| Q. |
| A. |
To
become eligible for coverage, a member must have 600 work hours contributed
within a six month period. Eligibility
begins on the first day of the second month following and may extend for up to
four months. Member may then be eligible
to self pay until the next year's eligibility plan year beginning March 1. If a new member does
not receive four months of coverage due to becoming eligible shortly before the
annual coverage period, the member will receive of 150 hours per month of
unused coverage. Example: Member reaches 600 hours in November,
eligible for four months of coverage beginning January. He would receive eligible for January and
February. New coverage period begins
March 1, therefore he has two months of unused coverage. He will receive 150 hours per month (total
for example 300 hours) credited towards his annual requirement.
Hours earned in 2017 for members not eligible
for coverage ending 2/28/18:
0 - 399 hours No Coverage
400 - 999 hours Eligible to buy up to Plan B only. Plan A not an option.
1000 - 1399 hours Eligible for Plan B at no cost. May buy up to Plan A.
1400 + hours
Eligible for Plan A at no cost.
All members must attend New Member Orientation
to begin eligibility. |
| Q. |
| A. |
Health &
Welfare coverage is continued by employer work hours contribution, or a member
pay in for the amount of hours short.
Hours earned in 2017 for members that are
eligible for coverage ending 2/28/18:
0 - 399 hours
No Coverage
400 – 999 hours
Eligible for buy up to Plan A or Plan B. 1000 - 1399 hours Eligible for Plan B at no cost or you may
buy up to Plan A.
1400 + hours
Eligible for Plan A at no cost.
Members may buy up to Plan A or B by making a
buy in for the amount of hours short multiplied by the hourly contribution rate
of $9.65. This buy in may be made in up
to 10 consecutive monthly payments. |
| Q. |
| A. |
Plan A has the
highest level of Medical and Prescription coverage, and also offers Dental and
Vision coverage as well. Plan B offers
Medical and Prescription coverage only, with a larger copay and annual
deductible that will be the member’s responsibility. Plan B does not offer Dental or Vision
coverage. Plan A requires 1400 hours total
for coverage. Plan B requires 1000 hours total for coverage.
|
| Q. |
| A. |
Please
contact Blue Cross Blue Shield of Rhode Island at (401) 459-5000 or www.bcbsri.com |
| Q. |
| A. |
You
must enroll your new dependent within 30 days of birth, adoption, marriage or
other important life changes with the Benefit Office. Please submit a Birth
Certificate or Adoption/Guardianship paperwork to add a Child, and a Marriage
Certificate for a Spouse to the Benefit Office, DO NOT contact BCBSRI to add
dependent coverage. |
| Q. |
| A. |
Eligible
dependents are identified as:
Your lawful spouse Your natural Children (up to age 26 unless
proven handicapped or disabled) Your legally adopted children Your step-children Children for whom you have been appointed legal
guardian by a court
|
| Q. |
| A. |
Present
your Blue Cross Blue Shield card for the eye exam only. For glasses/contacts and any other vision
hardware, please have provider contact Davis Vision at (800) 999-5431. Davis Vision does not have a specific
insurance card. |
| Q. |
| A. |
Your
dental insurance is covered through Delta Dental. Please contact Delta Dental for insurance card and claim billing information
at (800) 843-3582 or www.deltadentalri.com |
| Q. |
| A. |
Please
contact Blue Cross Blue Shield of Rhode Island at (401) 459-5000 or www.bcbsri.com |
| Q. |
| A. |
Yes,
the RI Carpenters participate in the Carpenters Assistance Program
(C.A.P.) Whatever the Problem, There is
a Solution .... For free, confidential, professional help call (978) 752-1160. |