Wednesday, April 17, 2024

Your Health Care Benefits


Your Health Care Benefits

The Board of Trustees is pleased to welcome you to the new website for the San Francisco Culinary, Bartenders & Service Employees Welfare Fund. Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful links, and frequently asked questions regarding your benefits provided by the Plan. As always, please feel free to contact the Benefit Office at (844) 492-9157 if you have any additional questions or concerns.


Medical and Prescription Benefits

Your medical and prescription benefit network is based on your enrollment elections. To enroll in the plan, complete the Benefit Enrollment Forms available on the Healthcare documents/forms page and return to the Benefit Office.

To get the most out of your benefits, it is best to use a provider that participates in the network you have elected. To locate a participating provider or for questions regarding benefits and claims, please contact your Medical/Rx Provider at the phone number listed below or click on the link on the right side of the page to connect to their website.

Medical/Rx Plan Options for Active Employees or Non-Medicare Retirees:

·         Kaiser HMO Plan

o    Customer Service: (800) 464-4000

·         Blue Shield of California HMO Plan

o    Customer Service: (855) 256-9407

·         Chinese Community Health Plan

o    Customer Service: (888) 775-7888

·         Direct Pay Plan

o    Customer Service: (844) 492-9157

·         Express Scripts will be available to Direct Pay Plan enrollees for Prescription

o    Customer Service: (800) 606-5704

Medical Plan Options for Medicare (A&B) Retirees:

·         Kaiser Senior Advantage

o    Customer Service: (800) 464-4000

·         Health Net Seniority Plus

o    Customer Service: (800) 275-4737

·         Direct Pay Plan

o    Customer Service: (844) 492-9157

Dental Benefits

Upon meeting eligibility requirements, your dental benefit network is based on your enrollment elections. To enroll in the plan, complete the Benefit Enrollment Forms available on the Healthcare documents/forms page and return to the Benefit Office.

To locate a participating provider or for questions regarding your dental benefits and claims, please contact your Dental Network Provider as listed below, or click on the link on the right side of the page to connect to their website.

Dental Plan Options for Active Employees, Non-Medicare Retirees and Medicare Retirees:

·         United Healthcare Dental HMO Plan

o    Customer Service: (800) 999-3367

·         Delta Dental Direct Pay Plan

o    Customer Service: (800) 632-8555

·         Naismith Dental/Interdent Plan

o    Customer Service: (800) 436-8531

Vision Benefits

Your vision benefit network is provided by VSP. Using a participating provider that accepts the VSP network will ensure that you get the most out of your vision benefits provided by the Plan. To locate a participating provider or for questions regarding your vision benefits and claims, please contact VSP at (800) 632-8555 or click on the VSP link on the right side of the page to connect to their website.

AIDS Benefits

The AIDS Benefit is a reimbursement plan for certain qualifying expenses for Active Employees and Retirees who received this benefit as an active employee who meet the eligibility criteria. Contact the Benefit Office at (844) 492-9157 if you have any additional questions regarding the AIDS Benefit.

Child and Elder Care Benefits

The Child and Elder Care Benefits Program provides reimbursement for a portion of the cost of covered expenses for a Participants’ Eligible family members and is available to Active Employees whose Employer contributes to this benefit. Refer to the Child and Elder Care Benefits Program Supplemental Summary Plan Description for additional information. For questions regarding your Child and Elder Care Benefits, please call (415) 864-0506 or click on the Local 2 Child & Elder Care Plan link on the right side of the page to connect to their website.

Supplemental Sick Leave and Supplemental Vacation Benefits

Supplemental Sick Leave and Vacation Plans pay certain benefits that are generally based on long-term employment and applicable only to Active Employees whose Employer contributes to these benefits. Whether a participant is eligible for these benefits is entirely dependent on the terms of the collective bargaining agreement between the Union and the participant’s employer. Contact the Benefit Office at (844) 492-9157 if you have any additional questions regarding the Supplemental Sick Leave or Vacation Plans.