Tuesday, January 19, 2021

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

You are eligible to participate in the Plan if you work for an Employer that is required to make contributions to the health and welfare Plan for the work you perform. For most Participants, this means working in a position covered by a Collective Bargaining Agreement between the Employer and the Union.

Q.

What if I don’t work enough hours to gain eligibility for the month?

A.

If you fail to have the required employer contributions to continue Health Care coverage, you may be eligible to continue with COBRA Continuation Coverage. Please contact the Trust Fund Office at 844-989-2321

Q.

How do I maintain my monthly Health Care coverage?

A.

You must have an employer contribution submitted on your behalf each month, or elect COBRA Continuation Coverage to continue Health Care coverage

Q.

How do I make a payment towards the continuation of my Health Care coverage?

A.

You may make a self payment to remain eligible for the Health Care coverage through the Retiree, Active, or COBRA Continuation programs.

Make Check Payable & Remit to:

Eighth District Electrical Fringe Benefit Funds

P.O. Box 561284

Denver, CO 80256-1284

Q.

Whom should I call if I have questions about my Health Care eligibility?

A.

Please contact the Trust Fund Office at: 844-989-2321

Q.

Who are my eligible dependents?

A.

• Your lawful spouse

• Your Registered Domestic Partner 

• Your natural children up to age 26

• Your legally adopted children up to age 26

• Your step-children up to age 26

Q.

Will my child(ren) who is/are age 19 through age 26 be covered under the Plan?

A.

Yes. Due to the new Healthcare Reform Act, dependent children are now eligible to remain on the coverage until the age of 26, regardless of student status. 

Q.

How do I add my new baby or spouse to my insurance plan?

A.

You must submit legal documentation to the Trust Fund Office along with a completed Enrollment Form. You can download the Enrollment Form off of this website located under "Forms" and mail it into the Trust Fund Office.

 Forms Required Are:

• Spouse – copy of your marriage certificate 

• Domestic Partner - Copy of the Plan's Declaration of Domestic Partnership with a copy of the State Certificate of Domestic Partnership 

• Child – copy of your child’s birth certificate 

• Step-child – copy of child’s original birth certificate along with proof of residency (Tax Returns & Divorce Decree/Court Documents)

Q.

Whom should I contact if I'm getting a divorce and what documents do I need to submit?

A.

Please call the Trust Fund Office and advise the Eligibility and Pension Departments that you are getting a divorce or have already gotten divorced. You will also need to submit a FULL copy of your Dissolution of Marriage Judgment and QDRO (Qualified Domestic Relations Order) to this office. 

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

You may email websupport@benesys.com contact the Trust Fund Office via (844) 989-2321 or (314) 656-1085 to speak to a Member Service Representative.

Q.

How do I inquire about the status of my medical claim?

A.

To access your claims, follow the steps below:

1. Log into the website

2. Click on ‘Healthcare Claims’ under the ‘Member Benefits’ tab

You may also email websupport@benesys.com or contact the Trust Fund Office via (844) 989-2321 or (314) 656-1085 to speak to a Member Service Representative.