Benefits

Benefits Form

As a member, you are eligible to participate in a variety of low cost, payroll-deducted insurance plans, It's never been easier to take advantage of a good thing.

Please send me information about

Group Ordinary Life Insurance
Disability Insurance
Third choice
Group Term Plus Life Insurance
Accidental Death Insurance
Cancer Insurance
Automobile / Homeowner's / Renter's Insurance
Legal Plan
Discount Tickets and Services

Other - Please specify

'Other - Please specify' is required

Name

Title

First Name

Last Name

Suffix

Home Address

Address 1

Address 2

City

State

Postal Code

Country

Home Phone

- ###

####

Work Phone

- ###

####

Home E-mail

Work E-mail

Local 1000 members can take advantage of a wide array of benefits including discount tickets to movie theaters, museums and theme parks. For more information click here.

SEIU Online Store

Questions about the benefits of Local 1000 membership?
Contact Member Benefits toll-free at 1-800-952-5283