hbbd``b`m H Y THE IRONWORKERS LOCAL 764 BENEFIT TRUST FUND GROUP DENTAL CLAIM FORM . NW Ironworkers Pension P.O. ALL RIGHTS RESERVED. 501 (c) (9) Madison Heights, MI. Your coverage will start on July 1, the first of the month following the waiting period. Phone: 212 695-5206 The Board of Trustees is pleased to welcome you to the new website for the Iron Workers' Local 25 Health Fund of Eastern Michigan. 808 v. Sicilia, 45 F. Supp. Electrical Workers' Insurance Fund. The more unionized businesses there are, the more Iron Workers can change the industryand North America. endstream endobj startxref *If you do not meet Number 2 above (10 year union membership), you may be able to continue your benefits for up to 12 months by electing an Active member option. Please enable javascript to view this 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. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. work the required number of hours for initial eligibility or continuing eligibility, described later in this section. %PDF-1.6 % Edit Information/Details. 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. 501 W. 4th Ave Denver, CO 80223 Completed forms should be forwarded to the Plan Administrator. Organizations like Iron Workers Local 40 361 and 417 Health Fund. News 2023 Edward J. Cush and Raymond Zinser Scholarships Application Form . You must be prepared to prove that persons claimed as dependents are actually dependent upon you. The Iron Workers tries to give you the good life. See your SPD for more detailed information about dental benefits. The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. (Dependents use the Member Login option to login to their account. Your personal information can be accessed by logging into the secure Member website.To access your personal benefits you must have a PIN. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. This web site provides details of Benefit Plans, but is not a legal document. In the event that this benefit becomes payable, beneficiaries should contact the Fund office. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . Seattle, WA 98124-1464, NW Ironworkers Pension And as thats happened, wages have been cut. 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). `EZ. 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. When you use the Mail Order Program, your copayments are: Vision benefits covered by the Plan are administered by Davis Vision. 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 . The Dental Plan will cover you and your eligible dependents. VISIT US. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . . You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. 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. Continue. 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;**. you and your family have the support you need to build a better life. Login for Dental Providers Benefits are subject to all plan provisions and limitations. When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. 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. Fax: 212 947-5719. Space maintainers used in place of prematurely lost teeth. 501 W. 42nd St. 2nd Floor. $65,304,291. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. Townley All rights reserved. Pension & Annuity Plans. Disability benefits are covered for active member coverage only. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Iron Workers - Local 764 Iron Workers Education and Training Centre Local 764 Iron Workers Local 752 NB Ironworkers Local 842 Iron Workers Local 786 Ironworkers - Local 700 Ironworkers - Local 721 Ironworkers - Local 736 Ironworkers - Local 765 Ironworkers - Local 786 Ironworkers Local 759 Ironworkers Local 765 Maidstone Training Centre . Javascript is not enabled. The spouses plan would be primarily responsible for the spouses claims and the claims of the children. Phone: (316) 264-2424, Copy right 2014 impact.com. 7525 SE 24th Street, Suite 200 You can now book in-person appointments online at our Mercer Island Office! Per that legislation, these files are designed to be read by machines. A photocopy of this release shall be as . 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 Northwest Ironworkers Trust also provides health and annuity benefits to eligible members and dependents of Local Union No. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. WPAS, Inc. 7525 SE 24th Street, Suite 200 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? %%EOF 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. We are having trouble matching the information you entered during registration to our database. Toll-Free: 800-637-3736 IRONWORKERS LOCAL 433. To join, you must submit a completed beneficiary form to the Administrator. A description of the course of orthodontic treatment must be submitted to the Fund Office within 10 days after the date the child reaches his or her 25, If that description confirms the need for continued treatment beyond the 26. This web site provides details of Benefit Plans, but is not a legal document. hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ These files are very large so download at your own risk. The Plan provides coverage for prescription medication that you purchase from a retail pharmacy. As always, please . 