Send a Message to the Management Benefits Fund

NOTE: We are experiencing a high volume of e-mail requests. We are responding to the e-mails in the order in which we receive them. Therefore, you do not need to submit multiple e-mails regarding the same issue. Thank you for your patience.

* Indicates required fields.

Please indicate the issue you are reporting: *

MBF Application and Eligibility

Health and Fitness Reimbursement

Basic Life

Group Universal Insurance (GUL)

Group Universal Insurance (GUL) Special Enrollment Period: Only for Eligible Members

Super Imposed Major Medical Program (SMMP)

Survivor

Long Term Disability (LTD)

Other

Your Full Name: *

Employee ID (7 digit reference number on your pay stub):

Agency Name:

Home mailing address and day time telephone number:

Street: *

City: *

State: *

ZIP Code: *

Country: *

Phone Number (numerals only): *

Fax Number (numerals only):

Email Address (e.g., test@example.com): *

Message: