Thursday, April 2, 2026

Frequently Asked Questions




Health Care



Q.

Who is eligible to become a Participant in the Plan?

A.

In order to become a participant, you must work under a Collective Bargaining Agreement that provides for member participation in this Plan.

Q.

How do I know when my benefits will be effective?

A.

If you are working under a CBA that requires Health Fund Contributions on an hourly basis – You will be initially eligible for Health Fund coverage the 1st day following the month that the Health Fund has received from your employer at least 100 hours of contributions on your behalf, at the rate outlined in your CBA.  For example, if you work 100 hours for a contributing employer in January and those 100 hours of contributions are properly paid to the Health Fund in accordance with your CBA, then you will be initially eligible for Health Fund coverage on February 1st.  After you become initially eligible, your coverage with the Health Fund will continue on a month to month basis, as long as your employer contributes at least 100 hours of contributions to the Health Fund on your behalf, as outlined in your CBA.  Your Health Fund coverage will terminate the last day of the month that you fail to meet these continuing eligibility rules.  So, as an example, if you only work 80 hours in March then your health coverage with the Fund will terminate on March 31st.  As another example, if your employment terminates at some point March, but you worked at least 100 hours already in March and the Fund receives the proper contributions from your employer in a timely basis, your coverage with the Fund will terminate on April 30th. 

If you are working under a CBA that requires payment of a monthly premium – Assuming the applicable monthly premium, as outlined in your CBA, is paid in full and on time to the Health Fund, you will be initially eligible for Health Fund coverage on your date of hire (if you are hired before the 15th of the month) or  the 1st of the month following the date of hire (if you are hired after the 15th of the month).  For example, if you or your employer pays your applicable monthly premium as outlined in your CBA, in full and on time, and your date of hire is January 10th, you will be initially eligible for Health Fund coverage on January 10th.  However, if your date of hire is January 20th, then you will be initially eligible for Health Fund coverage on February 1st.   After you become initially eligible, your coverage with the Health Fund will continue on a month-to-month basis, as long as you or your employer pays to the monthly premium to the Health Fund as outlined in your CBA, in full and on time, on your behalf.  Your Health Fund coverage will terminate the last day of the month that you fail to meet these continuing eligibility rules. 

Q.

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

A.If your coverage under this Plan terminates, Health Plans, Inc. will send you information regarding your rights under COBRA, if you are eligible.
Q.

Who are my eligible dependents?

A.

Eligible dependents are: 

(1) a Member's spouse;

(2) a Member's child under the age of 26; 

(3) a Member's unmarried child age 26 or older who is permanently and totally disabled; whose disability began before age 26 and for whom the Member submits prooft of permanent and total disability as required by the Summary Plan Description. 

(4) a Member's stepchild by marriage;

(5) a child who has been legally adopted by or placed for adoption with the Member, or with the Spouse by a court of competent jurisdiction, as detailed in the Summary Plan Description;

(6) Child for whom legal guardianship has been awarded to the Member or to the Spouse by a court of competent jurisdiction; or

(7) Child who is the subject of a Qualified Medical Child Support Order,  as detailed in the Summary Plan Description

Q.

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

A.

Yes.  Eligible children can remain on the Plan until the end of the month of their 26th birthday.  

Q.

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

A.

To add a dependent there must be a qualifying event.  For example, marriage and birth are qualifying events.  You must add your new dependent within 30 days of the qualifying event.  Please see the Summary Plan Description for all eligible qualifying events.

Q.

How do I obtain a replacement Medical or Dental Card?

A.

There are two ways to order a new medical card; call Health Plans directly at 800-532-7575 or through your account online at www.hpitpa.com 

You can order a replacement dental card by calling Blue Cross Blue Shield at 800-241-0803, by downloading the mobile app, or creating an account at bluecrossma.org.

Q.

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

A.

There are two ways to check on the status of a claim; call Health Plans directly at 800-532-7575 or access your account online at www.hpitpa.com

Q.

How do I qualify for the annual in-network deductible waiver?

A.

When a member has there annual routine physical you, and any dependents, will automatically be moved into the "No Deductible" Plan.  Please note, this waiver does not apply to out-of-network deductibles.

Q.

Who is the Prescription Drug Benefit Manager and how do I contact them?

A.

OptumRx manages the prescription drug benefit.  To contact OptumRx, call 855-295-9140

Q.

If a service I need requires Prior Authorization, who do I (or my provider) contact?

A.

For medical claims providers should call Health Plans at 800-532-7575 

For prescription drugs, providers should call OptumRx at 855-295-9140

For dental services, providers should call Blue Cross Blue Shield at 800-882-1178

For substance abuse or mental health services, call Modern Assistance at 800-878-2004

Q.

If I need to utilize Mental Health or Substance Abuse benefits, who do I contact?

A.

Contact Modern Assistance for all substance abuse or mental health claims or concerns at 800-878-2004.

Q.

How does the vision benefit work?

A.

Vision coverage is offered through the NVA network with a benefit of $300 per person in a calendar year.  More information on your benefits through NVA can be found by visiting the website e-nva.com, or download the mobile app by searching NVA Vision, or contact NVA’s Customer Service Department toll-free at 1.800.672.7723 (TDD line 1-888-820-2990) or NVA’s Interactive Voice Response (IVR). Customer Service is available 24 hours a day, 7 days a week, 365 days a year. Any question any time.

