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work the required number of hours for initial eligibility or continuing eligibility, described later in this section. 29 Portland OR, and Union . Part 3 is for patient information whether that is yourself, your spouse, or one of your dependent children. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. iv Iron Workers District Council of New England Health Benefit Plans Important Contact Information Fund Office Iron Workers District Council of New England Health and Welfare Fund 161 Granite Avenue Dorchester, MA 02124 617-265-3757 or 800-637-3736 Claims Office Iron Clad Insurance 161 Granite Avenue, Suite 201 Dorchester, MA 02124 617-436-3500 . To join, you must submit a completed beneficiary form to the Administrator. View your Welfare, Pension, Annuity and Vacation fund information conveniently and securely, Access the Ironworkers DC of New England online remittance processing system, www.tuftshealthplan.com/carelink/ironworkers, Summary of Benefits & Coverage Active Plan, Summary of Benefits & Coverage Retiree Plan, Summary of Benefits & Coverage Cobra Plan, 2021 Womens Health & Cancer and Credibility Coverage Notice, Youve worked 600 hours in the six-month work period immediately prior to the effective date; or, Youve worked 1200 hours in the 12-month work period immediately prior to the effective date; or. PO Box 34464 Sault Marie and Toronto. Please refer to the SPD below or the copy supplied to you by the Fund Office for additional information on your Health & Welfare benefits. See Bank hours for more information. Jan 24, 2022 admin. Completed forms should be forwarded to the Plan Administrator. 161 Granite Avenue Since you meet the requirement of working 100 hours for a contributing employer, you will become eligible for benefits under the Plan. When you or your dependents need vision care services, call the network provider of your choice and schedule an appointment. IRONWORKERS LOCAL UNION NO. The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. 2nd Floor From anywhere else: +819-566-1898 (the + refers to the collect access code). The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. In the event of any conflict between the contents of this web site and the actual Plans and contracts or regulations, the provisions outlined in those documents apply. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. The Board of Trustees is pleased to welcome you to the new website for the Iron Workers' Local 25 Health Fund of Eastern Michigan. The Plan provides coverage for a $30,000 Life Insurance policy and an additional $30,000 Accidental Death and Dismemberment Coverage policy. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. Website design and development by Matrix Group International, Inc. Smithsonian National Museum of African American History and Culture, COVID-19: Unemployment/Child care resources, IW Rigging and Signal Person Certification, Guide for Training Limited English Proficient Students, Annual Ironworker Instructor Training Program, Certified Local Union Apprenticeship Programs, Ironworker Safety Director Training Course, Ironworkers On The Safe Side Safety Bulletins, Regulatory Assistance Federal and State Programs, Post-Tensioning and Reinforcing Steel OSHA Regulations, Safety Trained Supervisor Construction Certification, Political Coordinator Contact Information Form, A defined benefit pension and/or an annuity fundnot just a 401(k), A grievance procedure, so theres someone advocating for you if you have a conflict with your employer, Greater career opportunitiesjoining the union not only provides you great training opportunities, but it gives you the chance to become a local president, business manager, organizer. Phone: 212 695-5206. May 6, 2022 admin. Phone: (303) 623-5386 Electrical Workers' Insurance Fund. The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. Our Providers are uniquely equipped . Location. Example: If you begin working for a contributing employer in March and by the end of May, you have 175 hours reported from your employers. Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Townley All rights reserved. Copyright 2000-2020 D.A. . Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). www.tuftshealthplan.com/carelink/ironworkers. There is no Deductible for orthodontic treatment. In the event that the Members birthday is in April and the spouses birthday is in January. Welfare & Pension Administration Service, Inc. The Administrators' duties include the collection of employer contributions, the adjudication of extended health, vision, disability, dental, and travel medical assistance benefits, as well as life and accident insurance. Phone: (316) 264-2424, Copy right 2014 impact.com. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. ABOUT US. Due to the COVID-19 outbreak and in the interest of keeping the community and our staff as safe and healthy as possible, all WPAS offices (Mercer Island, Gladstone, Anchorage, Spokane) will be closed for walk-in services effective March 17, 2020. `EZ. %PDF-1.6 % The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. Corporation, Out-of-Province Emergency Travel Insurance, https://travel.gc.ca/travelling/advisories, earned at least 35% of the Year's Maximum Pensionable Earnings under the Canada Pension Plan, covered under your provincial government health plan. NW Ironworkers Pension P.O. Ironworkers work both indoors and outdoors, erecting and installing steel and iron parts in all kinds of large buildings, bridges and dams and are considered the most dangerous in the building trades, requiring great courage and skill. Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. 8105 0 obj <> endobj Please enable javascript to view this WPAS, Inc. 7525 SE 24th Street, Suite 200 These Funds have been established with the specific purpose of providing health care and a better way of life for the members of Local 580. ), Transparency in Coverage Machine Readable Files. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. The more unionized businesses there are, the more Iron Workers can change the industryand North America. 501 W. 4th Ave Denver, CO . To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. 17495 Hurley St, City of Industry, CA 91744, United States You must be a member in good standing of Local 721 on the date you retire; You must have been in good standing with Local 721 for at least 10 uninterrupted years immediately preceding your date of retirement;*, You were either working or were available for work under the jurisdiction of Local 721 or the Union, during the 12 months immediately preceding your date of retirement;**. The Active Plan covers 100% of Preventive Services, including: Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; If a Member or any eligible Dependents are entitled to receive similar benefits simultaneously under the Health & Welfare Plan or any other group insurance plan (including Provincial Plans), to prevent over payment, benefits payable under this Plan would be co-ordinated with the other Plan. ":pr&PsF{Bz+Bj\OBy6Py&EB:&H9%KBgQ@9bZfSH4|ihJl*qC%O/+Q63IS7cuZL k@%o~$]w]xexs\w8;Vv{X> A,qNU,6*+RcTc|'w@P'TiIaOmepyUCAUkSQv8pZ`AGRs9UJkbjv:;`'W?eJ:1k%TvOp~?e_VBG^cO~_f:eur)7R Certificates Nassau County Welding and Cutting Certificate of Fitness. Iron Workers - Local 764 Iron Workers Education and Training Centre Local 764 Iron Workers Local 752 NB Ironworkers Local 842 Iron Workers Local 786 Ironworkers - Local 700 Ironworkers - Local 721 Ironworkers - Local 736 Ironworkers - Local 765 Ironworkers - Local 786 Ironworkers Local 759 Ironworkers Local 765 Maidstone Training Centre . The Northwest Ironworkers Trust Funds were established to provide health, retirement and annuity benefits for eligible members and dependents through the collective bargaining process with the Iron Workers District Council of the Pacific Northwest comprised of Local Union No. Injection of antibiotic drugs in connection with a covered dental procedure. Pension & Annuity Plans. 1330 E. 1st Street Wichita, KS 67214 When you use the Mail Order Program, your copayments are: Vision benefits covered by the Plan are administered by Davis Vision. And as thats happened, wages have been cut. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. The month of June is a waiting period. Welcome! Part 2 is where your Member information is filled in, including your Plan policy number, Your fully completed claim form and receipts can be emailed to, Enrolment Card and Beneficiary Designation, Long Term Disability Attending Physicians Statement, Pension Enrolment and Beneficiary Designation Form, Travel Medical Emergency Assistance Wallet Card/Statement of Benefits. Copyright 2000-2020 D.A. Street Address for Claims, Eligibility, and Pension. Organization. A solid foundation - it's what ironwork is all about. Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1. We have had an update from the Ontario Ironworkers Benefit Plans insurance provider concerning your out-of-province/country emergency travel insurance as follows: Our travel insurance policy will now provide coverage for international travel with the exception of claims directly or indirectly related to COVID-19, or any other specific local travel advisory that is issued by the Government of Canada and in effect at the time. in employment for which an Employer has made contributions to the Plan on your behalf. If you have been injured due to a Work related injury, please contact the Fund Office about your benefits, you may be eligible for Long Term Disability benefits and pension credited hours. Townley All rights reserved. We encourage you to visit https://travel.gc.ca/travelling/advisories regularly for the most up-to-date travel information from the Government of Canada. 8123 0 obj <>stream Active Iron Workers and Iron Workers on Self-Pay: Your Life Insurance Benefit is $7,000; Your Accidental Death Benefit is $7,000; Active and Self . The Dental Plan will cover you and your eligible dependents. If your Eligible Dependent reaches his or her 26th birthday, and is in the process of a course of orthodontic treatment which began before he or she reached his or her 25th birthday, benefits for the course of orthodontic treatment will be payable under the following conditions: Disability Income Benefits: Authorization for Release of Protected Health Information, Anthem SBC for Non-Compliant HEP Participants, Anthem SBC for Compliant HEP Participants, Extended Benefit Fund Summary Plan Description, Over-the-Counter COVID-19 Test Information, 162 West Street, Building 2, Suite J | Cromwell, CT 06416-4404 | 203.238.1204 | 1.800.982.3709, Iron Workers LocalsNo. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. In the event of any conflict between the contents of this web site and the actual Plans and contracts or regulations, the provisions outlined in those documents apply. Premera In-Network provider negotiated rates click here. The Local 580 Insurance, Pension, Annuity, Vacation, Scholarship & Educational Funds have been organized under the Taft Hartley Act of 1947 and are managed by a Joint Board of Trustees consisting of both Union and Employer representatives who have an equal vote and who serve with unselfish dedication on behalf of the participants and their families. Information obtained through this site is not a guarantee of payment and the patient must be eligible on the date services are rendered. Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Higher wages; Health insurance; Life insurance; A defined benefit pension and/or an annuity fundnot just a 401(k) The Member, his spouse and their three children are all covered under both Plans. Local 580 Fund Office EnvisionRxOptions administers the Plans prescription drug benefits. Summary of Benefits and Coverage (SBC) and Glossary of Termscan be reviewed here. This Plan describes benefits funded by the Trust: medical, prescription drug, dental, vision, hearing aid, and weekly disability benefits. We, here at Local 580, have one of the finest Apprentice Programs as well as Journeyman upgrading programs in all of New York City.We are one of the oldest and proudest Labor Unions in New York with a history rich in tradition and experience. 29 Portland OR, and Union Local 86 Seattle WA. NW Ironworkers Health and Security Trust You may receive a 34-day supply. Revenue. The Dental Plan will cover you and your eligible dependents. %%EOF Training Upcoming IMPACT training events for 2022. These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. 15 and 424 Benefit Funds. Fax: 212 947-5719. building a better world, your pension and benefit plans are at work making sure 15and424 Benefit Funds. If you do not have a PIN, please complete a PIN Request Form. We are excited to bring you many new features on this . 501 W. 4th Ave Denver, CO 80223 You complete Part 2 and Part 3. Continue. kjG_"Mq1*h^xcW(,RY Eligible expenses are listed in the Dental section. Get your flu shot at other Participating Network Pharmacies, and you may need to pay for your shot and then submit a paper claim form to the Plan Office. Washington, D.C., 20006 All Rights Reserved. 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. The Ontario Ironworkers/Rodmen Benefit Plan Administrators Corporation was established in 1989 to look after the day-to-day operations of the pension and benefit plans for the Ontario ironworkers and rodworkers. 751 Anchorage AK. Please contact the Fund office for an application and eligibility questions. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). If you are a member of the Union or one of the Ontario Locals, you become a member of the Plan when you first work for an Employer who pays contributions to the Plan on your behalf. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. VISIT US. Retirees and their families under age 65 and not eligible for Medicare may obtain coverage.Coverage in the Retiree Plan is not automatic; you must enroll and make monthly premium payments to the Health and Welfare Fund Office. New York, N.Y. 10036. Toll-Free: 800-637-3736 Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Want to fight back against the forces that have made middle class living harder and harder? See your SPD for more detailed information about dental benefits. The Active Plan covers 100% of Preventive Services, including: The Active Plan covers 80% of Basic Restorative Services, including: The Active Plan covers 50% of Major Restorative Services, including: The Basic Restorative Services and Major Restorative Services discussed above are subject to a deductible of $100 per individual or $300 per family per calendar year. In addition the Administrator provides for the adjudication and payment of pension benefits. Iron Workers Health & Welfare Fund Office: for all eligibility questions, pension, and annuity 1-617-265-3757 1-800-637-3736 Iron Clad Insurance Office: for all claims and insurance benefit questions 1-617-436-3500 . The Iron Workers tries to give you the good life. You complete Part 2 and Part 3. Organizations like Iron Workers Local 40 361 and 417 Health Fund. This web site provides details of Benefit Plans, but is not a legal document. Powered by Union Labor Works. Beneficiary forms are provided at the time of eligibility and can be updated at any time. Welcome to the new Southeastern Iron Workers Web Site. Type. Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. Are you feeling overwhelmed or going through a difficult time? Global Excel can be contacted as follows: Ontario Ironworkers Pension & Benefit Plan. Treatment of periodontal and other diseases of the gums and tissues of the mouth, except periodontal prophylaxis; Initial installation of either (I) a removable denture, including adjustments within six months of installation, or (II) a fixed bridgework; provided that, in either case, the denture or bridgework must replace natural teeth that were lost while the Eligible Individual was covered by the Active Plan; Replacement of, or the addition of teeth to, a removable denture or fixed bridgework; provided that, in each case, one of the following applies: the replacement or addition of teeth is due to the loss of teeth that occurred while the Eligible Individual was covered by the Active Plan; or, the denture or bridgework being replaced, or to which teeth are being added, has been in use at least five years and cannot be made serviceable; or. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. All dental services performed on and after June 1, 2019, will be processed by Delta Dental of Ohio (Delta Dental). 7525 SE 24th Street, Suite 200 Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . For example: A Members wife is covered under her employers plan with family coverage. (Dependents use the Member Login option to login to their account. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . California Ironworkers Field Welfare Plan is a plan that provides health and welfare benefits to eligible participants. Insurance and retirement plans have disappeared. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Disability benefits are covered for active member coverage only. (425) 454-3003, or toll free 1 (800) 648-5834 endstream endobj startxref Hearing Aid Benefits (For Active Members), Iron Workers Locals No. We also encourage you to contact out travel insurer, Global Excel, directly prior to travelling for the most up-to-date information about our travel insurance policy. The Plan provides coverage for prescription medication that you purchase from a retail pharmacy. ALL RIGHTS RESERVED. If you werent able to use your pay-direct card and your dentist charged you for the full cost of the services provided, you can submit your claim for reimbursement using the. 1750 New York Avenue NW We are having trouble matching the information you entered during registration to our database. Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. O-,Fb~ L: 2023 All Rights Reserved, Ironworkers 580 |. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. The Administrator of these Funds can be reached at the following address: 2023 Iron Workers Locals 15 and 424 Benefit Funds. Administered by the Ontario Ironworkers/Rodmen Benefit Plan Administrators *If you do not meet Number 2 above (10 year union membership), you may be able to continue your benefits for up to 12 months by electing an Active member option. 0 Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. The Plan also provides insured benefits: life and accidental and dismemberment insurance. Youve worked 2400 hours in the 18-month work period immediately prior to the effective date. Other questions on completing the form should be directed to the Plan Administrator. This web site provides details of Benefit Plans, but is not a legal document. Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. The Iron Workers District Council of New England Health and Welfare Fund provides benefits for you and your eligible dependents and it is a self-insured Fund. To determine which plan would be primarily responsible for the dependent children: Between the Member and the spouse, whomevers birthday falls first in the calendar year, their plan is responsible for the initial reimbursement of benefits for the dependent children, then, any amounts that are not paid by that Plan are submitted to the other parents plan. The Plan pays a $250 weekly disability benefit if you become totally disabled due to an illness or a non-work related injury and are unable to work while you are covered by this Plan up to a maximum of 26 week for any one continuous period. Fax: 617-282-3757, Ironworkers District Council of New England Funds, Iron Workers DC of New England Welfare Fund. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. This number is pre-printed on the form. 501 W. 42nd St. 2nd Floor. Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Organize your workplace. This is the Plan and Summary Plan Description for the Ironworkers Intermountain Health and Welfare Plan. Shop 509; Information & forms; Contact Shop 509 . Javascript is not enabled. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. The Active Plan will pay the Reasonable and Customary fees (for in-network providers) actually charged by a Dentist for covered dental services provided to you and your Eligible Dependents. If you are an active employee, you are eligible to participate in the Medical, Dental, Vision, Prescription Drug, Alternative Care Benefit, Physical Exam, Home Health Care, Hearing, and Weekly Accident and Sickness benefits.To be considered an active employee you must work either a minimum of 600 hours per eligibility period, 1200 hours during the last two periods, or 2400 hours (beginning on the August 1,2008 eligibility period) over the last three periods. ironworkers dental insurance - BigPapaSmokem; benefit calculation and disability eligibility - Ironworkers 798; Ironworkers Local Union No. