Sunday, June 15, 2025

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

All active employees within the jurisdiction of Local 922 and employed by a participating Employer who is subject to an Agreement and Declaration of Trust will be eligible for benefits
Retirees -- All Active Employees with at least 15 years of service, who retire from a participating employer. Benefits will be continued for a Retiree and his/her spouse until the Retiree is eligible for Medicare. At that time, coverage under this Plan will terminate for both the Retiree and spouse.

Q.

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

A.

Eligibility is not driven by hours, just monthly contributions.
Co-Payment Required for Eligibility

If your collective bargaining agreement requires that you "co-pay" a portion of the contribution, you will not be eligible for any month in which you fail to make such a co-payment.

WHEN DOES MY COVERAGE TERMINATE?
Employee - Employee coverage shall automatically terminate immediately upon the earliest of the following dates unless the covered Employee elects Continuation of Coverage (COBRA):

a. The last day of the month following the month that employment terminates; b. Except in the case of certain leaves of absence, the last day of the month in which the employee ceases to be eligible; c. The date this Plan is terminated (if Continuation of Coverage not available); d. The date the employee receives the maximum lifetime benefits provided by the Plan; e. With respect to any coverage requiring Participant contributions, and with respect to which Participant contributions are discontinued, the period for which the employee fails to make any required contribution; f. Except to the extent required by law, when the covered employee enters the military, naval or air force of any country or international organization on a full-time active duty basis other than scheduled drills or other training not exceeding 1 month in any calendar year.

Q.

How do I maintain my monthly Health Care coverage?

A.

Monthly contributions by employer and employee. 

Q.

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

A.

Check or money order for Cobra or Retiree Coverage

Q.

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

A.

Call the Fund Office at 410-872-9500. Request the Member Services department.

Q.

Who are my eligible dependents?

A.

Your legal spouse and children under 26.

Q.

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

A.

Yes. Proper documentation is required. 

Q.

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

A.

Contact Member Services at 410-872-9500.  An updated enrollment form and birth certificate are required.

Q.

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

A.

Contact Member Services at 410-872-9500.  A  divorce decree is required to remove your spouse.

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

Call the Fund Office at 410-872-9500. Request the Member Services department.

Q.

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

A.

Call the Fund Office at 410-872-9500. Request the Claims Department.

Q.

Who is the Prescription Drug Benefit Manager?

A.

Prescription coverage is provided through CVS/Caremark.

Q.

How can I contact the Prescription Drug Benefit Manager?

A.

CVS/Caremark at 1-866-282-8503.

Q.

If a service I need requires Prior Authorization, who do I (or my provider) contact?

A.

Contact Care Allies at 1-800-768-4695.

Q.

If I need to utilize Mental Health or Substance Abuse benefits, who do I contact?

A.

Contact Fund Office at 410-872-9500.

Q.

How do I find a dentist?

A.

For a list of Preferred dentists, please contact 800-797-3381.

Q.

If I have Medicare, who does my provider submit the claim to?

A.

Provider must submit a paper claim along with the Medicare EOB to the address below:

Teamsters Local 922 Employers Health Trust Fund
7130 Columbia Gateway Drive, Suite A
Columbia, MD 21046

Q.

Who are my Vision benefits through and how can I contact them?

A.

Davis Vision at 1-800-999-5431.