| Q. |
| A. |
Please contact the Dental provider that you are enrolled in (Delta Dental or Safeguard Dental).
Delta Dental: 1-800-765-6003
Safeguard Dental: 1-800-275-4638 option #2
If you are enrolled in Delta Dental, you can also print an ID card from their website at www.deltadental.com.
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| Q. |
| A. |
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Spouse – Copy of your marriage certificate
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Domestic Partner – Signed and Notarized Declaration of Domestic Partnership
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Child or Stepchild – Copy of child’s original birth certificate
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Child that does not reside in your home – Copy of child’s birth certificate along with copy of Qualified Medical Child Support Order
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Adopted child - Copy of legal decree of adoption or letter from adoption agency stating the date child was placed in member’s home for purpose of adoption
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Child for whom you or your spouse/domestic partner is the court-appointed guardian – Copy of legal guardianship documents
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| Q. |
| A. |
Please call the Trust Fund Office at 925-208-9997.
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| Q. |
| A. |
Please contact Kaiser at 1-800-464-4000
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| Q. |
| A. |
Changes are effective the first day of the second month following the month in which your election form was received by the Trust Fund Office.
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| Q. |
| A. |
Yes, you have the option to go an Out-of-Network provider. Please refer to the Delta Dental benefits summary for details.
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| Q. |
| A. |
Yes, but you will receive a lesser benefit. Please see the VSP benefits summary for details.
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| Q. |
| A. |
The Plan covers the following eligible dependents:
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Your legal spouse
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Your domestic partner (A notarized Declaration of Domestic Partnership must be signed)
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Your Dependent children that depend primarily on you for support and reside with you permanently
The term "Dependent children" includes: Your natural children, stepchildren, your Domestic Partner’s children, your legally adopted children, and children for whom you or your spouse/domestic partner is the court-appointed guardian.
Dependent children are covered until age 26 if they are unmarried and not eligible to enroll in other group health plan coverage.
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| Q. |
| A. |
Kaiser
• Retail: $15/generic, $30/brand for up to 100 days supply
• Mail Order: $15/generic, $30/brand for up to 100 days supply
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| Q. |
| A. | Delta Dental - Call 1-800-765-6003 or search for a dentist on www.DeltaDental.com
Safeguard - call 1-800-275-5638 and select option 2.
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| Q. |
| A. | Whether you are entitled to FMLA leave is determined by your Employer and your Union, not by the Plan. If you are not receiving paychecks while on FMLA leave, you must make arrangements with your contributing Employer and/or Union to ensure that contributions to the Plan are made on your behalf. If contributions are late by 30 days or more, your coverage may be cancelled until you return to work.
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| Q. |
| A. | If you worked sufficient hours to be eligible for coverage, but your Employer has not paid the required contributions, your coverage can be established for a period of three (3) months if you make the required self-payment. If the Plan subsequently collects the delinquent Employer’s contributions, you will receive a refund of the self-payments that you have made.
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| Q. |
| A. | If you are on military leave for less than 31 days, you can continue your coverage under the Plan for the 31 days with no self-payments required.
If you are on military leave for longer than 31 days, you may continue your coverage for up to 24 months by paying monthly COBRA premiums.
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| Q. |
| A. | There are no disability benefits provided by the Plan, but you have the option of continuing your coverage through COBRA.
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| Q. |
| A. | You must fill out an Enrollment Form. You can download one off of this website located under “Forms” and mail it into the Trust Fund Office with the required documentation (see question "What documents are required to add a new dependent to my plan?").
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| Q. |
| A. | You can change your medical or dental plan option at any time, as long as you have been enrolled in your current plan for at least twelve months. Once you have made a change, you may not change your medical or dental plan for another twelve months.
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| Q. |
| A. | When you initially become eligible for benefits, a New Member Packet will be mailed to you with information regarding your benefit options and the required forms to be completed.
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| Q. |
| A. | You will automatically be sent a COBRA packet and will have the option to continue your coverage by paying a monthly COBRA premium
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| Q. |
| A. | You must work at least 87 hours per month to maintain your health care coverage.
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| Q. |
| A. | Please contact Vision Service Plan (VSP) at: 1-800-877-7195.
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| Q. |
| A. | Coverage will begin on the first day of the month following the month during which contributions are required to be paid on your behalf for 87 hours or more in the previous month.
For example, if you begin your employment in February and work 87 hours or more, and your employer makes the required contributions in March for February hours, your coverage would begin April 1st.
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