| Q. |
| A. | You must work under a collective bargaining agreement with IBEW Union Local 9 that requires contributions to be made on your behalf to the Health Fund. |
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| Q. |
| A. | You must work a minimum of 360 hours in a Work (calendar) quarter to earn coverage in the corresponding eligibility quarter. For example, the work quarter of January/February/March provides Health Care coverage for the eligibility quarter of May/June/July. If you are new to the trade and you do not work 360 hours, you will need to wait until the next calendar quarter in which you work 360 hours or more. If you have at least 320 hours (but not 360 hours) in your first work quarter, there is a special rule that allows you to make a self-payment for the hours that you are short to earn initial eligibility. |
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| Q. |
| A. | You must work a minimum of 360 hours in a Work (calendar) quarter to earn coverage in the corresponding eligibility quarter. For example, the work quarter of January/February/March provides Health Care coverage for the eligibility quarter of May/June/July. |
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| Q. |
| A. | If you do not have 360 hours in a work quarter and you do not have any hours in your Hours Bank, you will receive notification about your self-pay and COBRA rights approximately 2 weeks before the month that your coverage ends. |
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| Q. |
| A. | For questions about Health Care eligibility, call the Fund Office at 708.449.9004. |
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| Q. |
| A. | Your spouse, natural-born children, and adopted children. You must provide the required information such as a marriage certificate for a spouse, birth certificate for children, adoption papers, and some kind of court order such as custody orders in cases of divorce. |
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| Q. |
| A. | Yes, dependent children are covered until the end of the month in which they turn age 26. |
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| Q. |
| A. | New dependents, spouses or children, must be enrolled with 90 days of becoming your dependent. You will need to complete an enrollment form and provide required documents such as a marriage certificate for a spouse, birth certificate for children, adoption papers, and some kind of court orders such as custody orders in cases of divorce. |
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| Q. |
| A. | Eligibility for your spouse and step-children (if any) terminates as of the date of your divorce or legal separation. Please call the Fund Office immediately at 708.449.9004. |
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| Q. |
| A. | Contact the Fund Office at 708.449.9004. |
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| Q. |
| A. | Contact the Claims Department of the Fund Office at 800.461.9025. |
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| Q. |
| A. | SavRx is the Prescription Drug Benefit Manager. |
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| Q. |
| A. | Call SavRx at 800.228.3108. |
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| Q. |
| A. | SavRx at 800.228.3108. |
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| Q. |
| A. | Case Management Specialists (CMS) at 800.861.8744. |
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| Q. |
| A. | Call DNOA at 866.522.6758 |
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| Q. |
| A. | If you are under age 65, the Health Fund is primary to Medicare. |
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| Q. |
| A. | VSP. They can be contacted at 800.877.7195 |
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| Q. |
| A. | An illness or injury in which your doctor provides a written statement that you are temporarily totally disabled. |
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| Q. |
| A. | No. |
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| Q. |
| A. | $600 per week for non-occupational injury. See the Plan rules for benefits for maternity and work-related injuries. |
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| Q. |
| A. | Maximum 26 weeks. |
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| Q. |
| A. | Death benefits are available. See Plan rules for details. |
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| Q. |
| A. | Claims should be filed within 90 days of the date of death. |
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| Q. |
| A. | Actives and certain retirees are eligible for the death benefit. |
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| Q. |
| A. | $100,000 for active members (First $50,00 is insured and not taxable. The other $50,000 is self-funded and taxable) and $15,000 for certain retirees. |
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| Q. |
| A. | The benefits are insured through Blue Cross Blue Shield. Applications are submitted through the Health Fund Office. Benefits are paid to the designated beneficiary form on file. If no form is on file with the Health Fund Office, see the Plan rules for order of distribution. |
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