IUPAT District Council 78 Florida
Holiday Pay Claim Form. Use this form to claim Holiday Pay from you account.
All questions regarding current District Council 78 Member Benefits should be directed to Ms. Tonya King, Benefits Coordinator.
Medical Expenses Reimbursement Form (Click Button)
Benefits Enrollment Form. Use this form to add family members to you health plan.
Dental/Vision Claim Form. Use this form to claim any out-of-pocket Dental or vision expenses.
Beneficiary Designation Card. Use this form to add or change the beneficiary for your death benefits.
Vacation Pay Request Form. Use this form to request vacation pay from your account.
Health Insurance Administrator:
Southern Painters Welfare Plan
5 Hot Metal St, Suite 200, Pittsburg, PA 15203
844/851-7293 fax 412-431-4067