Tuesday, February 18, 2025

Frequently Asked Health Care Questions


Q.

Who is eligible to become a Participant in the Plan?

A.

Active Participants, Disabled Employees & Retirees, Retired Participants, Eligible Dependents, COBRA, Surviving Spouses

Q.

What if I don’t work enough hours to gain eligibility for the month?

A.

You may make self-payments for up to 12 months

Q.

How do I maintain my monthly Health Care coverage?

A.

By maintaining employer contributions  120 hours*hourly contribution rate

Q.

How do I make a payment towards the continuation of my Health Care coverage?

A.

Mail a check or money order to PO BOX 824900 Philadelphia PA 19182-4900

Q.

Whom should I call if I have questions about my Health Care eligibility?

A.

You can contact the fund office at 833-263-5750

Q.

Who are my eligible dependents?

A.

Spouse, Natural child, Step-child, and adopted children

Q.

Will my child(ren) who is/are age 19 through age 26 be covered under the Plan?

A.

Yes

Q.

How do I add my new baby or spouse to my insurance plan?

A.

Contact the fund office.  You will be mailed a new vital form that you can send with copy of the birth certificate

Q.

Whom should I contact if I'm getting a divorce and what documents do I need to submit?

A.

Submit a copy of the final Divorce decree to the fund office

Q.

How do I obtain a replacement Medical and Prescription Card?

A.

You can contact the fund office at 833-263-5750

Q.

How do I inquire about the status of my medical claim?

A.

You can contact the fund office at 833-263-5750