Wednesday, April 21, 2021

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

For most Participants, this means working in a position covered by a Collective Bargaining Agreement between the Employer and the Union.

Q.

What if I don’t work enough hours to gain eligibility for the month?

A.

If you are not longer covered under the Trust due to termination of employment, you may be eligible to continue with COBRA Continuation Coverage. Please contact the Trust Fund Office at (503) 224-5906 or Toll Free at (877) 545-9471.

Q.

How do I maintain my monthly Health Care coverage?

A.

As long as your employer remits contributions on your behalf you will be eligible.

Q.

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

A.

You may elect COBRA Continuation Coverage to continue Health Care Coverage. You may mail your check or money order to:

IBEW Local 125 PGE
PO Box 1929
Portland, OR 97207

Q.

Whom should I call if I have questions about my Health Care eligibility?

A.

Please contact the Trust Fund Office at (503) 224-5906 or Toll Free at (877) 545-9471.

Q.

Who are my eligible dependents?

A.
  • Your legal spouse
  • Your Domestic Partner
  • Your biological children up to age 26
  • Your legally adopted children up to age 26
  • Your step-children up to age 26
  • Your Domestic Partners children up to age 26
  • Children for whom you've been appointed legal guardian
  • Disabled children who are primarily dependent upon your support & maintenance
Q.

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

A.

Yes. Due to the Healthcare Reform Act, dependent children are now eligible to remain covered until the age of 26, regardless of student status.

Q.

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

A.

You must submit legal documentation to the Trust Fund Office, along with a completed Enrollment Form. You can download the Enrollment Form off of this website located under "Forms" and mail it to the Trust Fund Office.

Legal documentation required:

  • Spouse - Copy of your certified marriage certificate
  • Domestic Partner - Affidavit of Domestic Partnership & Certificate of Domestic Partnership
  • Biological Child/Step-Child - Copy of your child's certified birth certificate
  • Domestic Partners Child - Affidavit of Dependency & childs certified birth certificate
  • Adopted Child - Copy of court order of adoption or placement for adoption
  • Legal Gaurdianship documents from the court
Q.

Whom should I contact if I'm getting a divorce and what documents do I need to submit?

A.

Please call the Trust Fund Office and advise that you are in the process of getting a divorce or have already gotten divorced. You will also need to submit a FULL copy of your Dissolution of Marriage Judgment, QDRO (Qualified Domestic Relations Order) and child custody order assigned by the court.

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

Please contact the Trust Fund Office at (503) 224-5906 or Toll Free at (877) 545-9471.

Q.

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

A.

If you have questions regarding a medical claim, please contact the benefit office at (503) 224-5906 or Toll Free at (877) 545-9471.