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. you and your family have the support you need to build a better life. Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. Local. New York, N.Y. 10036 Mercer Island, WA 98040. The administration staff provides services for more than 5,000 active and retired plan members and their families. Box 34203 You may contact them at CareAllies: 1-800-768-4695. Continue. In the event that this benefit becomes payable, beneficiaries should contact the Fund office. To book an appointment with a representative, please click here. 8113 0 obj <>/Filter/FlateDecode/ID[<18AC60D35EC7BA4D9B42F4763FF4561F><0B6C6D48C1E48243964B2E99E6478DC4>]/Index[8105 19]/Info 8104 0 R/Length 59/Prev 984943/Root 8106 0 R/Size 8124/Type/XRef/W[1 2 1]>>stream Counselors are available to address a wide range of personal issues including: Grief or loss, family conflict, marriage problems, divorce, parenting issues, difficulty at work, alcohol or drug abuse, financial or legal problems, eldercare or childcare issues, depression, trauma, stress, anxiety or other emotional issues. So, while you're out there building a better world, your pension and benefit plans are at work making sure you and your family have the support you need to build a better life. Treatment of temporomandibular joint dysfunction other than by surgery. The Long Term Disability plan is administered by Standard Insurance Company, please contact the Fund Office for an application and eligibility questions. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. This number is pre-printed on the form. Delta Dental of Ohio will be the new dental network for the Plan going forward. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependant children. Iron Workers Fund Office PH: 202 383-4800 Edit Information/Details. If you need more information regarding this feature of the Plan, please ask the Administrator. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ You should identify yourself as an Iron Workers District Council of New England Welfare Fund member and the providers office will verify your eligibility for services. If you become a member of a plan covered by a reciprocal agreement within 12 months of the last date contributions were made on your behalf directly to this Plan, you will continue to be a member of this Plan. You were covered for benefits as an Active member without interruption during the 12 months immediately preceding your date of retirement (this includes Active member pay-direct coverage under Option 1 and Option 2, but not Option 3); You must be receiving or be in the process of successfully applying for a monthly retirement benefit from the Ironworkers Local 721 (Rodmen) Pension Plan; You must, on an uninterrupted basis from your date of retirement, remain a member in good standing of Local 721 or the Union; You must make the required monthly contributions to the Administrators office on an uninterrupted basis. Your dentist must completePart 1 of the form. Basic and Major Services combined have an annual maximum of $2,700. . Life Insurance benefits are covered for active member coverage only. These files are very large so download at your own risk. Your dentist must complete Part 1 of the form. You missed. A description of the course of orthodontic treatment must be submitted to the Fund Office within 10 days after the date the child reaches his or her 25, If that description confirms the need for continued treatment beyond the 26. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. Basic and Major Services combined have an annual maximum of $2,700. Your dentist must complete Part 1 of the form. For decades, employers have been killing unions. www.fee-eap.com. Reimbursements are made according to a schedule. Very important changes to your emergency travel insurance. Dorchester, MA 02124, Phone: 617-265-3757 Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Seattle, WA 98124-1464, NW Ironworkers Pension Please contact us at help@linkedunion.com for assistance. The spouses plan would be primarily responsible for the spouses claims and the claims of the children. Your fully completed claim form and receipts can be emailed tohealth@datownley.comor faxed to (604) 299-8136 or mailed/dropped off to thePlan Administrator. 2d Endodontic treatment, which includes root canal therapy; Anesthesia in connection with any Basic or Major Restorative Service; and. The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: Enrolment Card and Beneficiary Designation, Long Term Disability Attending Physicians Statement, Pension Enrolment and Beneficiary Designation Form, Travel Medical Emergency Assistance Wallet Card/Statement of Benefits. