While filling out the Authorization for an Insurance Premium Deduction Form for retired 1977 Fund members, it is important to ensure all sections are accurately filled out on both the member and employer sections before submitting.
To avoid delays, it’s crucial that the employer not only complete their sections but also review the entire document to ensure it is accurately filled out. If corrections are needed, the form will be sent back to processing, delaying the deduction process.
For questions regarding this form, please contact (844) 464- 6777.

