Friday, May 16, 2025

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

You must be working in a Covered Employment and meet the initial eligibility rules of the plan.

Q.

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

A.

You will be allowed to make a self payment to continue coverage. There is a limit to the number of self payments allowed. Please contact the benefit office for complete details.

Q.

How do I maintain my monthly Health Care coverage?

A.

To maintain monthly Health Care coverage, you must work the required monthly hours or if you do not work enough hours, you will be allowed to make a self payment.

Q.

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

A.

If you receive a Self-pay bill, you can mail it to the following address:

The Truck Drivers and Helpers Local 355 Health and Welfare Fund
PO BOX 830625
Philadelphia, PA 19182-0625

Overnight/Courier Address:

PNC Bank c/o Truck Drivers And Helpers Local #355
Lockbox Number 830625
525 Fellowship Rd., Suite 330
Mt. Laurel, NJ 08054-3415 
Q.

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

A.

Please contact the Benefits office at (866) 621-7974.

Q.

Who are my eligible dependents?

A.

Spouse, son, daughter, step child, adopted child. Children must be under the age of 26.

Q.

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

A.

Yes, children will age out of the plan at the end of the month in which they turn 26.

Q.

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

A.

You can add a newborn by calling the Benefit Office. The newborn will be added for a grace period of 60 days, within 60 days you will need to provide a copy of the official Birth Certificate. To add a spouse to your policy you will need to provide a copy of the State Certified Marriage Certificate. Any additions to the policy must be added within 30 days.

Q.

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

A.

You must notify the Benefit Office and submit a copy of the final Divorce Decree.

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

Please contact the Benefits office at (866) 621-7974 to request ID cards.

Q.

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

A.

Please contact the Benefits office at (866) 621-7974.  

Q.

Eligibility: How do I become eligible for Disability Benefits?

A.

You are eligible to participate in this Plan if you work for a contributing employer who is obligated by a Collective Bargaining Agreement or other written agreement to make contributions to the Truck Drivers and Helpers Local 355 Health and Welfare Fund. Benefits begin on the first day of the month following the receipt of contributions from an employer on behalf of participant working in covered employment for a minimum of 120 hours in each month for two consecutive months. For example, this means that if you are hired on January 10, and you work 120 hours in January and 120 hours in February, and contributions are received by the due date of March 15, then your initial coverage will begin on April 1.

Q.

Does the fund offer any extensions? 

A.

Plans A, C & E can collect for another 26 weeks if the member returns to work for one full month.

Q.

How much does the Disability Benefit Pay per week? 

A.

Plan A:  60% of the active member's basis weekly earnings up to a weekly maximum of $510.00.

Plan C:  60% of the active member's basis weekly earnings up to a weekly maximum of $415.00.

Plan E:  60% of the active member's basis weekly earnings up to a weekly maximum of $320.00.

Q.

How long can I collect a Disability Benefit? 

A.

You may collect a disability benefit for 26 weeks.