. Life Insurance benefits are covered for active member coverage only. If a Member or any eligible Dependents are entitled to receive similar benefits simultaneously under the Health & Welfare Plan or any other group insurance plan (including Provincial Plans), to prevent over payment, benefits payable under this Plan would be co-ordinated with the other Plan. To determine which plan would be primarily responsible for the dependent children: Between the Member and the spouse, whomevers birthday falls first in the calendar year, their plan is responsible for the initial reimbursement of benefits for the dependent children, then, any amounts that are not paid by that Plan are submitted to the other parents plan. You should identify yourself as an Iron Workers District Council of New England Welfare Fund member and the providers office will verify your eligibility for services. Location. These files are very large so download at your own risk. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. 14 Spokane WA, Local Union No. professionals, any medical or dental facility, any insurance company or government body, and any other person or institutions to release relevant information to the Plan Administrator solely for the purpose of processing this claim. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). 161 Granite Avenue EnvisionRxOptions administers the Plans prescription drug benefits. 501 (c) (9) Madison Heights, MI. Edit Information/Details. Ontario Ironworkers/Rodmen Benefit Plan Administrators Corporation, 111 Sheppard Avenue East Toronto, Ontario M2N 6S2, Telephone: Within Metro Toronto416-223-0383 Anywhere in Canada.1-800-387-8075 Fax..416-223-0956. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. Basic and Major Services combined have an annual maximum of $2,700. 0 Example: If you begin working for a contributing employer in March and by the end of May, you have 175 hours reported from your employers. Your dentist must complete Part 1 of the form. These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. Copyright 2000-2020 D.A. As always, please . You were covered for benefits as an Active member without interruption during the 12 months immediately preceding your date of retirement (this includes Active member pay-direct coverage under Option 1 and Option 2, but not Option 3); You must be receiving or be in the process of successfully applying for a monthly retirement benefit from the Ironworkers Local 721 (Rodmen) Pension Plan; You must, on an uninterrupted basis from your date of retirement, remain a member in good standing of Local 721 or the Union; You must make the required monthly contributions to the Administrators office on an uninterrupted basis. 1330 E. 1st Street Wichita, KS 67214 hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. 17495 Hurley St, City of Industry, CA 91744, United States Fax: 202 638-4856, iwmagazine@iwintl.org http://www.ironworkers.org, 2011 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS. The Board of Trustees is pleased to welcome you to the new website for the Iron Workers' Local 25 Health Fund of Eastern Michigan. Townley All rights reserved. This number is pre-printed on the form. 15and424 Benefit Funds. WPAS, Inc. 7525 SE 24th Street, Suite 200 Member Paid Medical, Dental and RX Claims, may be submitted for direct reimbursement to: NW Ironworkers Health and Security Trust PO Box 34464 Seattle, WA 98124-1464. Counselors are available to address a wide range of personal issues including: Grief or loss, family conflict, marriage problems, divorce, parenting issues, difficulty at work, alcohol or drug abuse, financial or legal problems, eldercare or childcare issues, depression, trauma, stress, anxiety or other emotional issues. The Dental Plan will cover you and your eligible dependents. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. If you are a member of the Union or one of the Ontario Locals, you become a member of the Plan when you first work for an Employer who pays contributions to the Plan on your behalf. Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; Dental X-rays, but not more than one, whether bitewing or full mouth, in a calendar year; Topical application of sodium fluoride or stannous fluoride, but only for Eligible Dependents under 15 years of age; and. 751 Anchorage AK. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Treatment of temporomandibular joint dysfunction other than by surgery. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. And as thats happened, wages have been cut. Premera In-Network provider negotiated rates click here. in employment for which an Employer has made contributions to the Plan on your behalf. This number is pre-printed on the form. Washington, D.C., 20006 The Dental Plan will cover you and your eligible dependents. iv Iron Workers District Council of New England Health Benefit Plans Important Contact Information Fund Office Iron Workers District Council of New England Health and Welfare Fund 161 Granite Avenue Dorchester, MA 02124 617-265-3757 or 800-637-3736 Claims Office Iron Clad Insurance 161 Granite Avenue, Suite 201 Dorchester, MA 02124 617-436-3500 . Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. 29 Portland OR, and Union . Part 2 is where your Member information is filled in, including your Plan policy number, 70682. You missed. PO Box 34464 Type. Javascript is not enabled. Organize your workplace. Use the Dental Claim form if youve paid your dentist the full cost of the services that are covered under the Plan and you wish to be reimbursed. Revenue. IRONWORKERS 736. We are having trouble matching the information you entered during registration to our database. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. You may receive a 34-day supply. www.fee-eap.com. %PDF-1.6 % Welfare & Pension Administration Service, Inc. Your copayment is based on the type of drug prescribed: You can receive up to a 100-day supply of maintenance medication at one time from the mail order service prescription program. Hearing Aid Benefits (For Active Members), Iron Workers Locals No. This Plan describes benefits funded by the Trust: medical, prescription drug, dental, vision, hearing aid, and weekly disability benefits. Your personal information can be accessed by logging into the secure Member website.To access your personal benefits you must have a PIN. Welcome! Dorchester, MA 02124, Phone: 617-265-3757 Eligible expenses are listed in the Dental section. Disability benefits are covered for active member coverage only. `EZ. The Northwest Ironworkers Trust Funds were established to provide health, retirement and annuity benefits for eligible members and dependents through the collective bargaining process with the Iron Workers District Council of the Pacific Northwest comprised of Local Union No. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. The moment unionization comes up at work, theres likely somebody with management who tries to tell you that unions are bad. In network providers: A $20 copayment per visit will apply, then the visit is paid at 100% of the PPO rate, no deductible applies. $65,304,291. (Dependents use the Member Login option to login to their account. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . We are excited to bring you many new features on this . If you werent able to use your pay-direct card and your dentist charged you for the full cost of the services provided, you can submit your claim for reimbursement using the. The Iron Workers tries to give you the good life. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. O-,Fb~ L: Space maintainers used in place of prematurely lost teeth. Life insurance benefits are administered by Aetna Insurance Company. Get your flu shot at other Participating Network Pharmacies, and you may need to pay for your shot and then submit a paper claim form to the Plan Office. 501 W. 42nd St. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. These Funds have been established with the specific purpose of providing health care and a better way of life for the members of Local 580. Iron Workers Health & Welfare Fund Office: for all eligibility questions, pension, and annuity 1-617-265-3757 1-800-637-3736 Iron Clad Insurance Office: for all claims and insurance benefit questions 1-617-436-3500 . work the required number of hours for initial eligibility or continuing eligibility, described later in this section. In the event of any conflict between the contents of this web site and the actual Plans and contracts or regulations, the provisions outlined in those documents apply. Box 34203 Seattle, WA 98124-1203. Please contact the Fund office for an application and eligibility questions. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. We also encourage you to contact out travel insurer, Global Excel, directly prior to travelling for the most up-to-date information about our travel insurance policy. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. Edit Information/Details. 7525 SE 24th Street, Suite 200 A photocopy of this release shall be as . The Administrator of these Funds can be reached at the following address: 501 W. 4th Ave Denver, CO . To join, you must submit a completed beneficiary form to the Administrator. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Please contact us at help@linkedunion.com for assistance. Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. (425) 454-3003, or toll free 1 (800) 648-5834 Beneficiary forms are provided at the time of eligibility and can be updated at any time. Ironworkers work both indoors and outdoors, erecting and installing steel and iron parts in all kinds of large buildings, bridges and dams and are considered the most dangerous in the building trades, requiring great courage and skill. 501 W. 4th Ave Denver, CO 80223 NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. This is a free service that offers confidential, professional assistance, intervention or referral to employees and family members. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. the denture being replaced is an immediate temporary denture installed within the past twelve months and is now being replaced by a permanent denture; Repairing, recementing or relining of dentures, crowns, inlays or bridgework; and. Your fully completed claim form and receipts can be emailed tohealth@datownley.comor faxed to (604) 299-8136 or mailed/dropped off to thePlan Administrator. you and your family have the support you need to build a better life. See Bank hours for more information. The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: Information Needed to Complete the Form. Endodontic treatment, which includes root canal therapy; Anesthesia in connection with any Basic or Major Restorative Service; and. To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. ":pr&PsF{Bz+Bj\OBy6Py&EB:&H9%KBgQ@9bZfSH4|ihJl*qC%O/+Q63IS7cuZL k@%o~$]w]xexs\w8;Vv{X> A,qNU,6*+RcTc|'w@P'TiIaOmepyUCAUkSQv8pZ`AGRs9UJkbjv:;`'W?eJ:1k%TvOp~?e_VBG^cO~_f:eur)7R Your coverage will start on July 1, the first of the month following the waiting period. To book an appointment with a representative, please click here. Active Iron Workers and Iron Workers on Self-Pay: Your Life Insurance Benefit is $7,000; Your Accidental Death Benefit is $7,000; Active and Self . The Active Plan covers 100% of Preventive Services, including: The Active Plan covers 80% of Basic Restorative Services, including: The Active Plan covers 50% of Major Restorative Services, including: The Basic Restorative Services and Major Restorative Services discussed above are subject to a deductible of $100 per individual or $300 per family per calendar year. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. 15 and 424 Benefit Funds. Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . Continue. endstream endobj startxref Shall be as information can be reached at the following address: 501 W. 4th Denver! 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