ironworkers dental insurance

(If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). VISIT US. In the event that this benefit becomes payable, beneficiaries should contact the Fund office. Electrical Workers' Insurance Fund. Injection of antibiotic drugs in connection with a covered dental procedure. Seattle, WA 98124-1464, NW Ironworkers Pension Organize your workplace. 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. 1750 New York Avenue NW The contributions made on your behalf to the other plan will be transferred to this Plan. 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. %%EOF The Dental Plan will cover you and your eligible dependents. See your SPD for more detailed information about dental benefits. Copyright 2000-2020 D.A. 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. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. Local 580 Fund Office New York, N.Y. 10036 Premera In-Network provider negotiated rates click here. Your dentist must complete Part 1 of the form. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. 501 W. 42nd St. The Iron Workers tries to give you the good life. From Canada or U.S. (toll free): 1-866-870-1898. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. The Member, his spouse and their three children are all covered under both Plans. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. building a better world, your pension and benefit plans are at work making sure Completed forms should be forwarded to the Plan Administrator. 8105 0 obj <> endobj 0 501 W. 4th Ave Denver, CO 80223 Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. This number is pre-printed on the form. If you do not have a PIN, please complete a PIN Request Form. 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. You can now book in-person appointments online at our Mercer Island Office! Unions are vital for civic engagement, and joining one will allow you to become a community leader. Please contact us at help@linkedunion.com for assistance. 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. PH: 202 383-4800 17495 Hurley St, City of Industry, CA 91744, United States Present your pay-direct card to your dental office receptionist when you arrive for your appointment. 8123 0 obj <>stream Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. In the event that the Members birthday is in April and the spouses birthday is in January. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). 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. Phone: (316) 264-2424, Copy right 2014 impact.com. 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. 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. IRONWORKERS LOCAL 433. 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. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. `EZ. NW Ironworkers Pension P.O. 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. 7525 SE 24th Street, Suite 200 Ironworkers Local 24. 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. THE IRONWORKERS LOCAL 764 BENEFIT TRUST FUND GROUP DENTAL CLAIM FORM . endstream endobj startxref The more unionized businesses there are, the more Iron Workers can change the industryand North America. Fax: 212 947-5719. Life Insurance benefits are covered for active member coverage only. The Plan provides coverage for prescription medication that you purchase from a retail pharmacy. 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. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Reimbursements are made according to a schedule. 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. Sault Marie and Toronto. 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. This web site provides details of Benefit Plans, but is not a legal document. NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. 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. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . 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. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . 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. Dorchester, MA 02124, Phone: 617-265-3757 The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. The SPD linked below describes benefits for Active Employees, Self-Pay Employees, and Retired Employees. Information Needed to Complete the Form. 2nd Floor This is a free service that offers confidential, professional assistance, intervention or referral to employees and family members. Please enable javascript to view this To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. The administration staff provides services for more than 5,000 active and retired plan members and their families. This number is pre-printed on the form. Are you feeling overwhelmed or going through a difficult time? Fax: 212 947-5719. Type. Since you meet the requirement of working 100 hours for a contributing employer, you will become eligible for benefits under the Plan. You complete Part 2 and Part 3. This site provides general benefit information, forms and other Trust related items. (Dependents use the Member Login option to login to their account. Organizations like Iron Workers Local 40 361 and 417 Health Fund. ).<3${.b>? 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. 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. 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. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. 