MEMORANDUM

to:                 CWA Local 1120 Members on strike

from:           John Zeolla, Secretary/ Treasurer

subject:        COBRA Request form- Identifying members in need

date:            April 28, 2016

   __________________________________________________________________

If any striking Member has a severe/ chronic medical issue with ongoing treatment, please fill the COBRA Request Form now and get it to your Community Services Committee Member A.S.A.P. The Community Services Committee in Local 1120 handles Member's Relief Fund issues such as medical issues during a strike. Although we have 60 days to elect for COBRA coverage, we want to get a head-start for our members most in need requiring extensive medical coverage. The Members of the Community Services Committee are as follows:

Debbie Smith- Cairo- 518-527-7913

Sean Giaco- Kingston- 914-489-9288

Marty Carmody- Fallsburg- Call Business Agent Robert Esposito 845-325-2501

John Archibald- Poughkeepsie- 845-891-6352

Billy Bloomer- Newburgh- 845-926-2674

Please answer all questions on the form and provide as much information as possible. You can attach any supporting documentation to the request form. Your Business Agents have been given paper copies of the form and is available on the Local's website.

After the paper work is submitted to the Local, it will be forwarded to the CWA District 1 Member's Relief Fund Director. A decision will be made to either pay the COBRA payment or pay the actual medical expense.  The Member will be given specific direction of what to do.