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

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. 

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

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

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.

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.

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

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.

CVS Caremark manages the prescription drug benefit.  To contact CVS Caremark, call 833-840-7931

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

For prescription drugs, providers should call CVS Caremark at 833-840-7931

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

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

The vision benefit is provide a $300 cash benefit for vision services.  The remaining balance after the routine exam has been deducted may be used toward the cost of prescription glasses and/or contact lenses.  Any costs paid by the member up to the maximum of $300 annually will be reimbursed to the member by the Fund.

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.

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.

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.

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

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