International Association of Bridge, Structural, Ornamental and Reinforcing Iron Workers Ironworkers Council of Southern Ohio -  Plan Administrators
 

 

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Pension Forms

Use one of the Pension forms in the Form Links. See the purpose of each form below..

Information Needed to Complete the Form
Your personal Member information and the Plan number (Put-Number-Here) is needed to complete the form. In addition:
  • the name of the member(s),
  • address information,
  • account number(s),
  • other information
Please follow the instructions on the form.


Forms for Retirees Medical coverage
 

Pension Trust QDRO Model Document - If you need a model document for a QDRO against a member's Pension, click here.
Pension Trust QDRO with Child Support Model Document - If you need a model document for a QDRO with Child Support against a member's Pension, click here.

There is also a Model for the Annuity Trust QDRO that can also be downloaded from the Annuity Forms Web Page.

 
Plan Administrator
Ironworkers Administrator
c/o Iron Workers District Council of Southern Ohio & Vicinity Benefit Trust
1470 Worldwide Place
Vandalia, Ohio 45377

Phone: 937-454-1744 or 937-454-1061 or 800-331-4277
Fax: 937-454-5457

Email: Pension@ironworkerssov.org
 
Pension Form Link
Pension Application Form
Pension Disability Exam Report Form
 
Retiree Medical Coverage
COBRA Medical Coverage
Direct Pay Application
Dependent COBRA Election
COBRA Coverage Rights Notice
Statement of HIPPA Portability
Direct Deposit to Retiree's Account
 
Pension Trust QDRO Model Document
Pension Trust QDRO with Child Support Model Document
 
The Pension Plan S.P.D.
Pension Frequently Asked Questions
Pension Glossary
 
 
 
 
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