Saturday, February 14, 2026

Frequently Asked Health Care Questions


 

Q. Who should I call if I have questions on my eligibility?
A. You may call the Benefit Office at: (248) 641-4936 or (866) 646-8919 for all eligibility questions.
Q. How do I add my new spouse or new baby?
A.

You must submit a marriage license to the Benefit Office within 30 days of your marriage or for a new baby you must submit a birth certificate to the Benefit Office within 30 days of the birth of your child. Send the document to:
Pipefitters Local 636 Fringe Benefit Funds
PO Box 278
Troy, MI 48099-0278
Attn: Eligibility

For all other dependent coverage changes, please contact the Benefit Office.

Q. At what age will my child have health insurance coverage unit?
A.

Your dependent is covered until he/she reaches the age of 26 provided that he/she does not have other group health coverage. You will need to complete the Dependent Child Age 19-26 form available from the Fund Office. Please submit to:
Pipefitters Local 636 Fringe Benefit Funds
PO Box 278
Troy, MI 48099-0278
Attn: Eligibility

Click here to download the 19-25 continuation form.

Q. Does my Insurance Plan cover conditions related to an automobile accident?
A. No. 
Q. How do I know what is covered under the Plan?
A. There are certain expenses that your Plan does not cover. If you are unsure about Plan coverage, contact your insurance carrier using the number located on the back of your card. Or, you may contact the Benefit Office at: (248) 641-4936 or (866) 646-8919.
Q. How can I change my coverage options?
A.Each November, you have the option to make any changes to be in effect for the upcoming January – December year. Contact the Benefit Office for the appropriate forms.
Q. What is an HRA?
A.A Health Reimbursement Account is an individual account for each Active member that nay be used to help defray some of the out of pocket health care costs. Please refer to the Forms section under Insurance for more information and the downloadable form.
Q.What is the Health Plan Advocate Contact?
A.Kim Johnson is the Patient Advocate for Local 636 with Barbra Dykeman as her back up.  The phone number for Kim/Barb is 866-575-0211, Ext. 207.  

 

Q. What is the street address of the Benefit Office?A.700 Tower Drive
Suite 300
Troy, MI 48098