Wednesday, February 25, 2026

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

Employees and eligible dependents who meet the requirements and have enrolled for coverage.

Q.

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

A.

You will be notified via a Self-Pay Notice regarding the required amount to remain eligible.

Under the Federal law, you can purchase COBRA as a temporary extension if you lose your “eligibility” due to a “qualifying” event.  This is separate and different from Self-Pay due to shortage of the required hours to maintain eligibility for the month.

Q.

How do I maintain my monthly Health Care coverage?

A.

Meet the Eligibility requirements within the work quarter or the work month depending on the Plan.

Q.

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

A.

You can self-pay if there is a shortage of hours for the work period. Contact the Fund Office at Phone (443) 573-3639 or Toll Free (855) 505-0462 for further information.   

Q.

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

A.

Contact the Fund Office at (443) 573-3639 or Toll Free (855) 505-0462. 

Q.

Who are my eligible dependents?

A.

Your Spouse and children. This includes a stepchild, legally adopted child or a child who is placed with you for adoption, who is under age 26.

Q.

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

A.

Yes! If they are enrolled on your plan, they would be covered until they turn 26 years old and you cannot take them off until they turn 26. 

Q.

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

A.

New Baby: You must complete and submit a new enrollment form to the Fund Office with a letter from the hospital indicating the baby's date of birth and the name of each parent. You will have 60 days to submit a copy of the baby's birth certificate. If the birth certificate is not received the baby would be dropped from the plan until it is received by the Fund Office.

Adding a Spouse: You must complete and submit a new enrollment form to the Fund Office with a copy of your marriage certificate.

Q.

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

A.

You must complete and submit a new enrollment form to the Fund Office with a copy of your final divorce decree. If you have any questions, please contact the Fund Office at (443) 573-3639 or Toll Free (855) 505-0462.  

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

Contact the Fund Office at (443) 573-3639 or Toll Free (855) 505-0462. 

Q.

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

A.

Contact the Fund Office at (443) 573-3639 or Toll Free (855) 505-0462.