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Q.
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A.
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- Spouse - copy of your marriage certificate and spouse’s original birth certificate
- Domestic Partner - copy of Declaration of Domestic Partnership filed with the State.
- Child – copy of your child’s original birth certificate (If you are enrolling a
newborn, a hospital certificate will be good for 90 days from date of birth and
then a copy of the original birth certificate must be submitted.)
- Step-Child - copy of original birth certificate & proof that you the member
support this child. Acceptable documents may include proof of residency from child’s
school, Tax return claiming child, divorce documents stating that parent has primary
custody of Child and is required to provide healthcare coverage.
- Adopted Child - copy of legal adoption documents from the court or letter from the
state Adoption agency stating the date the child was placed in the home for purpose
of legal Adoption. Upon completion of legal adoption, the Plan office will need
a copy of the final legal adoptions documents.
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Q.
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A.
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Your eligible dependents are:
- Your lawful spouse;
- Your registered domestic partner;
- Children until age 26 (includes your natural children, legally adopted children
- including children placed with you for legal adoption, your legal ward, stepchildren,
foster children and children of your eligible domestic partner);
- Unmarried children, over age 26, who are totally disabled.
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Q.
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A.
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You will become eligible the first day of the second month following the month that
you complete a minimum of 440 work hours within a twelve month period.
If you are a Residential member, you will become eligible the first day of the second
month following the month that you complete a minimum of 480 work hours within a
twelve month period.
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Q.
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A.
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Kaiser (HMO) or Blue Cross (PPO)
Residential employees, service tradesmen, and provisional journeyman service plumbers levels 1-3 will be enrolled in Kaiser (the PPO plan is not available).
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Q.
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A.
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You must fill out an enrollment form and submit the required documents (ex: marriage
certificate, birth certificate). You can download an enrollment form from this website
located under “Forms” and mail it to the Trust Fund Office.
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Q.
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A.
| Plumbers Union Local 393 - Self Pay
P.O. Box 92149
Las Vegas, NV
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Q.
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A.
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The Fund Office's Eligibility Department at (408) 588-3751.
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Q.
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A.
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Yes:
- Unemployment: $200/week for a maximum of 26 weeks.
- Paid Family Leave: $150/week for a maximum of 8 weeks per 12-month period
- Short-Term Disability (State Disability or Workers Compensation):
$150/week, or $21.43 for each day of disability less than a full week, for a maximum of 52 weeks.
- Long-Term Disability (Social Security Disabled): during each year
of disability, 12 times the monthly benefit he or she would have received from the
Pension Plan had he or she been eligible for a Disability Retirement under that
Plan. (Please refer to your Summary Plan Description for eligibility requirements).
The above benefits do not apply to Individual Employers or non-bargaining employees.
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Q.
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A.
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When you retire, you may draw on your Extended Reserve Account to pay for the monthly
premiums for medical and/or dental coverage through the Health and Welfare Plan. You may also use the funds to pay for co-payments,
deductibles, and reimbursement of qualified medical expenses which are not covered
under the Plan. If you opt out of retiree coverage because you are covered under another group health plan, you and your spouse will still be permitted to use your Extended
Reserve Account for reimbursement of qualified medical expenses. |
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Q.
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A.
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In the event of your death, the Extended Reserve Account may be used to provide
coverage for your spouse and eligible dependent children. The funds in the Extended
Reserve Account may also be used to pay for their co-payments, deductibles, and
for reimbursement of their qualified health expenses and to pay for other medical
insurance coverage.
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Q.
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A.
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ERA claims must be submitted within one year of the date of service. |
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Q.
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A.
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You must complete one ERA form per patient, along with the following information:
(NOTE: BALANCE DUE STATEMENTS ARE NOT ACCEPTABLE).
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Reimbursement for:
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Information Required
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Medical Co-payments
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Copy of your Kaiser or U.A. Local 393 Health and Welfare Plan Explanation of Benefits
Form (EOB). Balance due statements are not acceptable.
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Dental Co-payments
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Copy of your itemized dental clam/explanation of benefits. Orthodontic services will be paid for after services are rendered.
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| Vision Co-Payments | Copy of your itemized vision claim. |
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Prescription Co-payments
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Copy of the drug label stub or a printout from your pharmacy. Cash register
receipts are not acceptable.
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Q.
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A.
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To pay bills for covered medical, dental, vision or prescription expenses which
would otherwise not be payable under the U.A. Local 393 Health and Welfare Plan,
(due to co-payments, maximum benefit allowed, or services that are not payable under
the plan), or to pay a self payment amount. (Services must be IRS-approved expenses).
The ERA may be used for one or more of the following expenses incurred on or
after January 1, 2006:
- All or part of co-payments required, or amounts in excess of usual, customary and reasonable limits, on covered Medical, Dental or Vision services.
- Other or denied Medical, Dental, and Vision services.
- Prescription co-payments.
- Self Payments
- Menstrual care products
- Personal Protective Equipment (PPE)
- Over the counter medications/drugs
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Q.
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A.
| ERA reimbursement requests can be submitted using one of the methods listed below: Mail requests to:
U.A. Local 393 Health and Welfare Plan
Attn: ERA Account
PO Box 99416
Troy, Mi 48099 E-mail to: receipts@ualocal393benefits.org Fax to: 1 (248) 556 - 2597 |
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Q.
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A.
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Even when you are no longer eligible for coverage under this health and welfare
plan, you may still draw on your ERA to pay for eligible medical expenses.
However, you will permanently forfeit your ERA if you become employed in the
plumbing and pipefitting industry for an employer that does not contribute to a
health and welfare plan benefiting workers in the pipe trades industry under the
terms of a collective bargaining agreement.
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Q. A. |
Q. A. | How can my provider get an estimate of what the Plan will cover for a specific medical service? Please have your provider visit the provider portal: memberbenefitsonline.com. The Provider Portal provides Eligibility, Healthcare benefit breakdown and Claims status. The Provider Portal also has an "ask a question" feature, where one of our Portal representatives will respond back within 24-48 hours. | | |
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