Retiree Healthcare Enrollment Forms

UPS members can use the link below to print the required retiree enrollment forms.

View Retiree Enrollment Forms Opens the healthcare plan's forms page in a new tab.

For questions about transitioning from active to retiree benefits, contact the plan at 1-855-215-2039 or contact the Local Union Hall.

Important Notice About Retiree Health Benefits

If you are considering retirement, please review this important notice regarding a lapse of coverage.

Read the Important Coverage Notice PDF opens in a new tab. Use your PDF viewer's download or print button to keep a copy.

Compare Your Active & Retiree Plan Documents

As you prepare for retirement, review your Active Summary Plan Description (SPD) alongside your Retiree Summary Plan Description (SPD).

Pension Estimates & Applications

Local 177 UPS full-time and part-time members can run a retirement estimate calculation and apply for pension benefits through UPSers.

1. Sign in to your account at www.upsers.com.
2. Type “retirement calculator” into the search bar at the top of the home page.
3. Follow the prompts for Retirement Calculator / Retire Online.

Questions About Your Retirement Estimate?

After running your estimate, speak with your H.R. representative or contact the UPS Retirement Department directly at retirement@ups.com .