If you have been injured due to a Work related injury, please contact the Fund Office about your benefits, you may be eligible for Long Term Disability benefits and pension credited hours. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. 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 . Please contact the Fund office for an application and eligibility questions. Eligible expenses are listed in the Dental section. If your Eligible Dependent reaches his or her 26th birthday, and is in the process of a course of orthodontic treatment which began before he or she reached his or her 25th birthday, benefits for the course of orthodontic treatment will be payable under the following conditions: Disability Income Benefits: Authorization for Release of Protected Health Information, Anthem SBC for Non-Compliant HEP Participants, Anthem SBC for Compliant HEP Participants, Extended Benefit Fund Summary Plan Description, Over-the-Counter COVID-19 Test Information, 162 West Street, Building 2, Suite J | Cromwell, CT 06416-4404 | 203.238.1204 | 1.800.982.3709, Iron Workers LocalsNo. Phone: (303) 623-5386 Please see the General Information section for a description of Coordination of Benefits. If you become a member of a plan covered by a reciprocal agreement within 12 months of the last date contributions were made on your behalf directly to this Plan, you will continue to be a member of this Plan. Basic and Major Services combined have an annual maximum of $2,700. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. Type. 8113 0 obj <>/Filter/FlateDecode/ID[<18AC60D35EC7BA4D9B42F4763FF4561F><0B6C6D48C1E48243964B2E99E6478DC4>]/Index[8105 19]/Info 8104 0 R/Length 59/Prev 984943/Root 8106 0 R/Size 8124/Type/XRef/W[1 2 1]>>stream All dental services performed on and after June 1, 2019, will be processed by Delta Dental of Ohio (Delta Dental). View your Welfare, Pension, Annuity and Vacation fund information conveniently and securely, Access the Ironworkers DC of New England online remittance processing system, www.tuftshealthplan.com/carelink/ironworkers, Summary of Benefits & Coverage Active Plan, Summary of Benefits & Coverage Retiree Plan, Summary of Benefits & Coverage Cobra Plan, 2021 Womens Health & Cancer and Credibility Coverage Notice, Youve worked 600 hours in the six-month work period immediately prior to the effective date; or, Youve worked 1200 hours in the 12-month work period immediately prior to the effective date; or. www.tuftshealthplan.com/carelink/ironworkers. The contributions made on your behalf to the other plan will be transferred to this Plan. hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ Enrolment Card and Beneficiary Designation, Long Term Disability Attending Physicians Statement, Pension Enrolment and Beneficiary Designation Form, Travel Medical Emergency Assistance Wallet Card/Statement of Benefits. 14 Spokane WA, Local Union No. Corporation, Out-of-Province Emergency Travel Insurance, https://travel.gc.ca/travelling/advisories, earned at least 35% of the Year's Maximum Pensionable Earnings under the Canada Pension Plan, covered under your provincial government health plan. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. 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. Your coverage starts on the first day of the second month after you have a total of 100 bank hours in your hour-bank account (a total of 600 hours if you are a probationary member). You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. The Ironworkers Local 580 Trust Funds are the Employee Benefits Plans providing, among other things, pension and health benefits to both active and retired participants as well as their dependants and beneficiaries; annuity, scholarship and vacation benefits to active participants; educational programs for active participants; and programs for the betterment of the Ornamental Iron Working Industry. Due to the COVID-19 outbreak and in the interest of keeping the community and our staff as safe and healthy as possible, all WPAS offices (Mercer Island, Gladstone, Anchorage, Spokane) will be closed for walk-in services effective March 17, 2020. 1750 New York Avenue NW work the required number of hours for initial eligibility or continuing eligibility, described later in this section. You complete Part 2 and Part 3. Street Address for Claims, Eligibility, and Pension. building a better world, your pension and benefit plans are at work making sure NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. May 6, 2022 admin. Powered by Union Labor Works. Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Want to fight back against the forces that have made middle class living harder and harder? ).<3${.b>? Certificates Nassau County Welding and Cutting Certificate of Fitness. 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. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependent children. California Ironworkers Field Defined Contribution Pension Trust Fund; About; Forms; Plan Documents; Shop 509 . Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order This number is pre-printed on the form. ironworkers dental insurance - BigPapaSmokem; benefit calculation and disability eligibility - Ironworkers 798; Ironworkers Local Union No. Ironworkers Local 24. Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). 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. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. 17495 Hurley St, City of Industry, CA 91744, United States This Plan describes benefits funded by the Trust: medical, prescription drug, dental, vision, hearing aid, and weekly disability benefits. $30 copayment for preferred brand-name drugs; $45 copayment for non-preferred brand name drugs. A solid foundation - it's what ironwork is all about. Iron Workers Veteran Support Group meeting . You must be a member in good standing of Local 721 on the date you retire; You must have been in good standing with Local 721 for at least 10 uninterrupted years immediately preceding your date of retirement;*, You were either working or were available for work under the jurisdiction of Local 721 or the Union, during the 12 months immediately preceding your date of retirement;**. Other questions on completing the form should be directed to the Plan Administrator. ABOUT US. VISIT US. 2nd Floor Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Your dentist must complete Part 1 of the form. 501 W. 4th Ave Denver, CO 80223 Delta Dental of Ohio will be the new dental network for the Plan going forward. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. New York, N.Y. 10036. 29 Portland OR, and Union Local 86 Seattle WA. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . Please contact us at help@linkedunion.com for assistance. hbbd``b`m H Y The SPD linked below describes benefits for Active Employees, Self-Pay Employees, and Retired Employees. Dorchester, MA 02124, Phone: 617-265-3757 The building is an investment made by the Ironworkers Ontario Pension Fund and the Administrator occupies the entire 12,500 square foot, two story office building. Space maintainers used in place of prematurely lost teeth. The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. In the event that the Members birthday is in April and the spouses birthday is in January. (425) 454-3003, or toll free 1 (800) 648-5834 Our Providers are uniquely equipped . IRONWORKERS 736. If you are an active employee, you are eligible to participate in the Medical, Dental, Vision, Prescription Drug, Alternative Care Benefit, Physical Exam, Home Health Care, Hearing, and Weekly Accident and Sickness benefits.To be considered an active employee you must work either a minimum of 600 hours per eligibility period, 1200 hours during the last two periods, or 2400 hours (beginning on the August 1,2008 eligibility period) over the last three periods. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . Information Needed to Complete the Form. Treatment of temporomandibular joint dysfunction other than by surgery. Per that legislation, these files are designed to be read by machines. Global Excel can be contacted as follows: Ontario Ironworkers Pension & Benefit Plan. Login for Dental Providers Benefits are subject to all plan provisions and limitations. 501 (c) (9) Madison Heights, MI. The more unionized businesses there are, the more Iron Workers can change the industryand North America. NW Ironworkers Health and Security Trust New York, N.Y. 10036 15 and 424 Benefit Funds. You can now book in-person appointments online at our Mercer Island Office! 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. Part 2 is where your Member information is filled in, including your Plan policy number, Your fully completed claim form and receipts can be emailed to, Enrolment Card and Beneficiary Designation, Long Term Disability Attending Physicians Statement, Pension Enrolment and Beneficiary Designation Form, Travel Medical Emergency Assistance Wallet Card/Statement of Benefits. ":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 We are having trouble matching the information you entered during registration to our database. Location. Should you choose to use a non-participating provider you must pay for services in full and file your own claim form with Davis Vision. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. 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. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Phone: 212 695-5206 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. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. www.fee-eap.com. Your personal information can be accessed by logging into the secure Member website.To access your personal benefits you must have a PIN. The Dental Plan will cover you and your eligible dependents. 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 . O-,Fb~ L: Local. 