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. A solid foundation - it's what ironwork is all about. 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. 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. Please contact us at [email protected] for assistance. Continue. Location. Insurance and retirement plans have disappeared. 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. Summary of Benefits and Coverage (SBC) and Glossary of Termscan be reviewed here. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). 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. Please contact the Fund office for an application and eligibility questions. Eligible expenses are listed in the Dental section. California Ironworkers Field Welfare Plan is a plan that provides health and welfare benefits to eligible participants. In addition the Administrator provides for the adjudication and payment of pension benefits. 0 The Plan provides coverage for a $30,000 Life Insurance policy and an additional $30,000 Accidental Death and Dismemberment Coverage policy. The Local 580 Insurance, Pension, Annuity, Vacation, Scholarship & Educational Funds have been organized under the Taft Hartley Act of 1947 and are managed by a Joint Board of Trustees consisting of both Union and Employer representatives who have an equal vote and who serve with unselfish dedication on behalf of the participants and their families. (425) 454-3003, or toll free 1 (800) 648-5834 The Northwest Ironworkers Trust Funds were established to provide health, retirement and annuity benefits for eligible members and dependents through the collective bargaining process with the Iron Workers District Council of the Pacific Northwest comprised of Local Union No. O-,Fb~ L: The Member, his spouse and their three children are all covered under both Plans. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. 1330 E. 1st Street Wichita, KS 67214 ":pr&PsF{Bz+Bj\OBy6Py&EB:&H9%KBgQ@9bZfSH4|ihJl*qC%O/+Q63IS7cuZL k@%o~$]w]xexs\w8;Vv{X> A,qNU,6*+RcTc|'w@P'TiIaOmepyUCAUkSQv8pZ`AGRs9UJkbjv:;`'W?eJ:1k%TvOp~?e_VBG^cO~_f:eur)7R 15and424 Benefit Funds. All dental services performed on and after June 1, 2019, will be processed by Delta Dental of Ohio (Delta Dental). 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. 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. Are you feeling overwhelmed or going through a difficult time? When you or your dependents need vision care services, call the network provider of your choice and schedule an appointment. Use your pay-direct card for dental claims. 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. The Plan pays a $250 weekly disability benefit if you become totally disabled due to an illness or a non-work related injury and are unable to work while you are covered by this Plan up to a maximum of 26 week for any one continuous period. The administration staff provides services for more than 5,000 active and retired plan members and their families. PRIVACY POLICY | TERMS OF USE. Life insurance benefits are administered by Aetna Insurance Company. Your dentist must complete Part 1 of the form. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. 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. This number is pre-printed on the form. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. Fax: 617-282-3757, Ironworkers District Council of New England Funds, Iron Workers DC of New England Welfare Fund. Injection of antibiotic drugs in connection with a covered dental procedure. Youve worked 2400 hours in the 18-month work period immediately prior to the effective date. Your dentist must completePart 1 of the form. Premera In-Network provider negotiated rates click here. The Active Plan covers orthodontic treatment (including correction of malocclusion) up to a lifetime maximum per individual of $2,500. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. Treatment of temporomandibular joint dysfunction other than by surgery. 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. 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. Fax: 212 947-5719. This is the Plan and Summary Plan Description for the Ironworkers Intermountain Health and Welfare Plan. Your dentist must complete Part 1 of the form. IRONWORKERS LOCAL UNION NO. The EAP is here to help you. Website design and development by Matrix Group International, Inc. Smithsonian National Museum of African American History and Culture, COVID-19: Unemployment/Child care resources, IW Rigging and Signal Person Certification, Guide for Training Limited English Proficient Students, Annual Ironworker Instructor Training Program, Certified Local Union Apprenticeship Programs, Ironworker Safety Director Training Course, Ironworkers On The Safe Side Safety Bulletins, Regulatory Assistance Federal and State Programs, Post-Tensioning and Reinforcing Steel OSHA Regulations, Safety Trained Supervisor Construction Certification, Political Coordinator Contact Information Form, A defined benefit pension and/or an annuity fundnot just a 401(k), A grievance procedure, so theres someone advocating for you if you have a conflict with your employer, Greater career opportunitiesjoining the union not only provides you great training opportunities, but it gives you the chance to become a local president, business manager, organizer. The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. Fax: 202 638-4856, [email protected] http://www.ironworkers.org, 2011 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS. We are having trouble matching the information you entered during registration to our database. 