Refer to the Summary Plan Description for complete details. Click here for a claim form. Click here to view a COBRA continuation coverage chart. Also, if your claim for benefits is denied by Cigna, you have a right to appeal to the Fund’s Board of Trustees by mail, fax or email to: Fund Administrator, Laborers’ National Health & Welfare … Subsequent payments must be made within 30 days after the first day of the coverage month. Your beneficiary should complete an AD&D Benefits Claim Form and return it along with any required documentation to the Fund Office. Your provider should submit the claim to the Fund Office at the following address: The Massachusetts Laborers’ Health and Welfare Fund. If you go to a provider in the BlueCross BlueShield PPO Network, there is no need to file a claim. You are encouraged to have your dentist submit a request for a pre-treatment estimate for any services that are likely to total $300 or more. Members have access to free state of the art training, have a strong collective voice on the job, excellent health … Here are some … New Providers may enter the Network. Weekly Accident and Sickness Benefit (for members only) can help replace lost income when an injury or illness prevents you from working. It covers the benefits for which the Fund pays the claims for you and your eligible dependents. If you use a participating retail pharmacy or the mail-order service, you do not need to file a claim. Contact the Fund Office whenever you work outside the state of Massachusetts. If you have met the $500 individual calendar-year PPO Provider deductible for Plan B and then switch to Plan A for the next six-month Eligibility Period, you automatically meet the $250 individual calendar-year PPO Provider deductible for Plan A. mental health and substance abuse services. 1. If you become totally disabled and unable to work because of: any disease not entitling you to benefits under any Workers’ Compensation, occupational disease law, or similar legislation; or. If you fail to comply with the requirements for non-emergency hospital admission, the penalty could range from a $250 reduction in the amount paid by the Fund to a complete denial of the claim. This information is intended only to provide highlights of the plans. You or your dependents must complete a COBRA Notice of Qualifying Event. Present your Express Scripts identification card. Based in Everett, Washing ton Local 292 is a Laborers Union for the Pacific Northwest region. Your beneficiary should complete The Union Labor Life Insurance Claim Form and return it along with any required documentation to the Fund Office. LIUNA! Provided by The Wellness Corporation, MAP can help you with family difficulties, marital stress, child and adolescent concerns, illness of a family member, financial pressure, job stress, or alcohol and drug abuse. Locate participating retail pharmacies at. Pays your beneficiary $10,000 in the event of your death from any cause. These services must be pre-authorized or your claim will be denied. The Massachusetts Laborers Benefit Funds reserve the right to amend, modify, or terminate all or part of any plan at any time. Call 1-800-810-BLUE (1-800-810-2583) Frame (when prescription lenses are required), Single vision: Single $15.00/ Pair $30.00. The LIUNA Fringe Benefits Program provides quality health insurance and pension benefits for union Laborers. Before making an appointment with a provider you have not seen before or to verify that a current PPO contract is in effect. The date you received the election form and COBRA information from the Fund Office. Lawful spouse (same-sex or opposite-sex), Children ages 19 to 26 years of age provided child meets the definition of “Child” below. COBRA provides an option for temporarily continuing coverage if you lose eligibility. Fax. Generally, you may cover your: “Child” Defined: The member’s natural or legally adopted child, a child placed with the member for adoption, and a child for whom the member has legal guardianship (provided he or she is also the member’s federal income tax dependent). After June 30, 2005, any contributions remitted to the Rhode Island or Connecticut Funds will be reciprocated back to the Massachusetts Laborers’ Fund provided you are a member of a Massachusetts, Maine, New Hampshire or Vermont Local Union. These benefits provide coverage for medical, … If you have met the individual $250 calendar-year PPO Provider deductible for Plan A and then switch to Plan B for the next six-month Eligibility Period, you must pay an additional $250 to meet the individual $500 calendar-year PPO Provider deductible for Plan B. Reimbursements are sent to the member not the provider. For event 4: No later than 60 days after the date of the disability determination and before the 18-month COBRA continuation period ends. UnitedHealthcare collaborates with labor unions nationwide to provide health coverage and health care benefits to union members and their families. Serving Funds Participants of the Laborers District Council of Western Pennsylvania Pension and Welfare Funds. Important Note: The provider must include the “UEM” prefix when submitting claims on your behalf. Orthodontia: $2,500 per individual per lifetime up to the age of 19. If your death is the result of an accident, your beneficiary may receive an additional death benefit. With preferred providers available, you can now save yourself and your Trust Fund money by selecting preferred providers whenever you need medical, dental or vision care. … If you use a participating Davis Vision provider, you will not have to pay anything. 