SAMSI Forms

SASMI

What is SASMI

SASMI is an independent trust fund set up to stabilize employment and earnings in the sheet metal industry and to protect members against related loss or interruption of earning power. It does this by providing certain benefits to sheet metal workers.

SASMI Core Benefits

The core of SASMI is the Supplemental Unemployment Benefits (SUB Benefits) and Underemployment Benefits. These payments are made to sheet metal workers who are involuntarily unemployed/underemployed. These benefits can supplement any state unemployment benefits to help them maintain their home and family during down times in work. SASMI can pay members local health and welfare premiums if they are out of work and are threatened with loss of health bene­fits during unemployment or disability. SASMI also pays a Severance Benefit to help the transition if they permanently leave the Sheet Metal Industry. 

News And Information

The Retiree Health Premium Benefit is restricted to premium reimbursement to encourage you to maintain a general health policy after retirement, but the benefit amount is limited due to varying retiree medical benefits in local unions participating in SASMI.

HCRA Benefits Forms

Print Benefits Forms:

Initial Claim Form

Reimbursement Form

Covered Expenses

Get the Active Plan by clicking here: Active Plan

Get the Retiree Plan by clicking here: Retiree Plan

Get the Summary Plan Description (Active & Retiree Plan):

Summary Combined Plan

Visit SASMI's Website for Additional Information

Below is a list of forms that you can print out*

Please do not fill out the forms online. Once you have printed the blank form and filled it out, it should be mailed to the Benefit Funds Office at the following address:

Sheet Metal Workers Local 265
Fringe Benefit Funds
205 Alexandra Way
Carol Stream, IL 60188-2080

If you prefer to have form(s) mailed to you, please email the Fund Office with your request. Include your name and address, and which forms you are requesting to be sent. You may also phone us at 630-668-7260.