Pension Benefits Forms
For FAQs regarding Fidelity Retirement Plan please see PDF above
Change of Address Form:
It is important that you keep us advised of changes of address. Any mail sent to you and returned to us will result in suspension of your pension benefit. All changes of address must be sent to the Fund Office in writing and notarized. A copy of the change of address form can be obtained by visiting USWBenefitFunds.com or by contacting Jill Dalton at 1-800-251-4107.
Pension Applications, Estimates, Report a Death:
You may download a copy of the application from the website at USWBenefitFunds.com. If you have a question or need assistance in completing the forms please contact your Claims Processor as listed below.
For PIUMPF Benefits
Last names beginning with A – G
Last names beginning with H – K
Last names beginning with L – O
Last names beginning with P – Z
For OCAW Plan Benefits
Last names beginning with A – L
Last names beginning with M – Z
Pension Cost Calculation/Fund Information: Call Lisa Ellis at 1-615-333-5786
QDRO’s, Claims Information & Denials: Call Beverly Langley at 1-615-333-5796
Education, Training & Appeals: Call Connie Cornelius at 1-615-333-5764
Please visit USWBenefitFunds.com for a copy of the Fund’s Summary Annual Report and Summary Plan Description.