22323 Pacific Hwy S, Des Moines, WA 98198. If you are entitled to benefits under more than one Fund, your benefits will be coordinated. It is your responsibility to verify that your choice of provider and/or location of office/facility are in fact a Preferred Provider. Phone (425) 741-3556. Our Office. Asistencia en Español Este documento contiene una breve descripción sobre sus derechos de beneficios del plan, en Ingles. The Minnesota Laborers Health and Welfare Fund (the Fund) welcomes you to the Benefit Program offered to all eligible Plan Participants. Life Insurance can help provide for your beneficiary in the event of your death. The Washington and Northern Idaho District Council of Laborers … Plan A PPO Provider: $250 individual; $500 family, Plan A Non-PPO Provider in PPO Area: $750 individual; $1,500 family, Plan B PPO Provider: $500 individual; $1,000 family, Plan B Non-PPO Provider in PPO Area: $1,000 individual; $2,000 family. Ninety-five percent of civilian union workers and 68 percent of nonunion workers had access to employer-provided healthcare benefits in March 2019. The Davis Vision provider will provide detailed information about the options that are available to you under this Plan. The officers and staff work hard to improve the economic wellbeing, health … Burlington, MA 01803-5201. Complete details are available in the Summary Plan Description. Refer to the Summary Plan Description for a schedule of the description of losses and benefits payable. The Fund utilizes the Blue Cross Blue Shield … Refraction and pathological examination by an optometrist, including the fitting of glasses and the verification of prescription lenses. You and your doctor must FULLY complete a Provider’s Green Claim Form and return that completed form to the Fund Office within 90 days of the date your disability began. If you meet the eligibility requirements, you will receive up to 13 weeks for any one continuous period of disability that is due to the same or related cause(s). Your beneficiary for this benefit is person(s) that the Massachusetts Laborers’ Health and Welfare Fund has on file for you for your health and welfare benefits. 12101 Tukwila International Boulevard Suite 300 Seattle, WA 98168. Construction Craft Laborers build America! If you and your doctor do not FULLY complete the claim form, it will be rejected. The deadline … Local 242. See the. According to the Census Bureau, 82 percent of union construction workers have health insurance, compared with only 46 percent of non-union construction workers. Closed 12:00pm - 12:30pm Training Center: 4201 E Bonanza Rd, Las … If you have questions about your benefits, contact the Trust Fund Office at 445 Apple Street, Suite 109 Reno, Nevada 89502 or (775) 826-7200. This group health plan … The Ohio Laborers’ District Council – Ohio Contractors’ Association Insurance Fund is designed to provide eligible members and dependents with quality health and welfare benefits. Fax (425) 741-2787. See “Benefit Coordination” section for more information. Provides a payment up to $39 a day or $273 per week for up to 13 weeks. Implants: $5,000 per individual per lifetime (based on 50% of reasonable and customary charges, up to $2,500 per year) Plan administrators choose the right … Locate a Davis Vision Provider at www.davisvision.com. The health … You are eligible to participate in the Massachusetts Laborers’ Health and Welfare Plan A or Plan B based on the number of hours you work in covered employment. Currently listed providers may no longer participate. As a participant in the Laborers Health and Welfare Trust Fund, you and your eligible dependents can receive health and welfare benefits. Your dependents’ participation will end when your coverage does or, if earlier, when they no longer meet the eligibility requirements. If other coverage is available, this Plan will coordinate its benefits with that coverage. Union Hall: 2345 Red Rock St, Las Vegas, NV 89146. Laborers' Local 242 serves the Greater Seattle area and its members enjoy a family-supporting wage, health benefits and a pension. For example: BlueCross BlueShield of Massachusetts is the PPO provider except for those services covered by the Wellness Corporation. Failure to do so may result in reduced benefits and higher out-of-pocket expense to you. If you lose a limb or your sight as a result of an accident, a benefit may be paid to you. If you had coverage under Plan A and you are not eligible for Plan B at the time of your loss of eligibility, the Fund will extend Plan A COBRA continuation rights. Laborers' Pension and Welfare Funds 11465 W. Cermak Road Westchester, IL 60154-5768 Telephone: (708) 562-0200 