Q.

How do I submit a receipt for reimbursement?

A.

All requests for reimbursement should be sent directly to Health Plans.

There are 2 simple ways:

1. Visit hpitpa.com and log into My Plan

Select the link to My Online Forms

Select General Reimbursement and follow the instructions to complete the form and upload your receipts.

2. You can complete and mail the Member Reimbursement Form and your receipts directly to Health Plans.

Q.

What is covered by the Alternative benefit?

A.

This benefit offers reimbursement for the following:

massage therapy, acupuncture, acupressure, homeopathy, naturopathy, weight loss programs, smoking cessation. Please note that vitamins and supplements, foods, and other supplies are not eligible for reimbursement.

Q.

What is covered by the Fitness benefit?

A.

This benefit is designed to reimburse for the costs associated with qualifying facilities including:

fitness studios/facilities that offer: Yoga, Pilates, Zumba, aerobic classes, indoor cycling classes, kickboxing, CrossFit, strength training, tennis, indoor rock climbing, and personal training taught by a certified instructor.  Online or virtual classes also qualify for reimbursement. Also included is reimbursement of fees for school, town, or league sponsored sports programs, ski lift tickets and season passes, road race fees, and sports camps.

Please note that supplies, uniforms, and equipment do not qualify for reimbursement.

Q.

How much does the Disability Benefit Pay per week? 

A.

The Fund provides 100% of your base salary, supplemental to any State benefit you may be eligible for.

Q.

How long can I collect a Disability Benefit? 

A.

Short-term disability is available for qualifying participants for up to 26 weeks.  Long-term disability is available after 26 weeks of disability.  

Q.

Is there a waiting period for short-term disability?

A.Short-term disability is not available until after 5 days of absence from work due.
Q.

Are there any Death Benefits available? How do I qualify for Death Benefits?

A.Yes, the life insurance benefit must be negotiated into your Collective Bargaining Agreement.
Q

How much does the benefit pay?

A.The amount of the policy must be negotiated into your Collective Bargaining Agreement.
Q.

How are benefits paid out, who receives the benefits when I pass?

A.The benefit is provided by a third party. The beneficiary you designate in writing will receive benefits at your death.
Q.  What is the hearing aid benefit?
A.The Plan covers a hearing exam ($0 copay) and provides $1,000 per ear allowance toward hearing aids every 5 years. To access this benefit contact TruHearing by calling 833-898-1233 to schedule an appointment/find a network provider or visit the website at TruHearing.com/IUOE877_70 .



Annuity



Q.

What is a Plan Year?

A.

January 1st to December 31st

Q.

Do I need to do anything to enroll in the Plan?

A.

You must complete the Principal Enrollment form and Beneficiary form for the IUOE Local 877 Annuity Fund.

Q.

When do I become vested?

A.

You are 100% vested from day one.

Q.

May I withdraw from my account before I retire?

A.

The Fund allows two types of withdrawals for active participants; hardship withdrawal or a one-time 100% account distribution for members who are at least 59 1/2 years old.  

Hardship withdrawals are available to help ease the burden of immediate and heavy financial hardships.  The eligible financial expenses are  based on IRS guidance and include: medical care, education, purchase of primary residence, amounts needed to prevent eviction or foreclosure, burial or funeral expenses, and home repairs due to a natural disaster.  

Please note, the value of your account with the Fund must be at least $5,000 in order to qualify for a hardship withdrawal.  A participant is allowed only five (5) hardship withdrawals in a lifetime. 

Please contact the Fund office for application and more details.

Q.

May I borrow against my Annuity Plan?

A.

Loans are not allowed by the Plan.

Q.

How is my account invested?

A.

You are able to direct the investments by choosing among several investment options or elect to have your money invested for you based on the plan's normal retirement date.

Q.

What happens to my account when I die?

A.

Death benefits are first based on your work status.  

If you are not yet retired and are unmarried, the total value of your account will be paid to your beneficiary in a lump sum.

If you are not yet retired and are married, your spouse may receive monthly annuity payments or elect to receive a lump sum payment in the value of your account. If you elect to receive a monthly annuity, it will be set up through an annuity contract with Principal Financial Group.

If you die and you were receiving benefits in the form of a Joint and Survivor Annuity, your surviving Spouse will continue to receive fifty percent (50%) of the monthly benefit that you were receiving for his or her life. Monthly payments will be made from the annuity contract, not from the Fund (see Section 8 of the SPD). If you are not survived by the Spouse to whom you were married when the Joint and Survivor Annuity began, or if the Joint and Survivor Annuity is provided through a non-transferable annuity contract, no further payments will be made.

If you die and you were receiving benefits in the form of a Life Annuity, no further payments will be made to anyone.

If the value of your Accounts is $5,000 or less and never exceeded that amount, your Beneficiary will receive the value of your Accounts in a lump sum.

Q.

How do I designate a Beneficiary for my Individual Account?

A.

Complete the IUOE Local 877 Annuity Fund Beneficiary form.  

Q.

What if I get divorced?

A.

If you will be filing a Qualified Domestic Relations Order as a result of a divorce, please contact the Fund Office for the appropriate procedures.

Q.

How do I apply for a benefit?

A.

Contact Principal Financial Group at www.principal.com or 1-800-547-7754