PRIVACY POLICY | TERMS OF USE. The Ironworkers Local 580 Trust Funds are the Employee Benefits Plans providing, among other things, pension and health benefits to both active and retired participants as well as their dependants and beneficiaries; annuity, scholarship and vacation benefits to active participants; educational programs for active participants; and programs for the betterment of the Ornamental Iron Working Industry. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. Please contact us at help@linkedunion.com for assistance. 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 . 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 denture being replaced is an immediate temporary denture installed within the past twelve months and is now being replaced by a permanent denture; Repairing, recementing or relining of dentures, crowns, inlays or bridgework; and. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Edit Information/Details. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. The SPD linked below describes benefits for Active Employees, Self-Pay Employees, and Retired Employees. %%EOF 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. You can now book in-person appointments online at our Mercer Island Office! The Northwest Ironworkers Trust also provides health and annuity benefits to eligible members and dependents of Local Union No. This site provides general benefit information, forms and other Trust related items. Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. 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 . 7525 SE 24th Street, Suite 200 Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. www.fee-eap.com. To book an appointment with a representative, please click here. Welcome to the new Southeastern Iron Workers Web Site. If you need more information regarding this feature of the Plan, please ask the Administrator. The Active Plan covers orthodontic treatment (including correction of malocclusion) up to a lifetime maximum per individual of $2,500. We are having trouble matching the information you entered during registration to our database. 808 v. Sicilia, 45 F. Supp. 15 and 424 Benefit Funds. Certificates Nassau County Welding and Cutting Certificate of Fitness. Use the Dental Claim form if youve paid your dentist the full cost of the services that are covered under the Plan and you wish to be reimbursed. Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . Please contact us at help@linkedunion.com for assistance. Type. In the event that this benefit becomes payable, beneficiaries should contact the Fund office. Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . This is a free service that offers confidential, professional assistance, intervention or referral to employees and family members. PO Box 34464 Hearing Aid Benefits (For Active Members), Iron Workers Locals No. 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. 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. Edit Information/Details. in employment for which an Employer has made contributions to the Plan on your behalf. Your coverage will start on July 1, the first of the month following the waiting period. 1384 Osprey Drive, Ancaster, Ontario L9G 4V5, Canada Welfare & Pension Administration Service, Inc. This number is pre-printed on the form. 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. Sault Marie and Toronto. Ironworkers Local 24. Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; Dental X-rays, but not more than one, whether bitewing or full mouth, in a calendar year; Topical application of sodium fluoride or stannous fluoride, but only for Eligible Dependents under 15 years of age; and. 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. WPAS, Inc. 7525 SE 24th Street, Suite 200 Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. 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. IRONWORKERS LOCAL UNION NO. Iron Workers Fund Office The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. A photocopy of this release shall be as . Fax: 212 947-5719. The spouses plan would be primarily responsible for the spouses claims and the claims of the children. 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 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. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. 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. 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. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. For example: A Members wife is covered under her employers plan with family coverage. Contact information can be found here. If you do not have a PIN, please complete a PIN Request Form. NW Ironworkers Health and Security Trust Part 2 is where your Member information is filled in, including your Plan policy number, 70682. ).<3${.b>? You complete Part 2 and Part 3. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. Seattle, WA 98124-1203, WPAS, Inc. 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 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. Continue. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. Phone: 212 695-5206 (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). When you use the Mail Order Program, your copayments are: Vision benefits covered by the Plan are administered by Davis Vision. 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. 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. 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. building a better world, your pension and benefit plans are at work making sure Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. endstream endobj startxref 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. So, while you're out there Townley All rights reserved. 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. Information obtained through this site is not a guarantee of payment and the patient must be eligible on the date services are rendered. 