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.
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C Branch Eligibility Chart
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If you work this month
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Your employer contribution is due this month
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You are eligible for benefits in this month
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January
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February
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April
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February
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March
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May
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March
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April
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June
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April
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May
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July
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May
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June
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August
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June
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July
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September
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July
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August
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October
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August
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September
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November
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September
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October
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December
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October
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November
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January
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November
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December
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February
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December
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January
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March
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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.