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. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. In network providers: A $20 copayment per visit will apply, then the visit is paid at 100% of the PPO rate, no deductible applies. Organize your workplace. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ 8105 0 obj <> endobj Summary of Benefits and Coverage (SBC) and Glossary of Termscan be reviewed here. 161 Granite Avenue 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 EAP is here to help you. 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. This web site provides details of Benefit Plans, but is not a legal document. 501 W. 42nd St. 2nd Floor. EnvisionRxOptions administers the Plans prescription drug benefits. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. 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. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . California Ironworkers Field Defined Contribution Pension Trust Fund; About; Forms; Plan Documents; Shop 509 . 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 . A solid foundation - it's what ironwork is all about. Insurance and retirement plans have disappeared. Contact information can be found here. We are excited to bring you many new features on this . Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. Phone: (303) 623-5386 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 theDental Claimform. kjG_"Mq1*h^xcW(,RY 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. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. 29 Portland OR, and Union Local 86 Seattle WA. 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. 2d May 6, 2022 admin. Completed forms should be forwarded to the Plan Administrator. Organization. Ironworkers Local 24. As always, please . PO Box 34464 Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. 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. 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. 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. Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . Welcome! 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. 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 . When you use the Mail Order Program, your copayments are: Vision benefits covered by the Plan are administered by Davis Vision. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. To join, you must submit a completed beneficiary form to the Administrator. 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. 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. 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. 0 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. The Long Term Disability plan is administered by Standard Insurance Company, 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). Phone: 212 695-5206. Please see the General Information section for a description of Coordination of Benefits. Toll-Free: 800-637-3736 Street Address for Claims, Eligibility, and Pension. Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. You may receive a 34-day supply. California Ironworkers Field Welfare Plan is a plan that provides health and welfare benefits to eligible participants. The moment unionization comes up at work, theres likely somebody with management who tries to tell you that unions are bad. You missed. Mercer Island, WA 98040. WPAS, Inc. 7525 SE 24th Street, Suite 200 ":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 Administered by the Ontario Ironworkers/Rodmen Benefit Plan Administrators 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;**. 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. The contributions made on your behalf to the other plan will be transferred to this Plan. O-,Fb~ L: 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. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. VISIT US. Dental Benefits; Vision Benefits; Mental Health & Substance abuse Treatment; Member Records . Revenue. Disability benefits are covered for active member coverage only. The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. 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. IRONWORKERS 736. You can now book in-person appointments online at our Mercer Island Office! The Parties hereto agree to the Benefit Plan and the Pension Plan as follows: Ontario Ironworkers/Rodmen Benefit Plan Administrators Corporation, 111 Sheppard Avenue East Toronto, Ontario M2N 6S2, Telephone: Within Metro Toronto416-223-0383 Anywhere in Canada.1-800-387-8075 Fax..416-223-0956. See Bank hours for more information. endstream endobj startxref The links below are intended to meet the compliance requirements for the Transparency in Coverage Act. Many dentists will bill the Plan directly for the portion payable under the Plan using their own Standard Dental Claim Form. 7525 SE 24th Street, Suite 200 IRONWORKERS LOCAL 433. 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. NW Ironworkers Pension P.O. Shop 509; Information & forms; Contact Shop 509 . Other questions on completing the form should be directed to the Plan Administrator. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. 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. 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. Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). 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. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. `EZ. $65,304,291. Sault Marie and Toronto. PRIVACY POLICY | TERMS OF USE. All dental services performed on and after June 1, 2019, will be processed by Delta Dental of Ohio (Delta Dental). 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. P.O. Please refer to the SPD below or the copy supplied to you by the Fund Office for additional information on your Health & Welfare benefits. Use your pay-direct card for dental claims. PH: 202 383-4800 From Canada or U.S. (toll free): 1-866-870-1898. For example: A Members wife is covered under her employers plan with family coverage. See your SPD for more detailed information about dental benefits. Per that legislation, these files are designed to be read by machines. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. Delta Dental of Ohio will be the new dental network for the Plan going forward. Phone: (316) 264-2424, Copy right 2014 impact.com. 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. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Box 34203 Seattle, WA 98124-1203. 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