NEW BENEFITS SECTION COMING SOON!
The members of Laborers Local 66 are entitled to some of the best benefits available to union members. Our pension, annuity and health benefits are managed by both the union and employer representatives. The Benefits Office is located at the Union Hall and is open from 8 am to 4:30 weekdays. The staff there can help answer any questions you may have. Our benefits have grown over the years, and are collectively negotiated to meet the various needs of the rank & file. On this page are various forms you may need which you can easily download and print. If you need further assistance, please contact the Benefits Office.
Local 66 Trust Funds
Phone (631) 454-2330
Fax (631) 249-6290
To View My Benefits
Change of Address Form
Appliction for Supplemental Unemployment Benefits
Medical/Dental/Pharmacy/Optical/Websites
Medical Provider: MagnaCare magnacare.com
Dental Provider: Self Insured Dental Services asonet.com
Pharmacy Manager: Catamaran mycatamaranrx.com
Optical: Davis Vision www.davisvision.com
Members’ Assistance: (Drugs & Alcohol Treatments) opiny.org
Medical/Dental Forms
Supplemental Medicare Reimbursment Claim Form
Dental Benefit Claim Form
Change of Workers Compensation Pharmacy Manager
Davis Vision Claims Form
Annuity Forms
Annuity Plan Withdrawal form
Annuity Plan B - Hardship Withdrawal
IRS Form W-4P
Permitted Reasons for a Hardship Withdrawal
When You Qualify For a Benefit
Annuity HAW Avoid Eviction
Annuity HAW Purchase Home
Disability
Disability Part A Form - Notice and Proof of Claim for Disability Benefits
Disability Part B Form - Statement of Continuance of Disability
For more information, please call Debbie Romaneck at (631) 454-2330 ext 103 or email dromaneck@l66funds.com
Pension
To obtain your Pension Statement or for more information, please call Donna Ciranni at (631) 454-2330 ext 110 or email dciranni@l66funds.com
Pension Application Instructions
Pension Application
Direct Deposit Enrollment Form
IRS Form W-4P
Vacation
Vacaton payout can be taken annually or semi-annually. For more information, please call Debbie Romaneck at (631) 454-2330 ext 103 or email dromaneck@l66funds.com
Stamp Forms
Please be advised that the proper procedure for purchasing stamps is as follows: The contractor completes an order form calculating how many stamps (hours) are needed for each of the laborers on the job and attaches a check for the total cost of the stamps. The stamp order will be processed and the stamps, along with a copy of the order form, will be returned to the contractor to distribute stanps to the laborers. It is the contractor’s responsibility to make sure each laborer receives his/her stamps each week with their pay check. It is also the contractor’s responsibility to complete and submit the Weekly Contractor’s Remittance Identification Form indicating the stamp serial numbers given to each laborer. Please do not send individual checks to the laborers or to the union. All checks must be made payable to and sent to the Trust Funds. No checks for payment of fringe benefits are to be given to the employee.
Below are forms for the various stamps, please contact the Funds Office to obtain these forms.
Independent Contractor:
Independent Stamp Form
Members of the Building Contractors Association:
BCA Form
Members of the Concrete Industry:
Concrete Industry Form
Members of the Wall & Ceiling Contractors Association:
Wall & Ceiling Form
Members of Interior Demolition: (Only in Local 66 area)
Demolition Tier “B” Form
Apprentice Rate – Level 1: (1 – 1,000 hours)
Apprentice Rate – Level 2:(1,001 – 2,000 hours)
Apprentice Rate – Level 3:(2,001 – 3,000 hours)
Apprentice Rate – Level 4:(3,001 – 4,000 hours)
To expedite your stamp order, forms can be faxed to the Fund Office. Please call the Fund office for instructions
The following form is to report each laborer on the job along with the stamp serial numbers given to each:
Weekly Employer Remittance Identification Report Form
Stamp Book Redemption:
Stamp Books run in two 6-month cycles (January thru June & July thru December). Stamps earned for work done from January 1 thru June 30 are to be placed in that stamp book only. The same applies to work done from July 1 thru December 31. These books are for Local 66 stamps only. Treat these stamps like you would treat money and the stamp book as the wallet for that money. These stamps are applied to your Health Benefits as well as your Pension, Annuity and Vacation benefits. Make sure you receive the stamps that correspond with the type of work you did. I.E.: Worked as an Apprentice –Level 1 – your stamps should be stamped “Apprentice 1.” Worked as a Laborer – you should receive Journeyman stamps - your stamps should not have anything stamped over it. If you receive the incorrect stamps, contact your employer (contractor) immediately and let them know a mistake was made.
Types of Stamps:
Journeyman Stamps
Demolition Stamps
Apprentice Stamps – Level 1 (1 – 1,000 hours)
Apprentice Stamps – Level 2 (1,001 – 2,000 hours)
Apprentice Stamps – Level 3 (2,001 – 3,000 hours)
Apprentice Stamps – Level 4 (3,001 – 4,000 hours)
As each of these stamps has a value of their own, also make sure you receive the correct stamp for the corresponding time period you worked. (Dates are printed on the bottom of each stamp.) Again, the value of the stamps changes every year in July.
If you require a Stamp Book for any period please call the phone number below. Stamp Books must be turned in on the date that appears in bold on the front cover of the Stamp Book. Please read the instructions inside the cover of the Stamp Book. Most questions can be answered and errors can be avoided by reading the instructions first. This will help to update your account properly.
Questions? Feel free to contact us via e-mail or call us as 631-454-2330
DKUEZEK@L66FUNDS.COM – Stamp Purchases
AKUGLER@L66FUNDS.COM – Stamp Books
aglaser@l66funds.com – Delinquent (owed) Stamps – Collections
LPERUGINI@L66FUNDS.COM – Direct Contributions, Reciprocity, Late Payments
Shop Steward Reports
Shop Steward reports are to be completed and submitted weekly. Separate reports are required for each job. Submit in person, by mail, or fax to (631) 249-6290
Weekly Shop Steward Report Form
Local 66 Scholarship Fund
The Scholarship Program is available to eligible members whose dependent child will be graduating high school and will be attending an accredited two or four year college or university as a matriculated student. This is for current high school seniors; this is not available to students who have previously graduated high school. The Scholarship will be in the amount of $2,000.00 per year for a two or four year course study. A total of four scholarships will be awarded each June.
Additionally there is another scholarship available to members of Local 66 dependent children for $2,000.00 per year for four years through the Industry Advancement Program of the Building Contractors Association. Please click to access that information.
Applications for the academic year beginning in August/September are available September 1st and must be submitted to the Scholarship Committee by February 1st of the year the student is graduating high school. A section of the application must be completed by the student then given to his/her guidance counselor, no later than November 30th, who will complete and forward this application to the Scholarship & Recognition Program. (Applications received after February 1st will not be considered.)
In order to obtain more information and eligibility requirements for both scholarships, please contact Louise Perugini at the Fund Office at (631) 454-2330 ext 115 or e-mail Lperugini@l66funds.com
