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Electrical Industry Board of Nassau and Suffolk Counties, NY

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Electrical Industry Board of Nassau and Suffolk Counties, NY

  • Home
  • News
  • Health & Benefit
    • Find a Provider
    • Employee Assistance Program (EAP)
    • Plan A Summary Plan Description
    • Plan B Summary Plan Description
    • Summary of Material Modifications (SMM)
    • Forms
    • Frequently Asked Questions
    • Links
  • Vacation & Holiday
    • 2023 Vacation and Holiday Information
    • Summary Plan Description
    • Forms
    • Frequently Asked Questions
  • Pension
    • Summary Plan Description
    • Forms
    • Frequently Asked Questions
    • Links
  • Annuity
    • Summary Plan Description
    • Forms
    • Frequently Asked Questions
  • 401(k)
    • Summary Plan Description
    • Forms
    • Frequently Asked Questions
  • Member XG Login
  • Contact
Retiree Resources Your Prescription Benefit Tax Information: 2023 Form 1095-B

Save time, use this site for benefit claims and related forms!

Loss of Time forms Plan A Plan B S.U.B. form Coronavirus Resources NY Unemployment Info EAP News October Newsletter

COVID-19 At-Home Tests

  • At-Home COVID-19 Tests at No Cost to You
  • Express Scripts: At-Home COVID-19 Test & Reimbursement

County Resources

  • Suffolk County COVID-19 News & Info
  • Nassau County COVID-19 News & Info

Benefits Forms and Info

Supplemental Unemployment Benefit (SUB)

  • SUB claim form
  • NY State unemployment claim information

Loss of Time

  • Plan A Loss of Time form
  • Plan B Loss of Time form
  • New York State Disability Site
  • New York State Notice and Proof of Claim for Disability Benefits

You may find other helpful forms on the Health & Benefit Forms page.

401(k) Fund

Pages under 401(k) Fund

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  • Summary Plan Description
  • Secure Documents
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Contact Us

Electrical Industry Board of Nassau & Suffolk Counties, NY
372 Vanderbilt Motor Parkway
Hauppauge, NY 11788

Tel: (631) 434-3344
Fax: (631) 434-3397

Email: info@eibofli.com

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