FORM 1095-B

Please be advised that as per the IRS Notice 2020-76, Form 1095-B will not
be mailed to you in 2023.

Any participant of the United Wire, Metal & Machine, Health & Welfare Fund may receive a copy of their 2022 Form 1095-B upon request only.

You can request a copy by any of the following methods:

E-mail: RFurio@local810.org
Mail: United Wire, Metal & Machine Health & Welfare Fund
Attn: Claims Department
24-09 38 th Ave – 3 rd Fl
Long Island City, NY 11101
Phone: 212-691-4100, Option 1

Please contact the Fund Office with any questions you may have regarding
your 2022 1095-B.

Thank you.