For new employees, if at least 300 hours are contributed by your employer for your work during a work quarter*, then you will have coverage in the next following eligibility quarter. For continuing eligibility, a plan participant continues coverage if he/she has either 300 hours in a work quarter,* or 600 hours in the preceding two work quarters. If you are an employee in a newly organized group, you will become eligible for benefits immediately, but if you fail to work 300 hours in the first three consecutive months, coverage will terminate until such time as you become eligible under the normal eligibility rules of the Fund.

*A work quarter is defined as follows: January 1 – March 31; April 1 – June 30; July 1 – September 30; October 1 – December 31. 

If you lose eligibility for the Fund because you terminate employment or your hours are reduced, you can elect COBRA continuation coverage. You might also be eligible for government-subsidized coverage, such as coverage from the Health Insurance Marketplace (‘the Exchange’).

Active members make payments towards the continuation of Health Care coverage directly through COBRA. Retirees may opt to either direct pay or continue Health Care coverage through COBRA. 

Please call the Fund Office at 866-553-6559.

If you participate in the Fund, your Dependents are also covered. “Dependents” are your: 

• Spouse,

• Child(ren) up to age 26

The term “Spouse” means that the person is recognized as your spouse for federal tax purposes.  The Board of Trustees may require documentation proving a legal marital relationship.

The term “Child(ren)” means stepchildren, foster children, and adopted children.  “Children” also include children for whom you have been appointed legal guardian by a court, as well as children for whom you are determined to be the legal guardian in the sole and absolute discretion of the Trustees.

Dependents of Retirees

Only your Spouse who is not eligible for Medicare can be a Dependent under the Fund after you retire.  As a Retiree, your Medicare-eligible Spouse and your Children are not eligible for coverage.

To add a new baby or spouse, a new enrollment form must be completed and returned to the Fund Office, along with supporting documentation to substantiate the addition of a new dependent.

Please contact the Fund Office and fill out a new enrollment form and submit with a copy of your Divorce Decree.

Please contact Kaiser Permanente at (301) 468-6000.

Please contact Kaiser Permanente at (301) 468-6000.

Yes, there are death benefits available. The Employee must be active or retired and in good standing with the Local.

Written notice and proof of claim must be sent no later than 90 days after the date of death.

Life Insurance:

Active: $15,000 

Retiree: $5,000

Accidental Death & Dismemberment:

Active: $15,000 

Benefits are paid out by Unum. The beneficiary designated by the employee or the retiree will receive the benefit.

A “loss of time” benefit is payable if you are disabled by an accident or illness that is not job-related or otherwise covered by another source. Benefits can begin after a Physician examines you and confirms your disability. Benefits will not begin for an illness until you have been sick for eight days. However, if you are in an accident or are hospitalized, you are eligible for benefits right away. You must be unable to work in your normal job, and you must be receiving treatment from a Physician in order to be eligible for benefits. 

No, the Fund does not offer any extensions.

The disability benefit pays $200 a week for up to 13 weeks if you are disabled by an accident or illness that is not job-related or otherwise covered by another source.