1375 Virginia Drive, Suite 102
Ft. Washington, PA 19034
Phone 215-542-8211

 
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Don't Forget!

It's Your responsibility to update the Funds Office with any dependent changes - Birth of a child, Change in Marital Status, etc.

 

Quick Links

Health Care Solutions Corporation
XRays, MRIs, Cat Scans & Lab Work
HealthLine   866-955-IUOE
Talk to a nurse 24/7  365 days/year
Independence Blue Cross
Inpatient and Outpatient Provider
Express Scripts
Pharmacy Benefit Manager
Fidelio Dental
Dental Provider
Prudential
Annuity Manager
Vision Benefits of America 
Vision Benefit Provider
PCN    800-366-0129
Mental Health Provider

 

Welfare

New and Improved Vision Benefit

Effective February 1st, 2011

The Welfare Fund has contracted with Vision Benefits of America to administer the vision program.  The benefit allowance and eligibility has not changed.  The vision benefit is still $300 per covered person every 24 months.  However, you will have less (if not Zero) Out of Pocket expense if you use a VBA doctor.

There are 2 differences with the VBA program;

1.       Children under age 19 are eligible for a vision exam and if necessary, new lenses every 12 months.  Previously it was every 24 months.  Frames are still every 24 months.

2.       The new benefit is glasses & frames every 24 months.  The old benefit allowed you to spend the $300 on multiple purchases within the 24 month period; meaning if you did not use all $300 you could use the balance towards another purchase within the 24 month period.  This is not the case with VBA.

This benefit change will save you money.  The Fund is not expected to save as much money as you will.  We made this change because there were no network discounts with the previous plan.

Here is a chart showing benefit coverage. 

 

VBA Doctor

Non-VBA Doctor

BENEFIT

Amount Covered

Amount Reimbursed

Vision Exam

100%

$40.00

Single Vision lenses

100%

$40.00

Bifocal lenses

100%

$60.00

Blended Lenses

100%

$60.00

Trifocal

100%

$80.00

Progressives

100%

$80.00

Lenticular

100%

$120.00

Solid or gradient lens tints

100%

N/A

UV protective coating

100%

N/A

2 year premium scratch coatings

100%

N/A

Polycarbonate lens material

100%

N/A

Anti-reflective coatings

100%

N/A

Photochromics (transitions)

100%

N/A

Frame * $80 Wholesale allowance

100%

$80.00

Or   Contacts (in lieu of glasses)

$300.00

$300.00

Medically Required Contacts

UCR

$300.00

 

Please refer to the VBA handout for more information about the plan and how to use it. Click Here to view VBA Handout.

 

Healthcare Reform Update

In March 2010, President Obama signed into law the Affordable Care Act.  This Act allows your eligible dependents to maintain coverage until Age 26.

Effective January 1st, 2011, the Welfare Fund will cover dependents up to Age 26 as long as we received the Adult Child Form and your child could not have obtained coverage through work. 

If Medical coverage was offered (regardless of cost) to your adult child through work, they are not eligible for coverage extension.

Once your child reaches age 19, you must complete and return the Adult Child Form to the Funds Office.  This Form replaces the College Student Verification.

 

Dependents:

  •  can be single or married (dependent’s spouse is not eligible)
  •  do not need to be a college student
  •  do not need to live with parents
  • must not be 26 years old or older
 Please click Here to download the Adult Child Form.

 

 
IMPORTANT NOTE: The Fund Office must be notified in writing if you change your address, acquire a new dependent, or change your marital status. Beneficiary (census) cards are available at the Fund Office or you can fill it out online by clicking here and choosing the appropriate form. The latest one received at the Fund Office is the one recognized by the Fund.


You are covered by a Health and Welfare Fund financed by contributions made by your employer under terms of collective bargaining agreements between your Union and your Employer.

The Welfare Fund is administered by a Board of Trustees consisting of an equal number of Union representatives and Employer representatives.

All contributions to the plan are made by Employers in accordance with their collective bargaining agreements with the International Union of Operating Engineers, Local 542. The collective bargaining agreements require contributions to the Fund at a fixed rate per wages earned, or hours worked, or a combination of the two. Copies of such agreements are sent out to each member at the commencement of each contract period. Additional copies are available from the Union office.

Benefits are provided from the Fund's assets, which are accumulated under the provisions of the Collective Bargaining and Trust Agreements and held in a Trust for the purpose of providing benefits to covered participants and defraying reasonable administrative expenses. Benefits covered by the Fund are provided through Independence Blue Cross, Fidelio, Express Scripts, PCN, and the assets of the Trust.

The type and level of benefits to which you are entitled may vary according to contributions received on your behalf from your employer. A quarterly statement will advise you of the Benefit Level to which you are entitled for the next benefit period.

Periodically your Board of Trustees reviews the benefits provided by the Fund in order to ensure that the maximum coverages are available to its members within the limits of the financial position of the Fund. The provisions of the Fund will be periodically updated.

If you would like to view the Highlights of the Welfare Plan, select the from the following versions:

Parent Body Version

C Branch Version

Premium Based or Mc2 Version

Click Here to go to the Summary of Medical Plan Benefits page.

 

Reminders For Out of Town College Students

  1. Always carry your current ID card.
  2. In an emergency, go directly to the nearest hospital.
  3. Call BlueCard Access at 800-810-BLUE to find a Blue Card Provider provider.
  4. Always use a BlueCard PPO doctor or hospital to make sure you receive the highest level of benefits.
  5. Call IBC for prior authorization.  The member services number is on the back of your ID card.

 

Intentional Misuse of Benefits

May result in Termination of Benefits and member may be liable to the Fund double the costs of the benefits wrongfully received plus double all other Fund related expenses.