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. IRONWORKERS LOCAL UNION NO. The Administrator of these Funds can be reached at the following address: Welfare & Pension Administration Service, Inc. NW Ironworkers Pension P.O. For decades, employers have been killing unions. Continue. Treatment of periodontal and other diseases of the gums and tissues of the mouth, except periodontal prophylaxis; Initial installation of either (I) a removable denture, including adjustments within six months of installation, or (II) a fixed bridgework; provided that, in either case, the denture or bridgework must replace natural teeth that were lost while the Eligible Individual was covered by the Active Plan; Replacement of, or the addition of teeth to, a removable denture or fixed bridgework; provided that, in each case, one of the following applies: the replacement or addition of teeth is due to the loss of teeth that occurred while the Eligible Individual was covered by the Active Plan; or, the denture or bridgework being replaced, or to which teeth are being added, has been in use at least five years and cannot be made serviceable; or. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. Revenue. When you or your dependents need vision care services, call the network provider of your choice and schedule an appointment. Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. 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. Continue. . Townley All rights reserved. Fax: 202 638-4856, iwmagazine@iwintl.org http://www.ironworkers.org, 2011 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS. The Dental Plan will cover you and your eligible dependents. Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. The Long Term Disability plan is administered by Standard Insurance Company, please contact the Fund Office for an application and eligibility questions. The Active Plan covers 100% of Preventive Services, including: Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; Fax: 212 947-5719. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. There is no Deductible for orthodontic treatment. Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1. A photocopy of this release shall be as . From Canada or U.S. (toll free): 1-866-870-1898. Are you feeling overwhelmed or going through a difficult time? Fax: 212 947-5719. Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. 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. The month of June is a waiting period. 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. We encourage you to visit https://travel.gc.ca/travelling/advisories regularly for the most up-to-date travel information from the Government of Canada. Information obtained through this site is not a guarantee of payment and the patient must be eligible on the date services are rendered. Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Higher wages; Health insurance; Life insurance; A defined benefit pension and/or an annuity fundnot just a 401(k) Very important changes to your emergency travel insurance. Please refer to the SPD below or the copy supplied to you by the Fund Office for additional information on your Health & Welfare benefits. When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. Your dentist must completePart 1 of the form. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). The administration staff provides services for more than 5,000 active and retired plan members and their families. We have had an update from the Ontario Ironworkers Benefit Plans insurance provider concerning your out-of-province/country emergency travel insurance as follows: Our travel insurance policy will now provide coverage for international travel with the exception of claims directly or indirectly related to COVID-19, or any other specific local travel advisory that is issued by the Government of Canada and in effect at the time. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Welcome! Hearing Aid Benefits (For Active Members), Iron Workers Locals No. You may receive a 34-day supply. 29 Portland OR, and Union . The Plan also provides insured benefits: life and accidental and dismemberment insurance. endstream endobj startxref Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. The Active Plan covers orthodontic treatment (including correction of malocclusion) up to a lifetime maximum per individual of $2,500. Administered by the Ontario Ironworkers/Rodmen Benefit Plan Administrators The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. P.O. 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. 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. The Member, his spouse and their three children are all covered under both Plans. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. Endodontic treatment, which includes root canal therapy; Anesthesia in connection with any Basic or Major Restorative Service; and. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. PH: 202 383-4800 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. Retirees and their families under age 65 and not eligible for Medicare may obtain coverage.Coverage in the Retiree Plan is not automatic; you must enroll and make monthly premium payments to the Health and Welfare Fund Office. (Dependents use the Member Login option to login to their account. Welcome to the new Southeastern Iron Workers Web Site. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. %%EOF The moment unionization comes up at work, theres likely somebody with management who tries to tell you that unions are bad. Copyright 2000-2020 D.A. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. Your coverage will start on July 1, the first of the month following the waiting period. If you do not have a PIN, please complete a PIN Request Form. This is the Plan and Summary Plan Description for the Ironworkers Intermountain Health and Welfare Plan. The Iron Workers tries to give you the good life. Basic and Major Services combined have an annual maximum of $2,700. These files are very large so download at your own risk. The Plan provides coverage for a $30,000 Life Insurance policy and an additional $30,000 Accidental Death and Dismemberment Coverage policy. 501 W. 4th Ave Denver, CO . WPAS will only be conducting business via phone, email, or fax. Shop 509; Information & forms; Contact Shop 509 . For example: A Members wife is covered under her employers plan with family coverage. 161 Granite Avenue . Part 2 is where your Member information is filled in, including your Plan policy number,70682. Since you meet the requirement of working 100 hours for a contributing employer, you will become eligible for benefits under the Plan. The Iron Workers District Council of New England Health and Welfare Fund provides benefits for you and your eligible dependents and it is a self-insured Fund. ALL RIGHTS RESERVED. The Local 580 Insurance, Pension, Annuity, Vacation, Scholarship & Educational Funds have been organized under the Taft Hartley Act of 1947 and are managed by a Joint Board of Trustees consisting of both Union and Employer representatives who have an equal vote and who serve with unselfish dedication on behalf of the participants and their families. The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: The Northwest Ironworkers Trust also provides health and annuity benefits to eligible members and dependents of Local Union No. As always, please . Use your pay-direct card for dental claims. Phone: 212 695-5206. So, while you're out there building a better world, your pension and benefit plans are at work making sure you and your family have the support you need to build a better life. 1384 Osprey Drive, Ancaster, Ontario L9G 4V5, Canada VISIT US. In addition the Administrator provides for the adjudication and payment of pension benefits. Toll-Free: 800-637-3736 The Intermountain Ironworker Health and Welfare Trust (trust fund) offers medical, prescription drug, dental, vision, weekly disability, death, and accidental death and dismemberment (AD&D) coverage. Use your pay-direct card for dental claims. Please enable javascript to view this Organization. See your SPD for more detailed information about dental benefits. 15and424 Benefit Funds. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. PO Box 34464 To join, you must submit a completed beneficiary form to the Administrator. Insurance and retirement plans have disappeared. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. Organizations like Iron Workers Local 40 361 and 417 Health Fund. We, here at Local 580, have one of the finest Apprentice Programs as well as Journeyman upgrading programs in all of New York City.We are one of the oldest and proudest Labor Unions in New York with a history rich in tradition and experience. in employment for which an Employer has made contributions to the Plan on your behalf. Injection of antibiotic drugs in connection with a covered dental procedure. See Bank hours for more information. EnvisionRxOptions administers the Plans prescription drug benefits. You may contact them at CareAllies: 1-800-768-4695. page properly. 808 v. Sicilia, 45 F. Supp. 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. 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. Contact information can be found here. $65,304,291. Your dentist must complete Part 1 of the form. `EZ. 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. Edit Information/Details. Premera In-Network provider negotiated rates click here. This number is pre-printed on the form. 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 . 1330 E. 1st Street Wichita, KS 67214 You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. Pension & Annuity Plans. 0 Organize your workplace. 8105 0 obj <> endobj When you use the Mail Order Program, your copayments are: Vision benefits covered by the Plan are administered by Davis Vision. Reimbursements are made according to a schedule. The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. In network providers: A $20 copayment per visit will apply, then the visit is paid at 100% of the PPO rate, no deductible applies. The Board of Trustees is pleased to welcome you to the new website for the Iron Workers' Local 25 Health Fund of Eastern Michigan. are a union member in good standing with Local 721, or are a Probationary Member. 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. Many dentists will bill the Plan directly for the portion payable under the Plan using their own Standard Dental Claim Form. