| Benefits Forms

Benefits Forms

To monitor your pension contributions
or set up a profile, Click Here

I.A.T.S.E. Local 16/107
Pension Beneficiary Form

All technicians working under an I.A.T.S.E Local 107 contract are able to register with the I.A.T.S.E NBF.
For those who have not yet registered, Click Here to set up a profile.

Through the I.A.T.S.E NBF website, you will be able to monitor and manage your Annuity and Medical plans.

Benefits Primer and Advice from
one of your senior members

Some of our employers contribute to our annuity.
If you wish to make pre-tax matching contributions to your annuity, use the link below
Deferred Salary Agreement Form

Please check with your job steward to confirm if the employer is contributing to our annuity

ALL FORMS ARE TO BE RETURNED BY MAIL, FAX, OR EMAIL TO
THE IATSE NATIONAL BENEFIT FUNDS OFFICE

Return completed forms to:

By Mail:

IATSE National Benefit
Funds Office
417 Fifth Avenue
3rd Floor
New York, NY 10016-2204

By Fax:

• Main Fax Number:
212-787-3607

• Benefits Fax Number:
646-783-7650

• Contracts &
Contributions
Fax Number:
212-792-8322

• Finance Fax Number:
212-792-8321

• Executive Director
Fax Number:
212-792-8320

Email:

• Participant Services:
psc@iatsenbf.org

• MRP Claims Division:
claims@
iatsenbf.org

Retirement Services -
AnnuityDivision:
annuity@
iatsenbf.org

If you need assistance with any of these forms, you can call the I.A.T.S.E. NBF at

Main Number:
212-580-9092

Toll Free Number:
800-456-3863

For technical issues navigating the I.A.T.S.E. NBF website Email

Webmaster:
webadmin@
iatsenbf.org

I.A.T.S.E NBF
Contact Us page

• I.A.T.S.E. Annuity Fund Withdrawal
/Notice of Termination
/Retirement /Disability Form

• I.A.T.S.E Annuity Fund Beneficiary Designation Form

• Health and Welfare Beneficiary Designation Form

Life Insurance Beneficiary Designation Form

IATSE National Health & Welfare Fund Plan C
Medical Reimbursement Program (MRP) Claim Form

Page Last Updated: Apr 22, 2022 (00:02:05)