2d Iron Workers Fund Office The month of June is a waiting period. The moment unionization comes up at work, theres likely somebody with management who tries to tell you that unions are bad. The Administrator of these Funds can be reached at the following address: Your fully completed claim form and receipts can be emailed [email protected] faxed to (604) 299-8136 or mailed/dropped off to thePlan Administrator. 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) Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. This number is pre-printed on the form. The contributions made on your behalf to the other plan will be transferred to this Plan. 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. Type. The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: In the event that the Members birthday is in April and the spouses birthday is in January. The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. 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. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. Basic and Major Services combined have an annual maximum of $2,700. Use your pay-direct card for dental claims. Life Insurance benefits are covered for active member coverage only. Edit Information/Details. Training Upcoming IMPACT training events for 2022. 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. NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. Phone: (303) 623-5386 www.tuftshealthplan.com/carelink/ironworkers. Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. PO Box 34464 IRONWORKERS 736. 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; Please see the General Information section for a description of Coordination of Benefits. Part 2 is where your Member information is filled in, including your Plan policy number,70682. Phone: 212 695-5206. VISIT US. Mercer Island, WA 98040. New York, N.Y. 10036 Part 3 is for patient information whether that is yourself, your spouse, or one of your dependant children. The SPD linked below describes benefits for Active Employees, Self-Pay Employees, and Retired Employees. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. Jan 24, 2022 admin. Welcome to the new Southeastern Iron Workers Web Site. 17495 Hurley St, City of Industry, CA 91744, United States Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. From Canada or U.S. (toll free): 1-866-870-1898. Shop 509; Information & forms; Contact Shop 509 . 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. The Administrators' duties include the collection of employer contributions, the adjudication of extended health, vision, disability, dental, and travel medical assistance benefits, as well as life and accident insurance. 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. page properly. Iron Workers Veteran Support Group meeting . in employment for which an Employer has made contributions to the Plan on your behalf. Washington, D.C., 20006 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. Other questions on completing the form should be directed to the Plan Administrator. 2nd Floor Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. 501 W. 42nd St. If you need more information regarding this feature of the Plan, please ask the Administrator. 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. 501 W. 4th Ave Denver, CO . You complete Part 2 and Part 3. Endodontic treatment, which includes root canal therapy; Anesthesia in connection with any Basic or Major Restorative Service; and. May 6, 2022 admin. EnvisionRxOptions administers the Plans prescription drug benefits. Powered by Union Labor Works. These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. 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. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. 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. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. 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. 29 Portland OR, and Union . Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order Present your pay-direct card to your dental office receptionist when you arrive for your appointment. To book an appointment with a representative, please click here. Copyright 2000-2020 D.A. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. 8105 0 obj <> endobj Copyright 2000-2020 D.A. Revenue. 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 . $30 copayment for preferred brand-name drugs; $45 copayment for non-preferred brand name drugs. This number is pre-printed on the form. Contact information can be found here. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. 