Forms

Insurance Forms

NOTE: These forms are all in PDF format. You must have Adobe Acrobat Reader installed on your computer. If you cannot open these files, please go here and download Acrobat Reader for free.

Claims for Dental, Vision, Disability, Health Club, and Flu Shot are to be sent to the address on the form for reimbursement. Please make a copy for your records.

Vision Form

Insurance Enrollment Form

Member Assistance Information

Disability Form

Health Club

Benny Card Reimbursement Claim Form

Spousal Death Benefit Form

Pension Forms

Pension form to be sent to address on the first page at the bottom and do not forget to mark whether the application is for Vesting or Retirement purposes.

Pension Vesting or Retirement Application

Pension Re-Activation Form

401 H Medicare Subsidy Application

Pension Deduction Change Form

If you would like your dues paid automatically every month from your credit union account, please fill this out and send to Beacon Credit Union

Beacon Credit Union Automatic Draft (for dues payment)