Thursday, May 15, 2025

Frequently Asked Health Care Questions


Q. Who is eligible to become a Participant in the Plan?
A. You are eligible to participate 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 covered by a Collective Bargaining Agreement between the Employer and the Union.
Q. What if I don’t work enough hours to gain eligibility for the month?
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 Benefit Fund Office at (702) 415-2185 or Toll Free (877) 304-6702 for more information.
Q. How do I maintain my monthly Health Care coverage?
A. You must have an employer contribution submitted on your behalf each month or elect COBRA Continuation Coverage and submit a self payment to continue Health Care coverage.
Q. How do I make a payment towards the continuation of my Health Care coverage?
A.

You may make a self payment to remain eligible for your Health Care coverage through the Retiree or COBRA Continuation Coverage programs. You may mail your check or money order to P.O. Box 844552, Los Angeles, CA 90084-4552.

You can also make a self payment online through PayPal or by credit card. After you log into the participant website, please click on the “Member Benefits” heading, then click “Self Payment.” Please review the “My Self Payment” information section and click "Pay Now." Complete the billing information and click “Proceed to Payment” at the bottom. (Please note that there is a $5.00 transaction fee to make online self payments.) A notification will appear that states “Are you sure you want to proceed?” Click yes, and then enter either your credit card information or check out with PayPal. Click “Pay Now” after completing the payment information to complete the self payment transaction.

Q. Whom should I call if I have questions about my Health Care eligibility?
A. Please contact the Benefit Fund Office at (702) 415-2185 or Toll Free (877) 304-6702.
Q. Who are my eligible dependents?
A.
  • Your lawful spouse
  • Your natural children up to age 26
  • Your legally adopted children up to age 26
  • Your step-children up to age 26
  • Child for whom you have been appointed legal guardian by court for length of guardianship or to age 26, which occurs first
Q. Will my child(ren) who is/are age 19 through age 26 be covered under the Plan?
A. Yes. Due to the new Health Care Reform Act, dependent children are now eligible to remain on the coverage until the age of 26, regardless of student status.

Please contact the Benefit Fund Office at (702) 415-2185 or Toll Free (877) 304-6702 for more information.
Q. How do I add my new baby or spouse to my insurance plan?
A. You must submit legal documentation to the Benefit fund office along with a completed Vital Information Form. You can download the Vital Information Form off of this website located under "Forms" section in the Health Care documents page and mail it into the Benefit Fund Office. You must enroll your new dependent within 30 days of birth, adoption, marriage or other important life changes.

Forms Required Are:
  • Spouse – copy of your marriage certificate
  • Child – copy of your child’s birth certificate
  • Step-child – copy of child’s birth certificate
  • Adopted child – copy of legal decree of adoption
  • Child for whom you have been appointed their legal guardian – original copy of legal guardianship documents
    (if temporary guardianship, status updates will be required every 6 months)
Q. Whom should I contact if I'm getting a divorce and what documents do I need to submit?
A. Please call the Benefit Fund Office and advise the Eligibility Department that you are getting a divorce or have already gotten divorced. You will also need to submit a FULL copy of your Dissolution of Marriage Judgment, or a Qualified Medical Child Support Order to this office.
Q. How do I obtain a replacement Medical and Prescription Card?
A. Please contact the Benefit Fund Office at (702) 415-2185 or Toll Free (877) 304-6702.
Q. How do I inquire about the status of my medical claim?
A.If you have the EPO or PPO Indemnity plan and have a question regarding your claim, please call the Benefit Fund Office at (702) 415-2185 or Toll Free (877) 304-6702 or email staff@teamsters631benefits.org.

Also, you have the ability to access your claims history and download/print your Explanation of Benefits from this website. First, you must log-in with your username and password. After Log-in please hover over “Member Benefits” and then click “HealthCare Claims” from the drop down menu.