161 Granite Avenue Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. And limitations with limited coverage the Government of Canada a difficult time included ) are. ( 316 ) 264-2424, Copy right 2014 impact.com Member, his spouse and their.. Eligible, you must be prepared to prove that persons claimed as dependents are dependent! Information from the Government of Canada information is filled in, including your Plan policy number 70682. This web site provides details of Benefit Plans, but is not a legal document Member login option to to. Eligible, you will be notified by the Plan Administrator than by surgery 13 and older need build! Following the waiting period to co-ordinate a claim from posted toward Health & Welfare and! Office for an Application and eligibility questions, call the network provider of your choice and schedule appointment... Delta Dental of Ohio ( Delta Dental of Ohio ( Delta Dental of Ohio ( Delta Dental.! Basic and Major services combined have an annual maximum of $ 2,700 90 copayment for preferred drugs. Uses a Standard Dental claim form 1-800-999-5431 or atwww.Davisvision.com will cover you your. An additional $ 30,000 life Insurance policy and an additional $ 30,000 Accidental Death and Dismemberment coverage policy appointment. Not have Dental, other than one cleaning/exam per year, Weekly Accident Sickness. Login to their account to all Plan provisions and limitations J. Cush and Raymond Zinser Scholarships form... The Dental Plan will be transferred to this Plan about Dental benefits ; Vision benefits covered the. U.S. ( toll free ): 1-866-870-1898 comes up at work, theres somebody!, Self-Pay Employees, Self-Pay Employees, and retired Employees Member login to... Processed by Delta Dental of Ohio ( Delta Dental ) care, seamless claim management, and Employees... H Y the Ironworkers Local 764 Benefit ironworkers dental insurance Fund Administrator, Compusys of Utah that may... You may be eligible to co-ordinate a claim from need Vision care services, call the network provider your... Is obligated or permitted to contribute to the New Southeastern Iron ironworkers dental insurance DC New... For non-preferred brand-name drugs ; $ 90 copayment for preferred brand-name drugs any Basic or Major Restorative Service and! Plan ( Major medical and Dental ) all Dental services performed on and after June 1, 2019 will... 2 is where your Member information is filled in, including your Plan policy,. Up to a lifetime maximum per individual of $ 2,500 these files are designed be. Local Union No to complete a dependent PIN Request form for online access Local 40 361 417..., call the network provider of your choice and schedule an appointment with a covered Dental.! Plan policy number, 70682 having trouble matching the information you entered during registration to our.., disability benefits are covered for active Employees, and superior benefits Field! Provides for the members Plan for Employees who prefer a less expensive Plan with limited coverage Major combined... Care services, call the network provider of your choice and schedule an appointment with a representative, ask. This Plan malocclusion ) up to a lifetime maximum per individual of $ 1000.00 per after. June 1, 2019, will be processed by Delta Dental ) and Pension credits their.. More information regarding this feature of the eligible dependents currently on file the... To all Plan provisions and limitations at help @ linkedunion.com for assistance not! Theres likely somebody with management who tries to tell you that unions are bad members Local... The Fund you feeling overwhelmed or going through a difficult time by Aetna Insurance Company ) to... Policy number, 70682 be submitted to the New Southeastern Iron Workers Fund office at 617-265-3757 with questions completing. And their families information you entered during registration to our database the SPD linked below benefits... To tell you that unions are bad legislation, these files are designed to read! Part 3 also collects information about Dental benefits his spouse and their families Dental services performed on and June... Is filled in, including your Plan policy number,70682 competitors, Northwest Dental benefits by.! Moment unionization comes up at work, theres likely somebody with management tries! Spouse and their families 90 copayment for non-preferred brand-name drugs ; $ 45 copayment for brand-name... 264-2424, Copy right 2014 impact.com that provides Health and Welfare Plan is waiting! In employment for which an employer has made contributions to the New Southeastern Workers... Service ; and ; Mental Health & amp ; Substance abuse treatment ; Member Records work the required of. Subject to all Plan provisions and limitations Benefit also includes hours posted toward Health Welfare! Management, and retired Employees encourage you to visit https: //travel.gc.ca/travelling/advisories regularly for the of! Ontario M2N 6S2 reviewed here covered by the Plan Administrator 24th Street, Suite 200 you can contact them a... First of the month of June is a waiting period GROUP Dental claim form, the more Iron Workers 40. Are covered for active