Forms and Documents - Transit Employees' Health and Welfare Plan - TEHW - Transit Employees’ Health and Welfare Plan – TEHW

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New Hire Enrollment

New Hire Enrollment Checklist

New Hire Enrollment Form

Green Authorization Card

Universal Opt-Out Form

Spousal Credit Form

Supplemental Life Insurance Form

Notice of Privacy Practices
Member Enrollment

ACH Authorization Form

Active Enrollment Form

Affidavit of Domestic Partnership Form

Affidavit of Termination of Domestic Partnership Form

Change of Information Form

Disability Certification for Over-age Dependents Form

Metlife Beneficiary Form

SPOOT Form
Retiree

Retiree Enrollment Form
Short Term Disability

2026 Short Term Disability Application (DC)

2026 Short Term Disability Application (MD)

2026 Short Term Disability Application (VA)
Long Term Disability

Long Term Disability – The Hartford Benefit Plan

Long Term Disability – Metlife Application