• SASMI Health Premium Direct Deposit Form

  • SASMI HCRA Application

  • SASMI Severance Benefit Application

  • SASMI 90 Day Advance Supplemental Unemployment Application

  • SASMI Unemployment/Underemployment Benefit Application

  • SASMI Production-Industrial Severance Benefit Application

  • SASMI Production-Industrial Supplemental Unemployment Benefit Application

  • SASMI Production-Industrial Disability Benefit Application

Health & Welfare Benefits

Copyright 2017. Sheet Metal Workers Local 12. All rights reserved.

Sheet Metal Workers

1200 Gulf Lab Road

Pittsburgh, PA 15238

(412) 828-5300

Please contact the Financial Office at (412) 828-5300 for the following SASMI forms:

For other pension or insurance related forms, go to the Member Portal.

5 Hot Metal Street, Ste 200
Pittsburgh, PA  15203
877-401-6820 – Toll Free
412-713-7342 – Local
412-431-4067 – Fax

Jennifer Collins

Assistant Benefit Administrator
jac@cdsadministrators.com

Luke Gabig
Account Manager
lag@cdsadministrators.com

 

Local Union 12 - Pittsburgh, PA