HEALTH COVERATE TAX DOCUMENTS
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:
· Call: (248) 641-4978 between 7:30 AM
and 4:30 PM EST
· Mail to:
Tower Drive, Suite 300
Troy, MI 48098-2808
ATTN: 1095-B Requests
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.
- 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!
User-friendly menu for navigation
Download frequently requested forms and
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
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
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
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