ILWU-PMA Benefit Plan Information
ILWU-PMA Benefit Plan Information
Andrea Stevenson
WA Area Welfare Director
21907 64th Ave W. # 130
Mountlake Terrace, WA 98043
(206) 938-6720 office
(206) 938-6726 fax
For assistance with pension questions, you may send an email to:
ILWU-PMA Benefit Plans Contact Information
The phone number to the ILWU-PMA Benefit Plans office in San Francisco is:
(888) 372-4598
The phone number to the Weekly Indemnity Department is:
(415) 919-5828
To send a fax to Pension, the number is:
(415) 749-1321
To send a fax to Welfare, the number is:
(415)749-1400
Washington Paid Family and Medical Leave
To apply for Family and Medical Leave (FMLA) the website is:
Family and Medical Leave Act
US Dept. of Labor
The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.
ILWU/PMA Benefit Plans Website
Visit us at our website for more information and forms:
Designation of Personal Representative
As required by the Health Insurance Portability and Accountability Act of 1996 you have a right to nominate one or more persons to act on your behalf with respect to the protection of health information that pertains to you. By completing this form, you are informing us of your wish to designate the named person as your personal representative. You may revoke this designation at any time by signing and dating the revocation of your copy of this form and returning it to my office.
Designation of Personal Representative Form
U.S. Dept of Health and Human Services
Personal Representative information
Important Message to Washington State
ILWU Participants
who are seeking chiropractic care