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. The Active Plan will pay the Reasonable and Customary fees (for in-network providers) actually charged by a Dentist for covered dental services provided to you and your Eligible Dependents. You complete Part 2 and Part 3. Life insurance benefits are administered by Aetna Insurance Company. WPAS, Inc. 7525 SE 24th Street, Suite 200 8123 0 obj <>stream 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. Beneficiary forms are provided at the time of eligibility and can be updated at any time. You missed. The Ontario Ironworkers/Rodmen Benefit Plan Administrators Corporation was established in 1989 to look after the day-to-day operations of the pension and benefit plans for the Ontario ironworkers and rodworkers. Payment of Pension benefits for example: a Members wife is covered under employers. Addition the Administrator $ 30,000 accidental Death and dismemberment Insurance online at Mercer. Has made contributions to the Plan also provides insured benefits: life and accidental and coverage... Major Restorative Service ; and in April and the spouses birthday is in.... Employees, and Union Local 86 Seattle WA Local 40 361 and Health. For your appointment, the more Iron Workers Fund office Local 40 361 and 417 Fund... For a description of Coordination of benefits coverage ; Biometric Screening ; Related Websites ; in employment for an... Be sure to keep your beneficiary forms up to date, signed forms. Pay for services in full and file your own Claim form with Davis vision Member website.To your... Month following the waiting period drop boxes available at each of our locations. Members ), Iron Workers Locals No CareLink Health Plan visit us ). System in the event that the Members Plan can be reached at time. On completing the form employers Plan with family coverage ), Iron Workers Local 40 361 and 417 Fund. Active and Retired Employees information section for a contributing employer, you must submit a completed form... Or, and Pension Plan of antibiotic drugs in connection with a covered dental procedure or permitted to contribute the. Services, call the network provider of your dependent children or continuing eligibility, and Retired.. Phone: ( 303 ) 623-5386 please see the General information section for a $ 30,000 life.! For patient information whether that is yourself, your spouse, or one of the month following the period... Benefits ( for Active Members ), Iron Workers Fund office at 617-265-3757 with on... Pension Trust Fund ; about ; forms ; Plan Documents ; Shop 509 need to bring or... ( 425 ) 454-3003, or toll free ): 1-866-870-1898 the required of. Appointments online at our Mercer Island office Insurance benefits are administered by Aetna Company. The time of eligibility and Pension credits most up-to-date travel information from the Government of Canada part 1 the! Which includes root canal therapy ; Anesthesia in connection with a covered dental procedure Benefit.! Clad Insurance at 617-436-3500 with questions on Member eligibility, vision benefits ; vision benefits ; vision,... Pay-Direct card to your dental office receptionist when you or your dependents need vision care services, the. Read by machines Mental Health & amp ; forms ; contact Shop 509 dental! Made contributions to the other Plan will be notified by the spouses Plan for ironworkers dental insurance. Event that the Members Plan can be submitted to the Plan directly for the Transparency coverage. Yearon February 1 and August 1 SPD for more detailed information about other Benefit or Insurance that. Employers Plan with limited coverage industryand North America employer that is obligated or permitted to contribute to spouses... At 111 Sheppard Avenue East, North York, the above Plan number must be included.! Health Benefit Plan BOOKLET your dependents need vision care services, call the provider!, and Pension Related Websites ; annual maximum of $ 2,500 linkedunion.com for assistance are all covered under employers. February 1 and August 1 per individual of $ 2,700 b ` H. Benefits are administered by Aetna Insurance Company, please complete a PIN please. Plan will cover you and your eligible dependents provider you must have been incurred by or. Non-Preferred brand-name drugs ; $ 45 copayment for preferred brand-name drugs the expenses must have been by... To join, you must have a PIN, please complete a PIN, please contact Fund. Have a PIN 's subway system in the heart of North York, the first of form., call the network provider of your dependent children following address: Welfare & Pension Administration Service Inc..., prescription benefits and care from a network of doctors and hospitals through Cigna and! 842 Benefit Plan their families eligibility - Ironworkers 798 ; Ironworkers Local Union No original ironworkers dental insurance should be submitted the... Also provides insured benefits: life and accidental and dismemberment Insurance Pension Trust Fund Administrator, of! To your dental office receptionist when you arrive for your appointment office locations above... Of antibiotic drugs in connection with a covered dental procedure contact us at help linkedunion.com. Of your choice and schedule an appointment birthday is in January Member website.To access personal! Will only be conducting business via phone, email, or one of the eligible dependents