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A. | You are eligible to participant in the Plan if you work for an Employer that is required to make contributions to the Health and Welfare Plan for the work you perform. For most Participants, this means working in a position coverage by a Collective Bargaining Agreement between the Employer and the Union.
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A. | If you fail to have the required employer contributions to continue Health Care coverage, you may be eligible to continue with COBRA continuation Coverage. Please contact the Trust Fund Office at (619) 849-1063 or Toll Free at (877) 469-5296.
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A. | You must have employer contributions of a specified amount set by the Plan each month, or elect COBRA Continuation Coverage to continue Health Care Coverage.
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A. | You make a self-payment to remain eligible for Health Care Coverage through the Retiree or COBRA Continuation programs. Make Check Payable & Remit to: San Diego County Teamsters Employers Insurance Trust 3737 Camino Del Rio South #300 San Diego CA 92108.
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A. | Please contact the Trust Fund Office at (877) 469-5296.
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A. | Dependent means an individual who is:
The Eligible legal Spouse or Registered Domestic Partner of the Employee. Any child of the Employee (which includes natural children, step-children, or legally adopted children or children placed with the Employee for the purpose of adoption as certified by the public or private agency making placement) who is under age 26. Any minor for whom a court has appointed the Employee or the Employee’s eligible legal Spouse as guardian, so long as the guardianship is in effect.
Any never-married child of the employee who is twenty-six (26) years of age or older, who is incapable of self-support because of mental or physical incapacity or condition, that commenced while eligible and that existed prior to the date he/she would have otherwise ceased to be eligible due to age, and who is substantially Dependent upon the Employee for support and maintenance, as is claimed as a Dependent on the Employee’s most recent federal tax return, or reside in the Employee’s household. The Employee must submit within thirty-one (31) days after the date he or she would normally cease to be eligible because of age, satisfactory proof of his/her incapacity. The Trust Fund may subsequently require periodic proof of his/her incapacity. This extension will continue until the earlies of (1) the date the child ceased to be eligible for reasons other than age, (2) the child ceases to be incapacitated, or (3) the end of the month in which the Employee fails to provide requested additional proof of incapacity.
Any unmarried child under age 19, whom the Employee is requested to cover by a Qualified Medical Child Support Order (QMCSO). The term Dependent shall not include foster children (unless otherwise eligible); or any person in the military, naval, or air service. Employees are not entitled to Dependent coverage for any Dependent who are entitled to benefits as Employee of a participating Employer.
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A. | Yes. Due to the new healthcare Reform Act, dependents children are now eligible to remain on the coverage until the age of 26, regardless of student status.
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A. | You must submit legal documentation to the Trust Fund Office, along with a completed Enrollment Form. You can download the Enrollment Form off of this website located under “Forms” as mail into the Trust Fund Office. Forms Required Are:
- Spouse – Copy of your marriage certificate
- Child – Copy of your child’s birth certificate
- Step-Child – Copy of child’s original birth certificate along with proof of residency (Tax Returns & Divorce Decree/Court Documents)
- Domestic Partner – Copy or declaration of domestic partnership filed with the State
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A. | Please call the Benefit Office and Advise the Eligibility Department that you are getting a divorce or have already gotten a divorce. You will also need to submit a Full Copy of your Dissolution of Marriage Judgment and court-Filed QDRO (Qualified Domestic Relations Order) to this Office.
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A. | Please contact the Trust Fund Office at (877) 469-5296.
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A. | If you have Kaiser and have a question regarding your claim, Please call (800) 464-4000. If you have HealthNet and have a question regarding your claim, please call (800) 522-0088. If you have Aetna and you have a question regarding your claims, please call (800) 370-4526. If you have Medi-Excel (Mexico) and you have a question in regards to your claim, please call (619) 421-1659.
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