IMPORTANT HEALTH COVERATE TAX DOCUMENTS

NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B

If you have not received a 1095-B Tax Form by March 9, 2023, members and beneficiaries may request for a copy of their Form 1095-B by:

·         Email to: 1095Bhelp@benesys.com

·         Call: (248) 641-4978 between 7:30 AM and 4:30 PM EST

·      Mail to: 

BeneSys, Inc.

700 Tower Drive, Suite 300

Troy, MI  48098-2808

ATTN:  1095-B Requests

 

Your request MUST include: (1) your Plan’s name, (2) the member’s name, (3) your name if you are not the primary member, (3) the address you would like the form sent to and (4) the phone number we can call if we have any questions.

Please call: (248) 641-4978 with any questions about Form 1095-B.  

Provider Directories 

- To Find an In-Network Medical Provider  Aetna 

- To Find an In-Network Medicare Provider  Humana

- To Find an In-Network HMO Provider  Kaiser

- To Find an In-Network Dental Provider  Careington

- To Find an In-Network Vision Provider  Vision Service Plan (VSP)

- To Find an In-Network Pharmacy Provider  Elixir

New Mobile App 

The Trustees of the Employee Painters’ Trust are pleased to offer a new mobile application. The IUPAT Western Benefits or IUPATWBenes mobile application is available for iOS and Android operating systems. Navigating healthcare is tough!  Make it easier by taking advantage of this new mobile app.  The mobile app is designed for easy access to your important Plan information!

Download the free “IUPATWBenes” mobile app from your Apple or Google Play Store!

Features include:

·         User-friendly menu for navigation

·         Download frequently requested forms and documents

·         Eligibility for Benefits

·         Electronic ID Card

·         Last 12 months of Contributions

·         Claims history - tracking of annual deductibles - access to Explanation of Benefits

 Click Here: EPT New Mobile Application

New Maternity Leave Benefit

The Board of Trustees are pleased to provide a new benefit under the Plan – Paid Maternity Leave Program! Beginning April 1, 2022, the Plan will offer eligible Participants with a Paid Maternity Leave Benefit. This new benefit program provides benefit program provides benefits for pregnancy (pre-delivery/birth) for a maximum of six (6) months and post-delivery/birth for a maximum benefit of six (6) weeks or eight (8) weeks for cesarean birth. Clink on the link below for more detailed information about this benefit program’s eligibility requirements, exclusions as well as the benefit amount.

Click Here: Paid Maternity Leave Program 

How to get reimbursed for your At-Home Over-the-Counter COVID-19 Tests

Beginning January 15, 2022, and until the end of the Federal Mandate, the Employee Painters’ Trust (the “Plan”) is required to cover the cost of Over-the-Counter, at-home COVID-19 tests. This new coverage requirement means that as a Plan Participant you can go online, to a pharmacy or a store, buy a Food and Drug Administration (FDA) approved test and get reimbursed for your out-of-pocket expenses. The Plan is required to cover 8 free Over-the-Counter at-home tests per covered individual per month.

Elixir, the Plan’s Prescription Drug Network/Vendor, has implemented a claim reimbursement submission process for you to receive a reimbursement for eligible out of pocket expenses. Elixir provides you with a simplified approach for reimbursement of eligible expenses. Through Elixir you will have access to an electronic reimbursement submission process via your Elixir Member Portal. Go to elixirsolutions.com and use the REGISTER OR LOGIN button to access your Member Portal account. If you don’t already have an account setup with Elixir, you will need to do this first. Once Logged in there will be a COVID-19 TEST REIMBURSEMENT icon on the Welcome screen. Follow the on-screen instructions to complete your request. To complete your request, you will need:

·         Itemized receipt(s) of COVID-19 tests showing the date of purchase, location of purchase and cost of tests.

·         Original or photocopy of the UPC (Universal Product Code symbols from purchased products.

·         Number of tests purchased for each covered person.

Additional information can be found about Elixir’s reimbursement process – under this site’s Documents Tab, then Health Care and look under the Health Care Documents – Related Information – COVID-19.  Elixir also provides information at elixir.info/otc-guide