NORTH ATLANTIC STATES CARPENTERS BENEFIT FUNDS
10 BROADWAY, HAMDEN, CT 06518 | (203) 281-5511 | FAX (203) 288-3235 | (800) 922-6026

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Members
Login here for access to your personal fund information

CT Employers
 Login to access the on-line contribution reporting and receipts system

RI Employers
 Login to access the on-line contribution reporting and receipts system

Contribution Forms

CT Delinquency Control Policy

Business Agents CT

Business Agents RI

NE Regional Council of Carpenters

Network Information
Provider Directory 

Medical ID Cards:

Please be sure to bring your new Anthem Medical ID Card with you

to all provider visits

 Co-Pay is $15

 Click on the links below to view any of the pension documents. You will need Adobe Acrobat to view these documents. Click here to download the free software from Adobe.

Annuity Plan Booklet

HIPPA Authorization Form (Must be completed if Hardship Withdrawal is for medical bills)

• Annuity Direct Deposit Form (21Kb)

• Application for Benefits (2 Mb)

• Application for Hardship Withdrawal (1.67Mb)

• Election for Income Tax Withholding (96 Kb)

• 2021 CT-W4P (379 Kb)

• Voluntary Contribution Procedures and Election Form (98 Kb)

• Authorization for Payment of Health Self-Pay from Fund (8 Kb)

• Summary Annual Report (191Kb)
• Hardship Loan Application (408Kb)
• Qualified Domestic Relations Order (QDRO) (1Mb)
• Application for Benefits – Rhode Island Pre 1/1/18 Participant (264Kb)

  Please be sure to present your new ID card at all pharmacy visits

Hearing Care Program

800-648-9557