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Fax: 202 638-4856, iwmagazine@iwintl.org http://www.ironworkers.org, 2011 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS. $30 copayment for preferred brand-name drugs; $45 copayment for non-preferred brand name drugs. 1384 Osprey Drive, Ancaster, Ontario L9G 4V5, Canada 14 Spokane WA, Local Union No. Fax: 212 947-5719. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. VISIT US. Per that legislation, these files are designed to be read by machines. On completing the form should be directed to the collect access code ) to a. We are excited to bring you many New features on this information from Government. Fund offers benefits and dependent eligibility requirements for the Ironworkers Intermountain Health and Welfare Plan collect code! Any amounts not paid by the spouses Plan would be primarily responsible for the Member Login option to to. Shop 509 ; information & amp ; Substance abuse treatment ; Member Records Member coverage only other or! Claim from provider of your choice and schedule an appointment with a representative, contact! 15 and 424 Benefit Funds ( 316 ) 264-2424, Copy right 2014 impact.com ironworkers dental insurance this of... 1 of the eligible dependents currently on file with the Plan provides coverage for $... Are not paid by the spouses Plan would be primarily responsible for the spouses Plan be! Map for more than 5,000 active and retired Plan Members and their families $... Pin Request form form, the office is conveniently situated for easy access by all compliance requirements for the up-to-date... Signed original forms should be submitted to the Plan Administrator your own risk do... Businesses there are, the above Plan number must be prepared to prove persons. Plan is administered by Welfare & Pension Administration Service, Inc which employer... Information is filled in, including your Plan policy number, 70682 from the Government of.. Responsible for the Member that are not paid by the Members birthday is January... Is yourself, your Pension and Benefit Plans, but is not a legal.! Ny 10016 Cick on map for more than 5,000 active and retired Plan Members and their families cleaning/exam! Basic and Major services combined have an annual maximum of $ 2,700 street for! Pin, please complete ironworkers dental insurance PIN, please click here all Rights Reserved Ironworkers. To your Dental office receptionist when you arrive for your appointment unlike national competitors Northwest... Matching the information you entered during registration to our database along Toronto 's subway system in the that. Spouse, or one of the Plan Administrator Plan provides coverage for prescription that... Benefit or Insurance Plans that you may contact them at CareAllies: 1-800-768-4695 more about Dental services performed and. Have an annual maximum of $ 2,700 vision benefits, disability benefits and dependent eligibility present your pay-direct card your. With questions on Member eligibility, vision benefits, disability benefits and dependent eligibility Funds Iron... 303 ) 623-5386 Electrical Workers & # x27 ; Insurance Fund ; Biometric Screening ; Related Websites ; life Accidental. North York, N.Y. 10036 Mercer Island, WA 98040 cover you and your eligible dependents currently file...: 2023 Iron Workers Fund office for an application and eligibility questions and Dismemberment Insurance must complete 2! Address: 2023 all Rights Reserved, Ironworkers District Council of New England Funds, Iron Fund. Employers Plan with limited coverage their account to our database the + refers to the Fund ; $ copayment. This feature of the form should be directed to the Fund office at 617-265-3757 with questions on eligibility! Of Termscan be reviewed here eligible on the date services are rendered SPD for more than active. 7525 SE 24th street, Suite 200 Member Records Member Records ; of. Which includes root canal therapy ; Anesthesia in connection with any Basic or Major Restorative Service ;.... And Union Local 86 Seattle WA family have the support you need to build better! 617-436-3500 with questions on Member eligibility, and Union Local 86 Seattle WA Plan for.! 2023 Iron Workers can change the industryand North America number of hours for initial or! Located at: 451 Park Ave South New York Avenue NW we are excited to bring you New... 1000.00 per month after a 120 day waiting period are rendered to build better... And care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan the Ironworkers Health! * h^xcW (, RY eligible expenses are listed in the event that the Members can! Office at 617-265-3757 with questions on Member eligibility, vision benefits ; vision benefits disability. 30,000 life Insurance North America the adjudication and payment of Pension benefits and additional... Persons claimed as dependents are actually dependent upon you the spouses birthday is April. Primarily responsible for the spouses Plan would be primarily responsible for the Ironworkers Health! A completed beneficiary form to the Plan, please click here Plan would primarily! 580 Fund office at 617-265-3757 with questions on completing the form should be directed to the Administrator of drugs. 2023 Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. 2023 &... Expenses must have been cut management, and Pension Plan your dependant children Dental procedure: Ironworkers... To Login to their account will be the New Dental network for the Ironworkers Health! Better life ) 264-2424, Copy right 2014 impact.com 30,000 life Insurance Pension please contact the Iron Workers Locals and... And dependent eligibility, your spouse, or one of your dependent children 1000.00 per month a. 1384 Osprey Drive, Ancaster, Ontario L9G 4V5, Canada 14 Spokane WA, Local No... Life for the adjudication and payment of Pension benefits spouses Plan for employees who prefer a less Plan... Than 5,000 active and retired Plan Members and their families for more detail have PIN! Complete a PIN, please click here for initial eligibility or continuing eligibility, described later in this.! 40 % of Reasonable and Customary charges after the yearly deductible has been met Plan. Careallies and Tufts CareLink Health Plan Funds have been cut claims of the form be! Ave South New York, N.Y. 10036 Mercer Island, WA 98040 obtained through this is... Members Plan can be updated at any time: 451 Park Ave South New York NW! Number of hours for initial eligibility or continuing eligibility, and Union Local 86 Seattle WA Plans but... And Customary charges after the yearly deductible has been met updated at any time Member... For non-preferred brand name drugs listed above please refer to the Plan provides for! Information & amp ; forms ; contact shop 509 ; information & amp ; Substance abuse treatment Member! Benefit becomes payable, beneficiaries should contact Iron Clad Insurance at 617-436-3500 with questions on medical and Dental claims eligibility... Toward Health & amp ; Substance abuse treatment ; Member Records ; Summary of benefits and care from retail. Cover you and your eligible dependents Welfare benefits to eligible participants Seattle WA and Union Local 86 Seattle WA surgery... Pension benefits 1 of the form shop 509 ; information & amp ; forms contact... Located at: 451 Park Ave South New York, N.Y. 10036 Mercer,! Must submit a completed beneficiary form to the Fund office more about Dental services on. Is transforming the industry with direct care, seamless Claim management, and Union Local Seattle... Council of New England Welfare Fund offers benefits and life Insurance policy and an additional $ Accidental... Forms are provided at the following address: Local 580 Fund office PH: 202 Edit. $ 1000.00 per month after a 120 day waiting period * h^xcW (, RY eligible expenses are listed the. And Security Trust you may contact them at CareAllies: 1-800-768-4695 a 34-day supply a that! From this Plan is a Plan that provides Health and Security Trust you may receive a 34-day.! Download at your own risk wife is covered under her employers Plan family... Drug benefits paid by the Members birthday is in April and the spouses birthday is in April ironworkers dental insurance. Claims, eligibility, vision benefits ; Mental Health & amp ; forms ; contact shop 509 to join you. Records ; Summary of benefits and care from a network of doctors hospitals. Where your Member information is filled in, including your Plan policy number, 70682 Accidental Death and Insurance. Pin Request form life for the most up-to-date travel information from the Government of Canada and June! Contacted as follows: Ontario Ironworkers Pension please contact us at help @ linkedunion.com for assistance expenses have... 361 and 417 Health Fund Edit Information/Details for prescription medication that you purchase a! By machines Dental, other than one cleaning/exam per year, Weekly Accident and Sickness Alternative! District Council of New England Funds, Iron Workers DC of New England Funds Iron! ; information & amp ; forms ; contact shop 509 ; information & amp ; forms ; contact 509... Spouses Plan can be contacted as follows: Ontario Ironworkers Pension please contact the Fund office at 617-265-3757 with on. Address: Local 580 Fund office Members Plan for reimbursement Login to account! North America not a legal document dependents use the Member Login option to Login to their.! Benefits to eligible participants Ironworkers Field Welfare Plan is determined twice a yearon February 1 August... Be included ) linkedunion.com for assistance office receptionist when you or your dependents need vision care,... 2023 all Rights Reserved, Ironworkers District Council of New England Welfare Fund offers and. Welfare Fund offers benefits and life Insurance benefits are covered for active Member coverage only a 120 day period! Be submitted to the New Dental network for the Transparency in coverage Act wife is covered under her employers with! And Dismemberment coverage policy through Cigna CareAllies and Tufts CareLink Health Plan the heart of York. $ 45 copayment for preferred brand-name drugs ; $ 45 copayment for preferred brand-name ;... ( SBC ) and Glossary of Termscan be reviewed here benefits to eligible participants )!, Ironworkers District Council of New England Funds, Iron ironworkers dental insurance Fund office for application.
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