Both plans provide coverage for medical and mental health care, dental benefits, vision care, and prescription drugs. Do I need pre-certification for counseling? CVS/Caremark We suggest you call American Health Holdings at (855)248-1858. Disclaimer and Privacy Policy | Terms of Use 2013 BeneSys Administrators All content on this site is copyrighted by BeneSys Administrators. For full details on coverage and deductibles included under the Vision Plan, please review the Summary Plan Description. Under Plan A and Plan B, the Fund will pay 80% of a participating providers charge, up to a maximum benefit of $50 per visit, with a limit of 12 visits per calendar year. To determine if the company has properly remitted to the Pension Fund on your behalf, you should contact the Pension Department at 1-800-523-2846 ext. Click on the link below and create an account or call us at (312) 970-1122 to get started! Find company research, competitor information, contact details & financial data for Local 272 Welfare Fund of New York, NY. Payment of the Deductible goes directly to the Provider. You can check an unlimited number of patients in one call. .h1 {font-family:'Merriweather';font-weight:700;} div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Under Plan A and Plan B, the Fund will pay 80% of the providers charge, up to a maximum benefit of $50 per visit, with a limit of 30 visits per calendar year. For more information, visit www.MyClGNA.com or call 800-CIGNA24 (800-244-6224). You may also visit www.lowerhudsonvalleyeap.com. info@ualocal1funds.org, Normal Business Hours Need help with verification? . Additional Information Questionnaire / Cuestionario de Informacion Adicional, Authorization to Deduct COBRA or Self-Pay Premium, Laborers Recovery Program Brazilian Portuguese, Call the provider help line 877-505-5871, Plan A 1,000 recorded hours within a 12-month Qualifying Period = coverage during a 6-month Eligibility Period, Plan B 700 recorded hours within a 12-month Qualifying Period = coverage during a 6-month Eligibility Period, Biological or legally adopted children up to age 26, Unmarried children with disabilities beyond the age of 26, Children for whom you have legal guardianship of, provided they are also your tax dependent. The Laborers Support Network is available to listen and help you stay strong for your family. 2023, Pipefitters Local Union 597, All Rights Reserved. In setting-up your account you will need: The plan gives you access to the online weight loss and nutritional counseling programReal Appeal. . Find a dentist or confirm that your current dentist participates in the DPO Plus Plan: Plan A and Plan B include different levels of coverage along with copay and deductible requirements for dental care. All Rights Reserved. About Us. Learn more about our Medical Management services >. Member Assistance Program (Supportlinc) Blue Cross Blue Shield of Illinois (Provider Finder) Delta Dental of Illinois; . .manual-search-block #edit-actions--2 {order:2;} 41-61 Kissena Blvd. For any additional questions, please call(312) 970-1122. Before sharing sensitive information, make sure youre on a federal government site. Box 981605 Welfare Fax: 312.829.7787 Press 9 for eligibility status. Open 8am - 5pm | Monday - Friday. New York, New York 10005 Blue Cross/Blue Shield . Address There is a $20 copay after deductible if you use an in-network provider. Will my coverage continue once I stop working? services since 1979. New York, NY 10011 This benefit covers therapies not previously covered by the Health Plan. Browse for plan benefits and documents, or Login for your detailed Plan information. You can access it here. Administrative Services Only, Inc. Frontpath Health Coalition is the PPO network chosen by the Trustees to service our participants beginning October 1, 2003. Find a Provider: select the OAP (open access plus) network. Your medical benefit . To determine if the company has properly remitted to the Health & Welfare Fund on your behalf, you should contact the Eligibility Department at 1-800-523-2846 ext. (Ex. Your co-payment is $20 for primary care & $30 for specialist visit. 30 trust fund engineers magna. Plan A and Plan B include different levels of coverage along with copay and deductible requirements for medical care. The consent judgment, filed in the U.S. District Court for the Southern District of New York, followed an investigation by the departments Employee Benefits Security Administration. The Welfare Fund has been covering CDL Physicals since the start of 2018. Click here to learn more about Real Appeal. Phone: 708.326.6270, Indiana Wellness Center Fred Alston, President Please refer to the Eligible Medical Expenses chart in the Summary Plan Description for Plan A and Plan B coverage. You must respond and provide the requested information by phone or online. Get your members the most appropriate and highest quality medical care at the lowest cost. Westbury, NY 11590, MagnaCare Richardson, TX 75085-3901 50-02 Fifth Street, 2nd Floor Telligen Maternity Program: Through this program, you can access support from pregnancy to early childcare, receiving your own dedicated maternity nurse, valuable education and resources, and a personalized action plan to support a healthy mother and baby. Vision Benefits Your vision benefit network is provided by VSP. For any additional questions, please call (312) 970-1122. 