Toll Free: (866) 906-0200 (for plan participants only) Monday thru … See the “COBRA” tab for additional information or refer to the Summary Plan Description for complete details on qualifying events, who is eligible, important deadlines, and the length of time continuation coverage may last. Your beneficiary for the accidental death benefit is the same person you have for your life insurance. Union Trustees Alfonso Oliver, Co-Chair Laborers' Union Local 368 Toni Figueroa Laborers' Union Local 368 Mark Travalino Peter Ganaban Laborers' Union Local 368. Construction Craft Laborers are proud members of the Laborers’ International Union of North America (LIUNA). See the Summary Plan Description for complete details. To change or update your beneficiary for the Health & Welfare Fund complete a Beneficiary Designation Form. Copayment for any refills beyond the third refill will be 50% of the cost. For event 5: No later than 30 days after the date of the Social Security Administration determination that the qualified beneficiary is no longer disabled. Click here for Qualifying/Eligibility Period examples. You are eligible to participate in the Massachusetts Laborers’ Health and Welfare Plan A or Plan B based on the number of hours you work in covered employment. Make a copy of the Notice for yourself before mailing it to the address below. If your provider has to file an inpatient and/or outpatient claim for substance/alcohol abuse, nervous/mental illness, or complementary care, you must have the service pre-authorized by The Wellness Corporation/MAP. Your dependents’ eligibility will start when your eligibility starts or, if later, on the date they become your qualified dependents. Pay in full and file for the reimbursable amount within 90 days. Contact MAP at 1-800-522-6763. }. 2. See the Summary Plan Description for complete details. 206.728.8756 To change or update your beneficiary for the Health & Welfare Fund complete a Beneficiary Designation Form. Complete details are available in the Summary Plan Description. The Fund will determine when a qualifying has occurred when the loss of eligibility is due to: For the other qualifying events listed below, you must notify the Fund Office. No need to submit a claim form, just pay the copayment. Your eligibility for each 6-month Eligibility Period will depend on the number of recorded hours of employment you accumulated with one or more contributing employers within a period of 12 consecutive months. Members recognize the greatest savings when using a Delta Preferred Option dentist, but can also enjoy value when receiving services from a Delta Premier dentist. Repair or replacement of broken or damaged frame or lenses, if it can be satisfactorily shown that the existing frame or lenses cannot be made serviceable: Frame $10.00 / Lenses: as above. Express Scripts’ list of preferred brand-name drugs is available at www.express-scripts.com. REMEMBER – Your Network is in a constant state of change. If you are a member or dependent that has Medicare and retiree health benefit supplemental coverage through the Indiana Laborers Senior Member Program INCLUDING UnitedHealthcare … Phone. Si usted tiene dificultad en entender este documento, por favor pongase en contacto con la Trust Fund Office teléfono a la 445 Apple Street, Suite 109 Reno, Nevada 89502 y (775) 826-7200 a la dirección y en el Quick Reference Chart de este document. Once you meet the eligibility requirements for either Plan A or Plan B, your participation will continue as long as you work at least 1,000 hours for Plan A or 700 hours for Plan B in a 12-month Qualifying Period for the next 6-month Eligibility Period. If you had coverage under Plan B at the time of your loss of eligibility, the Fund will extend Plan B COBRA continuation rights. If you have any questions regarding your benefits including … In the event of any inconsistency between the information on this Web site and the official plan document, the terms of the official plan document, as interpreted by the Board of Trustees in its sole discretion, will control. You may use your own provider; however, you will only be reimbursed up to the maximum allowance listed below. This Summary Plan Description describes the medical, dental, prescription drug, vision and short term disability, life insurance, and accidental death and dismemberment insurance benefits of the Northern Nevada Laborers Health … If you require inpatient and/or outpatient services for substance/alcohol abuse, nervous/mental illness, or complementary care you must have the service pre-authorized by The Wellness Corporation (1-800-522-6763). Certain drugs must be pre-authorized. Click here for a benefits overview. (see Summary Plan Description for exceptions). Self-pay basis after “qualifying event” (see below for list of qualifying events), Includes medical, dental and vision coverage elections. The Fund covers the remaining cost. You must contact BlueCross BlueShield for pre-authorization for certain services. any injury or disease not entitling you to automobile insurance wage continuation payments.
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