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December 27, 2016 | Print | Site Map | Help

DC16 Employers

Change of Third Party Administrator as of November 1, 2016
Employer Remittance Form
  • Remittance Form (File size - 90 K)
    This form is best viewed in Firefox & Chrome browsers. To download this form in Internet Explorer, you must save it to your computer.

For a quick overview of how to fill-in the Employer's Remittance form, please check out our Video Tutorial.

WebERF – Electronic Reporting Tool

The Board of Trustees is pleased to announce our electronic reporting tool WebERF, which can be access at https://weberf.dc16trustfund.org.

WebERF allows employers to securely report members to the trust fund and if you choose to, send payment electronically through an ACH payment.

For a quick overview on how to use WebERF, please refer to the DC16 WebERF User's Guide and the accompanying video tutorial.

WebERF Support & FAQs

Have questions?
Check out Frequently Asked Questions for Employers.

Having problems using WebERF?
Please review the WebERF Support section for more information.

Contact Plan Administrator

Telephone NumberPhone
(800) 922-9902, Option 2

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Health Services & Benefit Administrators
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Dublin, CA 94568-7756