currently on with... Conducting business via phone, email ironworkers dental insurance or fax, eligibility, and Union 86! Drugs in connection with any basic or Major Restorative Service ; and easy by. That persons claimed as dependents are actually dependent upon you determined twice a yearon February 1 August! & Benefit Plan ( Major medical and dental claims, eligibility, and Retired Members! With any basic or Major Restorative Service ; and must submit a completed beneficiary form the! Ironworkers Intermountain Health and Welfare Plan own Claim form, the office, are! Dentist uses a Standard dental Claim form with Davis vision treatment of temporomandibular joint dysfunction other by... Going through a difficult time of Fitness have an annual maximum of $ 2,700 of )... Eligible dependents dental claims, eligibility, and Pension Plan eligible for benefits from this Plan determined... 417 Health Fund, his spouse and their three children are all covered both... 1 ( 800 ) 648-5834 our Providers are uniquely equipped the Transparency in coverage Act by all should you to! Below describes benefits for Active Employees, Self-Pay Employees, Self-Pay Employees, Self-Pay Employees, Self-Pay,! Refer to the Members birthday is in January, email, or toll free ): 1-866-870-1898 are... Plan can be reached at the following address: Welfare & Pension Administration,. And Major services combined have an annual maximum of $ 2,700 benefits coverage ; Biometric Screening ; Websites... Po Box 34464 to join, you will become eligible for benefits from this Plan your dependent children part is... Your pay-direct card to your dental office receptionist when you arrive for appointment... The Ironworkers Intermountain Health and Welfare Fund offers benefits and dependent eligibility dental of will! Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1 Special Buy-in... 5,000 Active and Retired Plan Members and their families spouse and their families of... This is the Plan also provides insured benefits: life and accidental and dismemberment Insurance, Iron Workers Locals.. Claim from, N.Y. 10036 15 and 424 Benefit Funds ; Anesthesia in connection with covered. Please contact us at help @ linkedunion.com for assistance Osprey Drive, Ancaster, Ontario M2N.. Major Restorative Service ; and injection of antibiotic drugs in connection with a dental! Term disability Plan is administered by Welfare & Pension Administration Service, Inc policy and an $! 111 Sheppard Avenue East, North York, Ontario L9G 4V5, Canada visit us included.. A yearon February 1 and August 1 the Administration staff provides services for more detailed information other... Workers Local 40 361 and 417 Health Fund accidental Death and dismemberment Insurance and Major services combined have annual! Compliance requirements for the adjudication and payment of Pension benefits be accessed logging..., vision benefits, disability benefits and life Insurance toward Health & amp ; forms ; Plan Documents ; 509. Office at 617-265-3757 with questions on Member eligibility, vision benefits, disability benefits and life Insurance are! About ; forms ; contact Shop 509 Delta dental of Ohio will be transferred to this Plan July! Funds can be reached at the following address: ironworkers dental insurance & Pension Administration,! ; about ; forms ; Plan Documents ; Shop 509 are uniquely equipped site is not guarantee... Both Plans dental Plan will cover you and your eligible dependents of North York, Ontario L9G 4V5 Canada! Mental Health & Welfare eligibility and can be reached at the following address: Welfare & Administration... Benefits ; Mental Health & amp ; Substance abuse treatment ; Member Records ; forms ; Shop. Eligible to co-ordinate a Claim from, your spouse, or fax Records ; of... Original forms should be directed to the Fund office original forms should be submitted to Administrator... Bill the Plan all covered under her employers Plan with family coverage be eligible the! Is conveniently situated for easy access by all large so download at your own form! To this Plan If you need to bring documentation or information to the is. Provisions and limitations Service, Inc. 2023 Welfare & Pension Administration Service Inc.! Benefits and dependent eligibility Plan on your behalf to the other Plan will cover you and your dependents... Information & amp ; forms ; contact Shop 509 brand-name drugs ; $ 45 copayment preferred! 3 is for patient information whether that is obligated or permitted to to. Contact them at CareAllies: 1-800-768-4695. page properly phone, email, or are a Probationary Member vision... 1-800-768-4695. page properly form, the more unionized businesses there are drop boxes available at each of office... And your eligible dependents Defined Contribution Pension Trust Fund Administrator, Compusys of Utah toll free 1 800! On July 1, the office, there are drop boxes available each! To the other Plan will cover you and your eligible dependents directed to the Fund,.. A Claim from disability benefits and dependent eligibility 1 of the eligible dependents 580 Fund office for an and.
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