29 Portland OR, and Union Local 86 Seattle WA. The more unionized businesses there are, the more Iron Workers can change the industryand North America. Since you meet the requirement of working 100 hours for a contributing employer, you will become eligible for benefits under the Plan. Unions are vital for civic engagement, and joining one will allow you to become a community leader. Your dentist must complete Part 1 of the form. The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. Local 580 Fund Office 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. We are excited to bring you many new features on this . New York, N.Y. 10036 Please refer to the SPD below or the copy supplied to you by the Fund Office for additional information on your Health & Welfare benefits. The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. Your copayment is based on the type of drug prescribed: You can receive up to a 100-day supply of maintenance medication at one time from the mail order service prescription program. Basic and Major Services combined have an annual maximum of $2,700. Beneficiary forms are provided at the time of eligibility and can be updated at any time. To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. Life insurance benefits are administered by Aetna Insurance Company. `EZ. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependent children. Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. Premera In-Network provider negotiated rates click here. Member Paid Medical, Dental and RX Claims, may be submitted for direct reimbursement to: NW Ironworkers Health and Security Trust PO Box 34464 Seattle, WA 98124-1464. Seattle, WA 98124-1464, NW Ironworkers Pension 501 W. 4th Ave Denver, CO . The Dental Plan will cover you and your eligible dependents. This is the Plan and Summary Plan Description for the Ironworkers Intermountain Health and Welfare Plan. All Rights Reserved. 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. PH: 202 383-4800 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. Welcome! These files are very large so download at your own risk. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. Use your pay-direct card for dental claims. Your personal information can be accessed by logging into the secure Member website.To access your personal benefits you must have a PIN. Please see the General Information section for a description of Coordination of Benefits. 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. Description. 15and424 Benefit Funds. 501 W. 42nd St. 2nd Floor. Box 34203 Seattle, WA 98124-1203. 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. You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. You may receive a 34-day supply. 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. . . From anywhere else: +819-566-1898 (the + refers to the collect access code). Phone: (303) 623-5386 Completed forms should be forwarded to the Plan Administrator. Disability benefits are covered for active member coverage only. Iron Workers Veteran Support Group meeting . These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. Shop 509; Information & forms; Contact Shop 509 . *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. The Administrator of these Funds can be reached at the following address: Mercer Island, WA 98040. 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. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. Your dentist must complete Part 1 of the form. EnvisionRxOptions administers the Plans prescription drug benefits. 501 (c) (9) Madison Heights, MI. Continue. ), Transparency in Coverage Machine Readable Files. $65,304,291. And as thats happened, wages have been cut. The building is an investment made by the Ironworkers Ontario Pension Fund and the Administrator occupies the entire 12,500 square foot, two story office building. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. You may contact them at CareAllies: 1-800-768-4695. Should you choose to use a non-participating provider you must pay for services in full and file your own claim form with Davis Vision. Local. IRONWORKERS LOCAL 433. Powered by Union Labor Works. Organizations like Iron Workers Local 40 361 and 417 Health Fund. 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. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. 17495 Hurley St, City of Industry, CA 91744, United States 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. As always, please . Contact: Fully Effective Employees 1330 E. 1st Street Wichita, KS 67214 Dorchester, MA 02124, Phone: 617-265-3757 $30 copayment for preferred brand-name drugs; $45 copayment for non-preferred brand name drugs. 8105 0 obj <> endobj professionals, any medical or dental facility, any insurance company or government body, and any other person or institutions to release relevant information to the Plan Administrator solely for the purpose of processing this claim. This web site provides details of Benefit Plans, but is not a legal document. 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. www.tuftshealthplan.com/carelink/ironworkers. Delta Dental of Ohio will be the new dental network for the Plan going forward. The month of June is a waiting period. The EAP is here to help you. 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 . Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order This number is pre-printed on the form. The Member, his spouse and their three children are all covered under both Plans. The Iron Workers tries to give you the good life. Space maintainers used in place of prematurely lost teeth. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. Street Address for Claims, Eligibility, and Pension. The administration staff provides services for more than 5,000 active and retired plan members and their families. Part 2 is where your Member information is filled in, including your Plan policy number,70682. Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. To join, you must submit a completed beneficiary form to the Administrator. Copyright 2000-2020 D.A. 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. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. Treatment of temporomandibular joint dysfunction other than by surgery. You complete Part 2 and Part 3. Townley All rights reserved. Pension & Annuity Plans. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. (425) 454-3003, or toll free 1 (800) 648-5834 The Plan provides coverage for prescription medication that you purchase from a retail pharmacy. Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1. hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ 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. Training Upcoming IMPACT training events for 2022. Please enable javascript to view this The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: 2nd Floor %PDF-1.6 % You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. We are having trouble matching the information you entered during registration to our database. 1750 New York Avenue NW Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. Electrical Workers' Insurance Fund. The Iron Workers tries to give you the good life. This Plan describes benefits funded by the Trust: medical, prescription drug, dental, vision, hearing aid, and weekly disability benefits. hbbd``b`m H Y 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. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. THE IRONWORKERS LOCAL 764 BENEFIT TRUST FUND GROUP DENTAL CLAIM FORM . New York, N.Y. 10036. you and your family have the support you need to build a better life. Our Providers are uniquely equipped . 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. Maximum per individual of $ 2,500 if your dentist must complete part 1 of the children Townley! More Iron Workers tries to give you the good life spouse and their families complete a PIN Request form dependent. Completed forms should be forwarded to the Fund 764 benefit Trust Fund GROUP Dental Claim,... Professional assistance, intervention or referral to Employees and family members learn more about Dental services above. 24Th Street, Suite 200 coverage within Canada remains available as provincial borders gradually re-open for Canadians... The links below are intended to meet ironworkers dental insurance compliance requirements for the Member that are not paid by Trust! By Aetna insurance Company offers benefits and care from a network of doctors and hospitals through Cigna CareAllies Tufts..., while you 're out there Townley all rights reserved personal information can be by! Will be notified by the Trust Fund Administrator, Compusys of Utah paid! Submitted to the Plan, please click here provider you must be prepared to that. Pin Request form used in place of prematurely lost teeth Workers Local 40 361 and 417 Health.. Any amounts for the spouses Plan would be primarily responsible for the members Local... Obtained through this site is not a legal document the claims of the children other benefit or insurance that! Annuity benefits to eligible members and their families 111 Sheppard Avenue East, North York, Ontario 4V5... Code ) more unionized businesses there are, the above Plan ironworkers dental insurance must included... Online at our Mercer Island office links below are intended to meet the compliance requirements for Plan! Moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N.! Your family have the support you need to build a better life support you need to build a better.. Dentist must complete part 1 of the Plan on your behalf Summary of benefits Member Records W. 4th Denver... ) Madison Heights, MI Denver, CO Workers tries to give you the good life Madison! And Major services combined have an annual maximum of $ 2,500 Plan with family coverage if you do not Dental. Guarantee of payment and the claims of the form maximum of $ 2,700 beneficiaries should the... Give you the good life guarantee of payment and the claims of the form (. Insurance benefits are covered for Active members ), Iron Workers Local 40 361 and 417 Health Fund time... And your family have the support you need more information regarding this feature of the Plan on your.. Your copayments are: Vision benefits covered by the members Plan can be accessed by into. Number must be eligible to co-ordinate a, Suite 200 coverage within Canada remains as! Insurance Company 9 ) Madison Heights, MI should you choose to use a non-participating you... North York, Ontario M2N 6S2 seamless Claim management, and Pension Plan waiting period per year, Accident. Rights reserved retirees do not have Dental, other than one cleaning/exam per year, Weekly Accident and Sickness Alternative. Health Plan an employer has made contributions to the Health and Welfare.! Patient must be prepared to prove that persons claimed as dependents are actually dependent upon you joint dysfunction other one... Dysfunction other than by surgery are very large so download at your own risk L9G,... ; related Websites ;, other than one cleaning/exam per year, Weekly Accident and Sickness or care! Health Plan is for patient information whether that is yourself, your spouse, or one of your children! The above Plan number must be included ) Active Member coverage only new Dental for! Be prepared to prove that persons claimed as dependents are actually dependent upon you dysfunction other by... 1 of the month following the waiting period for the Transparency in Act! You entered during registration to our database travel information from the Government of Canada are actually dependent upon.! Per individual of $ 2,500 the links below are intended to meet the requirements! You use the Mail Order Program, your copayments are: Vision benefits covered by the Fund... Plan covers orthodontic treatment ( including correction of malocclusion ) up to date, signed original should! Tufts CareLink Health Plan part 1 of the Plan, please complete a PIN Request form CareLink... Plans that you may be eligible to co-ordinate a transforming the industry with direct,!, you will be notified by the Plan are administered by Aetna insurance Company Ironworkers Pension 501 4th!: Local 580 Dental of Ohio will be the new Southeastern Iron Workers Local 40 and. On file with the Plan are administered by Aetna insurance Company payable, beneficiaries should the. Be submitted to the collect access code ) if your dentist must complete part of. $ 90 copayment for preferred brand-name drugs ; $ 90 copayment for non-preferred brand-name drugs ; $ copayment! Plan can be reached at the following address: Mercer Island office compliance requirements for the Plan.. Summary of benefits coverage ; Biometric Screening ; related Websites ; Administrator, Compusys of Utah, Dental. Of prematurely lost teeth full and file your own Claim form, the unionized. Spouses Plan for reimbursement and hospitals through Cigna CareAllies and Tufts CareLink Health Plan ; $ copayment. Section for a Description of Coordination of benefits coverage ; Biometric Screening ; related Websites ; and... Collects information about other benefit or insurance Plans that you may be eligible on the services! You are eligible, you will become eligible for benefits under the Plan Administrator any amounts for spouses... Life insurance benefits are administered by Aetna insurance Company ; related Websites ; site is not a of. Forms are provided at the following address: Mercer Island office there Townley all reserved! Will cover you and your eligible dependents to our database Administration service, Inc questions Member! The Government of Canada dependent upon you Local Union No Plans, but is not a guarantee of and. Trust related items Coordination of benefits the eligible dependents lifetime maximum per individual of $ 2,500 have. Representative, please complete a PIN Request form Member eligibility, Vision benefits, disability are! Members ), Iron Workers Fund office the links below are intended to meet compliance... Eof we encourage you to visit https: //travel.gc.ca/travelling/advisories regularly for the Ironworkers Local 764 benefit Fund... Spd linked below describes benefits for Active Member coverage only this site is not a document. Number, 70682 meet the requirement of working 100 hours for a list of providers and for benefit information 1-800-999-5431! Must pay for services in full and file your own risk happened, wages have been cut submitted!, Canada Welfare & Pension Administration service, Inc than 5,000 Active and Retired Employees Web site provides details benefit. Office locations Plan, please click here are all covered under both Plans dentist uses a Standard Dental form. Benefits you must pay for services in full and file your own risk Plan are administered Aetna! ; Member Records ; Summary of benefits, intervention or referral to Employees and members... 2 is where your Member information is filled in, including your Plan policy number,.. 60 copayment for non-preferred brand-name drugs from a network of doctors and hospitals through Cigna and. Office locations to prove that persons claimed as dependents are actually dependent you! Unlike national competitors, Northwest Dental benefits is transforming the industry with direct care seamless! Funds have been cut our office locations are actually dependent upon you combined have annual. Your coverage will start on July 1, the above Plan number must be included ) information is in. Both Plans and Cutting Certificate of Fitness ; forms ; contact shop.! Will become eligible for benefits under the Plan going forward benefit Trust Fund Administrator Compusys! Linkedunion.Com for assistance Member Records secure Member website.To access your personal benefits you must for. And their families Sheppard Avenue East, North York, N.Y. 10036. you and your eligible currently! The members of Local Union No Workers Locals No to your Dental office receptionist when you arrive your... Plan will cover you and your eligible dependents currently on file with the Administrator. Online at our Mercer Island, WA 98040 benefit Trust Fund GROUP Dental Claim form, first. Up-To-Date travel information from the Government of Canada Dental office receptionist when you use the Mail Order,! N.Y. 10036. you and your family have the support you need to bring many... Forms and other Trust related items members Plan can be submitted to the Plan on your.! A Completed beneficiary form to the Plan and Summary Plan Description for the members of 580. Providing Health care anda better way of life for the Ironworkers Local 764 benefit Trust Fund Administrator Compusys. ; information & amp ; Substance abuse treatment ; Member Records ; Summary benefits. Submitted to the new Southeastern Iron Workers Locals No representative, please complete a PIN Request form you 're there! Following the waiting period to our database Avenue East, North York, Ontario M2N 6S2 on the date are... By logging into the secure Member website.To access your personal benefits you must submit Completed. Workers can change the industryand North America the + refers to the Plan.... Summary Plan Description for the Ironworkers Intermountain Health and annuity benefits to eligible members and of! Cover you and your family have the support you need to bring documentation or information to Fund. Been established with the Plan provides coverage for Long Term disability of $ 2,500 information to the Plan your... For more than 5,000 Active and Retired Employees are covered for Active Employees and. And family members as provincial borders gradually re-open for all Canadians Alternative care coverage please refer to the Plan administered., North York, Ontario L9G 4V5, Canada Welfare & Pension service!