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The Fund Office maintains, reviews, and tracks your eligibility in the All Alaska Longshore Health Fund for the Active and Retiree Benefit Plans. The following is an overview of how eligibility works. If after reviewing this information you need further assistance please contact the Fund Office.
Eligibility for Employees
Annually, the Fund Office reviews the work history of registered, steadyman, and casual Longshoremen to determine their eligibility for health coverage. The criteria for earning eligibility for health coverage are determined by the requirements specific to your classification.
If you work the required hours during one calendar year, you are entitled to coverage March 1 through February 28 (29) beginning the following year.
Registered Longshoremen:
You are required to work a minimum of 800 hours during a calendar year (January - December) to be eligible for Health & Welfare Trust coverage fully paid by the Trust for the March 1 through February 28 (29) period beginning of the following year.
Example:
Worked 800 Hours During the Eligibility Period- January 1 - December 31, 2014
Waiting Period- January 1 - February 28, 2015
Coverage Period- March 1, 2015 - February 28 (29), 2016
If during the eligibility period you do not accumulate enough hours to be eligible for coverage, you may self-pay the Health & Welfare Trust for the difference between the hours you worked and the 800-hour requirement. If you are eligible to self-pay, during February, before the March through February coverage period, you will receive a bill for coverage. You may pay in one lump-sum payment or in 12 equal payments in the form of an AutoPay deduction from a checking or savings account. You must send the Administrative Office the entire payment or the AutoPay form by the deadline on the bill. If you miss the deadline, you will not be covered during that March through February coverage period.
You may earn the hours to meet the 800-hour requirement at your home port or as a visitor or traveler at another port.
Casual Employees-
A casual employee is an eligible employee who is not a registered longshoremen or steadyman. If you are a casual employee, you are eligible for coverage from March 1 to February 28 (29) if, as of the March 1 your coverage starts: -
You are not jointly registered, either fully or partially; and
- You worked at least 1,600 hours in employment requiring a Health & Welfare Trust contribution during the previous calendar year; and
- You are regularly available for Longshore employment during your eligibility period.
Each August your eligibility will be reviewed. If your port’s Joint Labor Relations Committee determines that you are not regularly available for work, your coverage ends that August 31. If this happens, your eligibility cannot be re-established until the March 1 following a calendar year in which you are employed at least 1,600 hours.
Steadymen-
If you are classified as a “steadyman” under your collective bargaining agreement, your initial coverage will begin on the first of the month following the sixth month for which employer contributions have been made on your behalf, provided that contributions have been made for at least 800 hours. Once you have attained initial eligibility under this rule, your eligibility for future coverage will be determined under the same rules that apply to registered longshoremen. If you attain initial eligibility as a steadyman and your employment as a steadyman is later terminated, your eligibility for coverage will terminate on the last day of the sixth month following the termination of your employment unless you have qualified for continued coverage under the rules that apply to registered longshoremen.
For additional information on eligibility requirements, please refer to pages 4 and 5 of the Summary Plan Description booklet.
Eligibility for Dependents Spouse and Dependent Children of Active Employees If you are an eligible, active employee (meaning a registered longshoreman, casual, casual ID or steadyman employee) currently participating in the Health & Welfare Trust, the Trust will provide medical, prescription drug, dental, vision and transportation benefits to your legal spouse and dependent children effective with the date of your eligibility. You may add other dependents, effective the date of the following qualifying events: - Your marriage, birth of a child, adoption and granting of legal custody.
Simply complete the enrollment form to enroll your dependents and submit along with a copy of the marriage certificate, birth certificate or court papers. Please refer to pages 6 through 8 of your Summary Plan Description booklet for additional information on eligibility and loss of eligibility. Self-Payments If during the eligibility period you do not accumulate enough hours to be eligible for coverage, you may self-pay the Health & Welfare Trust for the difference between the hours you worked and the hour requirement for your classification (registered, long term casual, casual or steadyman). If you are eligible to self-pay, during February, before the March through February coverage period, you will receive a bill for coverage. You may pay in one lump-sum payment or 12 equal payments in the form of an auto-pay deduction from a checking or savings account. You must send the Administrative Office the entire year's payment or the auto-pay form by the deadline on the bill. If you miss the deadline, you will not be covered during that July through June period. |