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Downloadable Forms

   
Downloadable Forms

We have made copies of forms available for you to print from your computer. Click the links below to access the forms in portable document format (PDF). (You need Adobe Acrobat on your computer to read a PDF format. If you do not have the latest version of Adobe Acrobat, you can download it for free. Keep in mind that some forms may take a few minutes to download.) If you don't see the form you need here, or you have questions about which form to use, call the Trust office at (239) 936-6242.

 

In addition, eligible Trust participants (both retirees and their spouses) are automatically enrolled in the Trust’s Indemnity program for medical coverage when you retire.

 

 

Other Forms:

 

To change your life insurance beneficiary

 

To change your address or marital status

 

Direct Payment Enrollment Form

 

PPO Enrollment Form

 

Important:

You must notify the Trust office immediately when you and/or your spouse become eligible for Medicare for any reason other than attaining age 65.

 

Write or call the Trust at:

G.M.P. - Employers Retiree Trust

5245 Big Pine Way, S.E.

Fort Myers, FL 33907-5998

Phone: (239) 936 6242

 

 
G.M.P. – Employers Retiree Trust • 5245 Big Pine Way, S.E. • Fort Myers, FL 33907-5998 • Phone: (239) 936-6242