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Ft. Washington, PA 19034
Phone 215-542-8211

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

 

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Buy-Up Information

Buy-Up Rules

The Welfare Fund offers a special provision for your added protection. During some Work Periods your employer’s contributions to the Fund may not be sufficient to provide the Welfare Fund coverage you want. To assure that you and your family have the coverage you feel you need, especially during periods of low employment or disability, you may have the option to make voluntary contributions in order to buy up to the Benefit Level you desire.

Parent Body

There are 3 levels to Parent Body eligibility;
1.      P1 - Full Benefits (1,200 or more hours)
2.      P3 - Inpatient medical/surgical including physician charges (800 – 1,199 hours)
3.      P4 - Inpatient hospital benefit does not include physician charges (200 – 799 hours)
 
To determine your Parent Body eligibility level, you need to calculate how many hours you worked in the 12 month Work Period. 
The months for each of the 4 quarters are listed below.
 
1st Quarter 2010 Eligibility Period (Jan/Feb/Mar)
Work Period – January, February, March, April, May, June, July, August, September 2009 and October, November, December 2008.
 
2nd Quarter 2010 Eligibility Period (April/May/June)
Work Period – January, February, March, April, May, June, July, August, September, October, November, December 2009.
 
3rd Quarter 2010 Eligibility Period (July/Aug/Sept)
Work Period – January, February, March 2010 and April, May, June, July, August, September, October, November, December 2009
 
4th Quarter 2010 Eligibility Period (Oct/Nov/Dec)
Work Period – January, February, March, April, May, June 2010 and July, August, September, October, November, December 2009.
 
If you are short hours, you may be able to Buy Up to a higher level. For every hour short of the level, it costs $1 per hour per month. (For 2010 the Trustees lowered the Buy Up rate to $.50 per hour)
 
Here’s an example for 1st Quarter 2010    Eligibility Period (Jan/Feb/Mar):
For the 12 months, Jan-Sept 2009 and Oct-Dec 2008 – a member worked 500 hours. Since the total hours were greater than 200 but less that 1,200, the member would be eligible for P3 coverage. If the member wanted to Buy Up to the P1 level, they would need to pay $1 for every hour short of the required 1,200 or 1,200 – 500 = 700 x $1 =$700 per month.

C Branch

When a member works under a C Branch contract, the employer is required to pay the negotiated monthly welfare rate. There is a 3 month lag between when a member works and when they are eligible. See Chart below.
 
If the Fund Office only receives a partial Welfare payment and not the required amount, the member will be offered COBRA. The amount owed by the member will depend on the COBRA option chosen less any money received.
 
As an example:
A member works 1 week in January and the Employer remits $250 which is according to their contract. The member would receive a partial credit for April eligibility.
 
Welfare Rate - $1,000 per month               Employer Contribution - $250
Family COBRA rate - $1,500                       Member Portion - $1,250
 
To continue the example to the following month: the member did not work in February, so no employer contributions were received for May and the member would owe $1,500.
 
C Branch Eligibility Chart
If you work this month
Your employer contribution is due this month
You are eligible for benefits in this month
January
February
April
February
March
May
March
April
June
April
May
July
May
June
August
June
July
September
July
August
October
August
September
November
September
October
December
October
November
January
November
December
February
December
January
March

 

The Fund office will notify you if you are eligible to buy up. If you are eligible, you may make voluntary contributions to increase your Benefit Level for any Work Period in which your employer contribution is insufficient for the Benefit Level you want.

 

Buy-Up Option

The Welfare Fund offers a special provision for your added protection. During some Work Periods you employer's contributions to the Fund may not be sufficient to provide the Welfare Fund coverage you want. To assure that you and your family have the coverage you feel you need, especially during periods of low employment or disability, you may have the option to make voluntary contributions in order to Buy- Up to the Benefit Level you desire.

The Fund Office will notify you if you become ineligible for benefits. You may have the option to pay for the Benefit Level- and coverage- you need.

The Fund office will notify you if you are eligible to Buy- Up. If you are eligible, you may make voluntary contributions to increase your Benefit Level for any Work Period in which your employer contribution is insufficient for the Benefit Level you want.

The Buy- Up option is limited to 18 consecutive months. Once you have made voluntary contributions for 18 consecutive months your eligibility for the Buy- Up option will cease. You may be eligible to Buy- Up again once you have established P1 coverage through hours worked for a minimum of nine consecutive months. 

  

The Buy- Up Formula      
Part 1

Required Work Hours for Desired Benefit Level

- Actual Credited Work Hours

  = Eligibility Hours Short

Part 2

Eligibility Hours Short

x $1.00

= Monthly Buy- Up Charge (to a maximum of $800)

Example

Assume you are credited with 250 Work Hours for the Work Period from October 2004 to September 2005. Therefore, from January through March 2006, you will be eligible for the P4 Benefit Level. However, assume you have the option to Buy- Up to either Benefit Level P1 or P3 and you want to Buy- Up to level P1.

Your monthly contribution of $800 (the maximum monthly Buy- Up charge, even if the charge would exceed $800) would be calculated as follows:

 Part 1 1,200 (Required Work Hours for Desired Benefit Level)  - 250 (Actual Credited Work Hours) 

= 950 (Eligibility Hours  Short) 

 Part 2  950   x $1.00

= $800 (maximum Buy- 
Up charge)

 Benefit Level to Which You May Buy- Up

The Fund office will notify you if are eligible to Buy- Up (see Schedule of Notification and Payment Due below). Choose your Buy- Up option carefully. You may not Buy- Up more than one level above the Benefit Level for which you were last eligible, unless it is an "initial Buy- Up." Your future Buy- Up options will depend on the choice you make intially and with each subsequent Buy- Up opportunity.  

  

If you are eligible for Benefit Level

You may be allowed

to Buy- Up to:

 

P1 P3

P3

x

 

P4

x

x

 Schedule of Notification and Payment Due

Quarterly statements containing eligibility and contribution information are provided before each Benefit/Eligibility Quarter. If you are eligible for the Buy- Up option, you will receive a Buy- Up notice in the mail. You must make your payment by the indicated due date. Coverage will take effect in the corresponding Benefit/Eligibility Quarter.

 

Work Period Quarterly Statement Mailed "Buy-Up" Notices in Mail Payment Due Benefit/Eligibility Quarter
October- September November 15

December 5
January 5
February 5

December 25
January 25
February 25

January
February
March

January- December February 15 March 5
April 5
May 5

March 25
April 25
May 25

April
May
June
April- March May 15

June 5
July 5
August 5

June 25
July 25
August 25
July
August
September
July- June August 15 September 5
October 5
November 5
September 25
October 25
November 25
October
November
December

 How to Make a Payment

You must be a United States resident in order to Buy- Up. Your contribution must be paid by the due date prior to the month in which your eligibility would start. You may make your contribution by check or money order payable to the Welfare Fund. Or, you may pay in cash at Fund Office when a receipt can be provided.

Please note, if your check is returned by the bank for insufficient funds, you will be charged a service fee-- and you may lose your eligibility for the Buy- Up option if there is not enough time to resubmit your check before your payment due date.

Your Buy- Up contribution can be made only for the Benefit/Eligibility Quarter immediately following the Work Period that your employer contributions were insufficient for the Benefit Level you wanted. You may not pay in advance for future Benefit/Eligibility Quarters.