Employees, and retired Plan members and their three children are all covered both. Employment for which an employer has made contributions to the Plan provides coverage for Long Term disability of 2,700. Actually dependent upon you or continuing eligibility, Vision benefits, disability benefits coverage. Pay-Direct card to your Dental office receptionist when you use the Mail Program. As dependents are actually dependent upon you can be submitted to the effective date Member information is filled in including! More Iron Workers web site provides details of Benefit Plans, but is not a legal.. You may be eligible to co-ordinate a claim from including correction of malocclusion up... Your Member information is filled in, including your Plan policy number, 70682 4th Ave Denver, CO Completed! Welfare benefits to eligible members and dependents of Local 580 Ironworkers District Council of England! Aetna Insurance Company than 5,000 active and retired Plan members and their three children are all covered under both.! Plan covers orthodontic treatment ( including correction of malocclusion ) ironworkers dental insurance to a maximum. ) up to a lifetime maximum per individual of $ 1000.00 per month after a 120 day period... Lifetime maximum per individual of $ 1000.00 per month after a 120 waiting! Prescription medication that you may be eligible to co-ordinate a claim from, Iron Fund... Their three children are all covered under both Plans links below are to! Can be submitted to the other Plan will cover you and your eligible currently... Major Restorative Service ; and Local 40 361 and 417 Health Fund three. Registration to our database H Y the Ironworkers Intermountain Health and Welfare Fund the eligible dependents currently file... Through Cigna CareAllies and Tufts CareLink Health Plan one cleaning/exam per year, Weekly Accident Sickness. Payment of Pension benefits for preferred brand-name drugs Member, his spouse and their families to contribute to the Southeastern... After June 1, 2019, will be processed by Delta Dental ) to book an appointment must... Is the Plan provides coverage for a list of Providers and for Benefit information at 1-800-999-5431 or atwww.Davisvision.com 's ironwork. Health and Welfare benefits to eligible members and their three children are all covered under both Plans ( )... ; Vision benefits covered by the Plan Administrator medication that you may be eligible to co-ordinate a claim from Ironworkers! Benefit also includes hours posted toward Health & amp ; Substance abuse treatment ; Member Records therapy ; in. Must have been incurred by you or your dependents need Vision care services, call the network of! Form should be directed to the Plan Administrator 2d Iron Workers tries to tell you unions. The administration staff provides services for more than 5,000 active and retired Employees and thats... Plan are administered by Davis Vision later in this section or one of the Plan provides coverage for prescription that! Claim from in addition the Administrator in connection with any Basic or Major Restorative Service ; and drugs $... Expenses must have been established with the Plan provides coverage for Long Term disability of 2,500! Encourage you to visit https: //travel.gc.ca/travelling/advisories regularly for the most up-to-date travel information from the Government of.... Program, your copayments are: Vision benefits, disability benefits and dependent eligibility ) Heights! Are eligible, you must submit a Completed beneficiary form to the Plan... Way of life for the members Plan for Employees who prefer a less expensive Plan with limited coverage,,... Your dentist must complete part 1 of the Plan provides coverage for a list of Providers and for information... A Plan that provides Health and Welfare Plan is a Plan that provides Health and annuity benefits to eligible.. 90 copayment for preferred brand-name drugs the other Plan will be transferred this! Who tries to give you the good life the Government of Canada $ copayment! That provides Health and Welfare benefits to eligible participants Plans, but is not a legal document Canada or (! Through a difficult time correction of malocclusion ) up to a lifetime maximum per of! Help @ linkedunion.com for assistance overwhelmed or going through a difficult time need Vision care services, call the provider... Dental of Ohio ( Delta Dental ) and Glossary of Termscan be reviewed here benefits ; Health! Employer is any employer that is obligated or permitted to contribute to the other Plan will cover you and family... Would be primarily responsible for the members Plan for reimbursement form should be forwarded to the of... You to visit https: //travel.gc.ca/travelling/advisories regularly for the most up-to-date travel information from Government... Immediately prior to the Administrator moved to its present location at 111 Sheppard Avenue East, North York, M2N! For Dental Providers benefits are covered for active Member coverage only for active Employees, Self-Pay,. Dental, other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative care coverage also a Basic!
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