| Q. |
| A. | Employees of contributing Employers, whose employment is covered by the Collective Bargaining Agreement by and between Local Union 966 of the International Brotherhood of Teamsters and their Employer which requires contributions to be made to the Fund on their behalf, shall be eligible to enroll for coverage under this Plan. |
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| Q. |
| A. | To gain initial eligibility, your employer must make contributions on your behalf to the Health Fund. |
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| Q. |
| A. | To continue eligibility after satisfying the initial requirements, the Employee must have the required, continuing Employer contributions made on his or her behalf to the Health Fund. An Employee’s eligibility will terminate on the last day of the month for which an Employer contributes to the Health Fund on his or her behalf. |
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| Q. |
| A. | You can continue your health care coverage by making monthly COBRA payments to the Fund. For more information about COBRA please refer to page 59 of your Summary Plan Description. |
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| Q. |
| A. | Our Membership Services Department can be contacted by calling (410) 872-9500 . |
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| Q. |
| A. | Your legal spouse and children under age 26. An eligible child is your biological or legally adopted child or a child recognized in a Qualified Medical Child Support Order (QMSCO) or National Medical Support Notice (NMSN). |
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| Q. |
| A. | Yes, eligible dependent children will be covered until the last day of the month in which he/she turns age 26. |
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| Q. |
| A. | To add new baby you submit proof of birth with a completed enrollment form. Proof of birth is valid for 90 days. To continue coverage after 90 days the birth certificate and social security number is needed. To add your spouse a copy of the marriage certificate with a completed enrollment form is needed. |
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| Q. |
| A. | Contact Membership Services and submit a copy of the certified completed divorce decree. |
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| Q. |
| A. | Contact the Membership Services Department at 410-872-9500 . |
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| Q. |
| A. | Contact the Claim Department at 410-872-9500 . |
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| Q. |
| A. | EnvisionRx - 1-866-534-6333. |
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| Q. |
| A. | MagnaCare - 1-888-362-4624. |
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| Q. |
| A. | For the most current listing of Participating Providers, please visit the ASO website at: www.asonet.com or call 1-800-537-1238. |
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| Q. |
| A. | Benefits are the same for Participating and Non-Participating Providers. The maximum benefit per person, per year is $30/One exam per year and $270/One pair of glasses per year. You can see any MagnaCare participating Optometrist or the Optometrist of your choice. |
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| Q. |
| A. | When an Employee becomes entitled to Medicare coverage and is still actively at work, the Employee may continue health coverage under this Plan at the same level of benefits that applied before reaching Medicare entitlement. Your claim should be submitted to MagnaCare. If the Employee and/or dependent elect to discontinue health coverage under this Plan and enroll under the Medicare program, no benefits will be paid under this Plan. Medicare will be the only payor. Your claim should be submitted to Medicare. No benefits are provided to retirees under this Plan. |
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