Local 445 Pension and Welfare Fund

15 Stone Castle Road

Rock Tavern, NY 12575

(Please enter on the left side of the building)

Phone: 845-564-4076

Fax: 845-564-1769

Useful Links:

Express Scripts

http://www.express-scripts.com

Meritain Health - an aetna company

http://www.meritain.com

Davis Vision

http://www.davisvision.com

Pension & Welfare Forms

Participating Dentist List

Apr 22, 2025

Download: Dental Providers 2025.pdf

Change of Address Form

Apr 04, 2017

Use this form to change your address in our records. Fax this form to 845-564-1769. Download: Change of Address Form.pdf

Direct Deposit Form

Jul 10, 2015

Use this form to enroll or change your direct deposit. Fax this form to 845-564-1769. Download: Direct Deposit Form.pdf

Pension Request Form

Jul 10, 2015

Fill out this form to request your pension. Fax this form to 845-564-1769. Download: Pension Request Form.pdf

No Surprise Medical Billing Act

Jan 16, 2025

*NEW FOR 2025*  Form 1095-B is available ONLY BY REQUEST. Please contact the Funds office for more information. Download: No Surprise Medical Billing Act.pdf