Friday, July 19, 2024

Frequently Asked Health Care Questions


Q. How do I update my address?
A. Please contact the Benefit office at (800) 700-6756.
Q. Who is eligible for coverage under my plan?
A. Legal Spouse, Natural Children, Step-children and Adopted children can be covered on your policy.
Q. How do I add a spouse or baby to my policy?
A. You will need to notify the Benefit office at (800) 700-6756. You will also need to provide us with a copy of your marriage license to add your spouse or birth certificate to add your children. You will need to complete a vital information form and an authorization for protective health information form. You can request these from the Benefit office, or print them off this web site. These forms are located under the document tab of this site.
Q. How do I obtain initial eligibility under the Health Care PLAN?
A. To initially become eligible for Health and Welfare, you must have $1,050.00 in contributions. You will then become eligible the first day of the third month following the month that $1,050.00 of contributions are credited to your account. If you do not have enough contributions to become eligible, the contributions will be added to your dollar bank and carried forward. Once $1,050.00 of credited contributions is met you will become eligible for Health Care coverage.
Q. How do I reinstate my coverage?
A. The reinstatement rules are the same as initial eligibility. You must receive $1,050.00 in contributions. You will then become eligible the first day of the third month following the month that $1,050.00 of contributions are credited to your account.
Q. How do I maintain my monthly Health Care Coverage?
A. You must have contributions totaling $1,050.00 each month. This amount can be from current contributions, or contributions that have accumulated in your dollar bank.
Q. How do I make payments toward the continuation of my Health Care Coverage?
A. If you are eligible for self-payment, you will receive a self- pay notice. The payments need to be mailed to:
Indiana/Kentucky/Ohio Regional Council of Carpenters' Welfare Fund
2684 Solution Center
Chicago, IL 60677-2006
Q. Will my child(ren) who is/are 19 through 26 be covered under my plan?
A. They can remain covered on the plan till their 26th birthday. Their coverage will terminate at the end of the month, that they turn 26.
Q. What life altering events do I need to contact the fund office about?
A. You need to notify the fund office at 800-700-6756 if you have any of the following changes:
  • Change of address or phone numbers
  • Marriage
  • Birth or adoption of a child
  • Divorce
  • Death of eligible dependent
Q. What can I use my HRA for?
A. Your Health Reimbursement Account (HRA) can be used to receive reimbursement for out of pocket Medical, Dental, Vision and Prescription expenses that were not covered by the insurance companies. HRA claim forms can be located on the web site under the document tab.
Q. How are funds added to my HRA?
A. Your HRA account is funded by Employer contributions, according to Plan rules. You must have a dollar bank balance of $3,150.00 before any funds will be added to your HRA. Once the dollar bank reaches $3,150.00, contributions received in excess of $1,250.00 per month will be added to your HRA account.
Q. How do I inquire about the status of my HRA Claims?
A. If you have submitted a manual/paper HRA claim and want to know the status please contact the Benefit office at (800) 700-6756.
Q. How do I obtain my HRA balance?
A. If you are inquiring about your HRA Balance or Benny Card transactions this can be located on the Benny Card web site www.mybenny.com or by contacting the Benefit office at (800) 700-6756.
Q. Do I have to pay more for family coverage?
A. No, the premium is the same for single or family coverage for active members.