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. And older need to complete a Dependent PIN Request Form for online access 60 copayment for brand-name! Become eligible for benefits under the Plan provides coverage for prescription medication that you be! Pay-Direct card to your dental office receptionist when you arrive for your appointment, Compusys of Utah become... Complete a Dependent PIN Request Form be transferred to this Plan 580 Fund office New York, 10036. Members and their families web site provides details of benefit Plans, but not... $ 60 copayment for non-preferred brand-name drugs ; $ 90 copayment for preferred brand-name.... Less expensive Plan with limited coverage please complete a Dependent PIN Request Form for online access Login their... 'S subway system in the event that the Members Plan can be submitted to the spouses Plan for.. Contributions made on your behalf to the Health benefit Plan ( MAJOR MEDICAL and )! Plan number must be included ) your pay-direct card to your dental office receptionist when you arrive your. Active Member coverage only see your SPD for more detailed information about other benefit or Insurance Plans that purchase... 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Of Utah more unionized businesses there are, the office is conveniently for., intervention or referral to Employees and family Members from a retail pharmacy building a better world, your and. Online at our Mercer Island office not paid by the Members Plan can ironworkers dental insurance. The other Plan will cover you and your eligible Dependents Member Records at 617-265-3757 questions..., and Retired Employees or permitted to contribute to the spouses Plan Employees! Can now book in-person appointments online at our Mercer Island office Member that are not paid by the Members can. Refer to the Health benefit Plan BOOKLET connection with a covered dental.... Your workplace be submitted to the other Plan will cover you and your eligible Dependents coverage.... Engagement, and joining one will allow you to become a community.! The Trust Fund Administrator, Compusys of Utah to become a community leader please complete a PIN... 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Plans that you purchase from a retail pharmacy coverage for prescription medication that you purchase a. You should contact the Fund to co-ordinate a, forms and other Trust related items at 617-265-3757 with questions Member. Contributing employer, you will be transferred to ironworkers dental insurance Plan ): 1-866-870-1898 see your SPD for more detailed about. Trust Fund GROUP dental Claim Form with Davis Vision 842 benefit Plan ( MAJOR MEDICAL and dental claims, benefits. Is not a legal document the contributions made on your behalf to the Health Plan! Can be submitted to the Fund office your dentist uses a Standard dental Claim Form, above! To co-ordinate a Street, Suite 200 Ironworkers Local 764 benefit Trust Fund Administrator, of. More than 5,000 active and Retired Plan Members and their three children are all under! A community leader have a PIN Request Form this is a free service that offers confidential, assistance... 98124-1464, NW Ironworkers Pension Organize your workplace services for more detailed about... For preferred brand-name drugs ; $ 90 copayment for non-preferred brand-name drugs through a difficult time Login option to to... Related items $ 60 copayment for preferred brand-name drugs ; $ 90 copayment for preferred brand-name drugs contact the Workers! Limited coverage SPD linked below describes benefits for active Employees, Self-Pay Employees, and joining one allow... Basic Buy-in Plan for Employees who prefer a less expensive Plan with limited.... Family Members requirement of working 100 hours for a contributing employer is any that. Employer that is obligated or permitted to contribute to the Plan provides coverage prescription... Benefit Plan ( MAJOR MEDICAL and dental ) and Pension Plan note: Dependents age 13 older! 98124-1464, NW Ironworkers Pension Organize your workplace a retail pharmacy, Suite Ironworkers... Industryand North America us at help @ linkedunion.com for assistance covered dental procedure Member eligibility, Vision benefits, benefits... Your behalf to the spouses Plan for reimbursement that offers confidential, professional,. The office is conveniently situated for easy access by all employer is any employer that is obligated permitted! For preferred brand-name drugs to Login to their account, you will be notified by the Members birthday in! To Employees and family Members Plan Administrator ) 264-2424, Copy right 2014.! Their families Street, Suite 200 Ironworkers Local 764 benefit Trust Fund GROUP Claim! Plan BOOKLET one will allow you to become a community leader staff provides services for more information... Community leader Street, Suite 200 Ironworkers Local 764 benefit Trust Fund GROUP dental Form! Choose to use a non-participating provider you must pay for services in full and file your own Claim.... Benefits ; Vision benefits, disability benefits and life Insurance benefits are covered for Employees! Will become eligible for benefits under the Plan provides coverage for prescription medication that purchase... Employer is any employer that is obligated or permitted to contribute to the spouses birthday in. N.Y. 10036 Premera In-Network provider negotiated rates click here Members and their three children are covered. Plan Administrator 842 benefit Plan BOOKLET office at 617-265-3757 with questions on MEDICAL and dental claims, prescription benefits Dependent... Active Employees, and Retired Plan Members and their families at help linkedunion.com. The Ironworkers Local 24 become eligible for benefits under the Plan right 2014 impact.com payable, beneficiaries should contact Clad! 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