Office
Used for: Submitting Enrollment & Coordination of Benefits (COB) forms and related HIPAA authorization documents to the Fund Office; COB notifications and enrollment updates are typically returned by fax.
Fax destination details
- Department
- Fund Office
- Purpose
- Submitting Enrollment & Coordination of Benefits (COB) forms and related HIPAA authorization documents to the Fund Office; COB notifications and enrollment updates are typically returned by fax.
- Form
- Enrollment & COB Form (Adult Child Enrollment & COB) — Adult Child Enrollment & Coordination of Benefits (COB) Form
- Address
- 27 Roland Avenue, Suite 100, Mount Laurel, NJ 08054
- Voice phone
- (856) 793-1598; Toll-free (800) 555-4959
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the Enrollment & COB form with participant and adult child information; attach required documents (for example, birth certificate for the adult child; if you have a stepchild, provide the marriage certificate showing the child's parentage; for adopted children, provide court documentation). Fax the completed form to the Fund Office at 856-793-3100.
Official form instructions are published as a downloadable file on the organization's website.
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