| Q. |
Who is eligible to become a
Participant in the Plan? |
| A. |
A regular, full-time employee
working in a job classification that makes you eligible for membership in
General Teamsters and Allied Workers, Local Union No. 992 and for which your
employer is obligated to make contributions on your behalf. |
|
|
| Q. |
What if I don’t work enough
hours to maintain eligibility for the month? |
| A. |
A COBRA election continuation
will be mailed after you lose coverage for the option to continue coverage. |
|
|
| Q. |
How do I maintain my monthly
Health Care coverage? |
| A. |
If you work a full month, your
employer will make a contribution to the Fund. Example - If you work in
December, you will be eligible for February. |
|
|
| Q. |
How do I make a payment towards
the continuation of my Health Care coverage? |
| A. |
Contact the Trust Fund Office at
(301)733-2602 on how to make a payment. The Fund Office only accepts check
and/or money orders. |
|
|
| Q. |
Whom should I call if I have
questions about my Health Care eligibility? |
| A. |
Contact the Trust Fund Office at
(301)733-2602. |
|
|
| Q. |
Who are my eligible dependents? |
| A. |
Your eligible dependents are
your spouse and dependent child(ren). Dependent child(ren) include step and
legally adopted child(ren). Foster or grandchild(ren) can be added with
court-ordered custody. |
|
|
| Q. |
Will my child(ren) who is/are
age 19 through age 26 be covered under the Plan? |
| A. |
Yes, dependent child(ren) are
eligible until age 26. |
|
|
| Q. |
How do I add my new baby or
spouse to my insurance plan? |
| A. |
Contact the Trust Fund Office at
(301)733-2602 for a new benefit enrollment form. You need a copy of the
marriage certificate to add a spouse and a copy of the birth certificate to
add a new baby. Until you receive the birth certificate, you are able to add
a new baby for the first 90 days with a proof of birth document. |
|
|
| Q. |
Whom should I contact if I'm
getting a divorce and what documents do I need to submit? |
| A. |
Contact the Trust Fund Office at
(301)733-2602 and submit a copy of the divorce decree. |
|
|
| Q. |
How do I obtain a replacement
Medical and Prescription Card? |
| A. |
Contact the Trust Fund Office at
(301)733-2602. |
|
|
| Q. |
How do I inquire about the
status of my medical claim? |
| A. |
Contact the Trust Fund Office at
(301)733-2602. |
|
|
|
| Q. |
Who is the Prescription Drug
Benefit Manager? |
| A. |
CVS/Caremark |
|
|
| Q. |
How can I contact the
Prescription Drug Benefit Manager? |
| A. |
866-282-8503 |
|
|
| Q. |
If a service I need requires
Prior Authorization, who do I (or my provider) contact? |
| A. |
American Health Holdings -
1-800-641-5566 |
|
|
| Q. |
If I need to utilize Mental
Health or Substance Abuse benefits, who do I contact? |
| A. |
To verify benefits contact the
Fund Office at 301-733-2602. |
|
|
| Q. |
How do I find a dentist or find
out if my dentist participates in the Plan? |
| A. |
The Plan is self funded. Members
can be seen by a provider of their choice and the provider will submit the
claim to Benesys for payment. Services
over $1000 must be pre-authorized.
Contact the Fund Office for details. |
|
|
| Q. |
If I have Medicare, who does my
provider submit the claim to? |
| A. |
Medicare primary eligible
members are not covered. If Medicare
is secondary claims are submitted to Carefirst. |
|
|
| Q. |
Who are my Vision benefits
through and how can I contact them? |
| A. |
The Plan is self funded. Members
can be seen by a provider of their choice and the provider will submit the
claim or you may be required to be pay for your visit and submit a claim to
Benesys for payment. |