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Michigan Laborers’ Fringe Benefit Funds

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Health

Forms


  • Trust Enrollment Form
  • BCBSM Enrollment Form
  • Beneficiary Enrollment Form

Mail or drop off completed forms at:

WPAS, Inc.

6452 Millennium Dr, Ste 100

Lansing, MI 48917-7881

 

Fax completed forms to:

(517) 689-6016

Administered by Welfare & Pension Administration Service, Inc.

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