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421 Covid 19 Relief

With the ever increasing number of COVID-19 cases being reported, the Trustees of the Plan know that individuals have concerns over not just the health of their family, but also the impact of their family’s overall financial wellbeing.

In an effort to help ease the burden your family may be feeling in these uncertain times, the Trustees of the Plan have adopted a provision that will allow members who are impacted by one of the three (3) scenarios to apply for a withdraw of up to $2,000 per month from available funds in their DC accounts for the months of April and May 2020.

Please see the below link for additional information and the application.

DC Covid Relief Application

Once you have the application completed, use this form to securely send sensitive information to our office. The data and documentation you supply here is protected during transmission to us, using industry standard encryption methods that satisfy stringent privacy laws and regulations, including HIPAA.

Please complete the form below. Fields marked with an asterisk (*) are required. You may send files up to 18 MB in size, in the following formats:

Image Formats: JPEG, JPG, GIF, PNG, BMP
Portable Document Format (PDF)

Use the “Browse” buttons to select your file for upload. Once you have attached the files you wish to upload, click the “Submit” button to complete your submission.