IBEW Local 124 Benefit Center
305 East 103rd Terrace
Kansas City, MO 64114
Phone 816-943-0277
Fax 816-943-0487
info@ibew124benefits.org
Forms
1095-B forms are available. Request a copy here.
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401(k)
Tax Deferred Savings Authorization Form
Health and Welfare
Accident Questionnaire
Appointment of Personal Representative
2023
Change of Benefits Survey
2025
Spouse Insurance Reimbursement
2024
Spouse Insurance Reimbursement
2023
Spouse Insurance Reimbursement
Subrogation Form
Supplementary Disability Claim Form
Pension
Pension Federal Withholding Form
Pension State Withholding Form
General Forms
Beneficiary Form
Change of Address Form