Medical reimbursement claims received by noon on Fridays will be paid out on Mondays.
Completed disability paperwork received by noon on Thursday will be processed for payment Friday.
To enroll your dependent child under the health plan, submit a completed Family Update Form. You must submit the completed enrollment form with the appropriate documentation to the Fund Office within 30 days of the event. If you do not enroll your dependent in 30 days, claims will be denied until you submit the required information.
Your natural child is eligible for coverage on the date of his or her birth. If you adopt a child, have a child placed with you for adoption, or acquire a stepchild through marriage, he or she will be eligible for coverage on the date of placement or marriage, as long as you are responsible for healthcare coverage and your child meets the Plan’s definition of a dependent child.
When you marry, your spouse is eligible for healthcare coverage as of the date of your marriage. However, the Fund will not pay benefits on behalf of your spouse until you enroll your spouse for coverage. To enroll your spouse, send a copy of your certified marriage certificate to the Fund Office, as soon as it is available and complete a Family Update Form. Once your spouse is enrolled, benefits will be paid retroactively to the date of your marriage.
If you are unable to work as a result of a non-work related injury or illness and you are under the care of a physician, you may be entitled to the weekly disability income benefit. To apply, submit a completed Disability Claim Form to the Fund Office. Once approved for the weekly disability benefit, you will be responsible to complete the Weekly Disability Supplementary Form.
Medical reimbursement claims received by noon on Fridays will be paid out on Mondays.
For further information regarding the disability benefits offered by the Plan refer to Page 44 of the Summary Plan Description.
If you have recently moved, please complete a Change of Address Form.
If coverage is lost due to lack of sufficient employer contributions and hours in your individual record system, then you will have the option to elect to continue coverage under COBRA for up to 18 months. Please contact the Fund Office with questions relating to your eligibility.
For further information regarding the COBRA benefits offered by the Plan refer to Pages 13 and 14 of the Summary Plan Description.
If you and your spouse get a divorce or legal separation, your spouse will no longer be eligible for coverage. Your spouse may elect to continue coverage under COBRA for up to 36 months upon divorce or legal separation. You or your spouse must notify the Fund Office, within 60 days of the divorce or separation date for your spouse to obtain COBRA continuation coverage. You must also submit a copy of the divorce decree to the Fund Office.
If you meet certain criteria defined in the Health Plan Summary Plan Description you and your family may be eligible to participate for regular retiree plan or retiree Medicare supplement plan. Please contact the Fund Office for your retiree options for continuing health coverage.
You may designate anyone as a beneficiary for death benefits payable for the loss of your life by submitting a Beneficiary Designation Form to the Fund Office. In the event of your death, your dependents may continue coverage for up to 36 months by electing COBRA continuation coverage or by electing the retiree plan or the Medicare supplemental plan for surviving spouses and dependents. Your survivors will need to make the required self-contributions for this coverage.
For further information for dependents of a deceased retiree offered by the Plan refer to Page 12 of the Summary Plan Description.
For further information regarding the Life Insurance benefits offered by the Plan, refer to Page 49 of the Summary Plan Description.