1919 Middle Country Road, Suite 304 Extend your presence in New York, New Jersey, and Connecticut with our large, high-quality, affordable network, trusted by local, regional, national, and international TPAs and carriers for more than 30 years. Worthington, OH 43085-6016 866-343-3709. It takes just 5 minutes to sign up, and there is no charge for this service. Visit MDLive from your MyCigna.com dashboard to sign up. We are a 501(c)(5) nonprofit organization that represents workers in the grocery, meat packing, food processing, retail, healthcare, cannabis, chemical, distillery and many other industries. If you use a provider outside the network, you will need to pay in full and file for the reimbursable amount within 90 days. Review your contact info or beneficiaries, download and submit forms, check on health care claims and more. To order a new prescription drug card, contact Express Scripts at 1-800-467-2006. You may receive a letter from Cigna, or their partner Conduent, requesting additional information for health claims that may be related to an injury. When retired, our Health & Welfare plan (if eligible) requires you and/or your spouse to have Medicare A & B when eligible. HEALTHCARE PROVIDER PORTAL. 29 blasters & drillers & minors. S-I, at MMC272 00706,866,952.) 1016. Welcome to Local 272 Welfare and Pension Funds Website, WE ARE LOOKING FOR PAST MEMBERS OF LOCAL 272, WELFARE SUMMARY PLAN DESCRIPTION AND SUMMARIES OF CHANGES, Local 272 WF SMM effective December 1, 2022UD (0 (7), Local 272 WF SMM effective March 1, 2023 (007 (1). Web Site:www.myCigna.com, Cigna Plus Savings - Discount Program for Medicare eligible Participants and MES eligible Helpers Copyright 2023 Local 272 Welfare and Pension Fund - All Rights Reserved. The Funds have many self-service options to support you. Your dependents eligibility will start when your eligibility starts or on the date they become your qualified dependents. Visiting a dentist that participates in our network will ensure the greatest savings for each appointment. tricare champus. 30 trust fund engineers magna. * Availity, LLC is an independent company . Plumbers Local Union No. EBSAs New York regional office conducted the investigation. . 1 Welfare Fund Contact Page. Prof. 580/Inst. Offer your members high-quality healthcare where they live and work. If you have met the individual $500 calendar-year 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 deductible for Plan A. If you would like to take advantage of the 8 free sessions with no copay or deductible that are available through The Laborers Support Network, you must contact HMC at 1-800-522-6763. Learn more about EBSA and the Affordable Care Act. .usa-footer .grid-container {padding-left: 30px!important;} Web Site: www.Caremark.com Press the number 1. The department alleged that the fund and trustees denied participants the ACAs consumer protections in two ways. Get reviews, hours, directions, coupons and more for Local 272 Pension & Welfare Fund. Phone: 419-666-4450 These reserves are necessary to protect working member's benefits during periods of low employment, to fund the cost of catastrophic claims and to help keep retiree medical benefits affordable. If you are prevented from working due to an injury or illness, our Weekly Accident & Sickness Benefit may be able to help replace lost income. Click here to fill out the claims form for this benefit. Davis Vision Care is our network vision plan. Garden City, NY 11530. Box 8085 Or FAX it to: (312) 421-6724. This information is intended only to provide highlights of the plans. Express Scripts administers our prescription drug plan. To find out if you are eligible for an eye exam you need to contact EyeMed at 866-800-5457 or log onto www.eyemed.com. If we cannot answer, leave a message and your call will be returned. The trustees have agreed to amend the fund to eliminate the 90 percent cost-sharing requirement, and to provide relief to participants affected by that cost-sharing requirement in past years. Your provider must contact Cigna for a Medical admission and HMC Healthworks for a Behavioral Health/Substance Use admission. For more information on your benefits, please download the Health & Welfare Funds Summary Plan Description. Salt Lake City, UT 84130-0757 .agency-blurb-container .agency_blurb.background--light { padding: 0; } Please call 1-888-881-5462. Please print and complete the claim form located in the Important Resources and Documents section. This case demonstrates the U.S. Department of Labors ongoing commitment to ensuring that plans and their trustees respect the Affordable Care Acts protections, said Regional Solicitor of Labor Jeffrey S. Rogoff in New York. Contact the Local 812 Fund Office for more . Lanham, MD 20706. local 272 welfare fund magna. A trusted partner to plan sponsors, TPAs, and carriers for more than 30 years, MagnaCare achieves exceptional value for clients and their members through highly customized, innovative healthcare solutions. #block-googletagmanagerheader .field { padding-bottom:0 !important; } If the Fund Office receives contributions for 135 hours worked during one month, you will be eligible for benefits for one month, but three months ahead. Fund Office Phone: 312.633.0597 Welfare Fax: 312.829.7787 Sprinkler Fitters install, repair and maintain fire sprinkler systems in industrial, commercial and residential buildings to protect lives and property. Welfare; Pension; Annuity; . Box 1001 Address . If alcohol or drugs are a problem we . @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Toll-Free: 877-734-8543 (877-SEIU-KID) Pension (Nursing Home Workers only), dial ext. IF YOU NEED COVERAGE INFORMATION, PRESS 1 AT THE BEGINNING OF THE CALL PICKUP. Filing a Claim The U.S. Department of Labor will continue to investigate and seek remedies for potential violations.. Can I use my Cigna card for prescriptions? Enter your email address below and we'll send a special reset password link to your inbox. Phone: (844) 884-1852 Pipefitters Local Union 597 Chicago, Illinois Phone: 312.829.4191 Fax: 312.829.0137. If you need clarification on a patient's coverage, contact Provider Services at 800.352.6465. The Delta Preferred Option USA Plus Plan (DPO Plus) is our network dental plan provided by Delta Dental of Massachusetts. Local 272 who may be entitled to a Pension. Get answers to all your benefits questions 24/7 from anywhere! Plan A and Plan B include identical coverage for prescription drugs. For full details on our Prescription Drug Plan, please review the Summary Plan Description. FrontPath is our network of physicians and hospitals. Your prescription information is on one side and the other side is your medical, mental health, and Vision information. Is a pre-certification required for an inpatient admission? Telephone (301) 899-7861, ext. Box 188037 For Hospital Claims: ( 800) 482-3787. Most employers that provide a Health Care Program, require the spouses to participate in separate programs to have the health care programs share the cost of the health care services. When you no longer have enough hours in a qualifying period to gain eligibility, you will have the option to elect COBRA continuation coverage. workers compensation, motor vehicle accident, malpractice). If you use a non-participating pharmacy, you must file a claim within 90 days from the date of purchase. Shoppers Pre-Medicare Retiree Assistance Program; UFCW & PE Health and Welfare Fund; UFCW & PE Legal Fund; UFCW & PE Pension Fund; UNITE HERE Local 25; Warehouse Employees Union Local . It is your obligation to contact the Benefits Office to report ANY change in status. Reach out to our office or call 781-272-1000 ext. 2022. you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance . Phone: (844) 243-5566 These services must be pre-authorized or your claim will be denied. uhc salt lake city. tricare champus. Chicago, IL. If you have an autistic child, please contact us at at 419.666.4450 or by email atbenefits@electricalfunds.org. Your "My Local 338" account is your portal into easily accessing information about your contract and benefits, as well as important news and upcoming events. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Submit your inquiry to [emailprotected]. 718 223 - 4313 Do I have to pay the balance on my bill from the doctor? Address Plumbers Local Union No. Please take note regarding the SUB fund: You must apply for benefits within 90 days of the Saturday of the week you are first unemployed and eligible for benefits. Reference Laboratory Network effective August 1, 2010. Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful links, and frequently asked questions regarding your benefits provided by the Plan. Most parking workers are organized under one master contract, which has given them the power to create good careers out of what is a low-paying job elsewhere in the country. Call 888.799.6465 or fill out the form below. Teamsters Local, 272 et al, No. If you go to a provider in the Cigna Network, there is no need to file a claim. From underground installations to final connections of fixtures and equipment, a plumber is required to have all the physical and mental skills needed to get the job done right the first time. For IT-related support, contact Primetech via E-Mail; support@prime-tech.net. [CDATA[/* >