501 W. 4th Ave Denver, CO . Delta Dental of Ohio will be the new dental network for the Plan going forward. The Health and Welfare Fund offers benefits and care from a network of doctors and hospitals through Cigna CareAllies and Tufts CareLink Health Plan. Life insurance benefits are administered by Aetna Insurance Company. EnvisionRxOptions administers the Plans prescription drug benefits. Contact: Fully Effective Employees These files are very large so download at your own risk. Box 34203 Seattle, WA 98124-1203. Retirees and their families under age 65 and not eligible for Medicare may obtain coverage.Coverage in the Retiree Plan is not automatic; you must enroll and make monthly premium payments to the Health and Welfare Fund Office. WPAS will only be conducting business via phone, email, or fax. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. 29 Portland OR, and Union . All Rights Reserved. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. Please see the General Information section for a description of Coordination of Benefits. If you are a member of the Union or one of the Ontario Locals, you become a member of the Plan when you first work for an Employer who pays contributions to the Plan on your behalf. 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. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependant children. PRIVACY POLICY | TERMS OF USE. Disability benefits are covered for active member coverage only. Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). IRONWORKERS 736. 15and424 Benefit Funds. . Certificates Nassau County Welding and Cutting Certificate of Fitness. If you do not have a PIN, please complete a PIN Request Form. %PDF-1.6 % $65,304,291. (425) 454-3003, or toll free 1 (800) 648-5834 The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. 2023 All Rights Reserved, Ironworkers 580 |. In the event that this benefit becomes payable, beneficiaries should contact the Fund office. Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. Use your pay-direct card for dental claims. Your coverage will start on July 1, the first of the month following the waiting period. Phone: 212 695-5206. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. 17495 Hurley St, City of Industry, CA 91744, United States Beneficiary forms are provided at the time of eligibility and can be updated at any time. you and your family have the support you need to build a better life. We are having trouble matching the information you entered during registration to our database. The spouses plan would be primarily responsible for the spouses claims and the claims of the children. 2d 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. You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. Unions are vital for civic engagement, and joining one will allow you to become a community leader. Part 2 is where your Member information is filled in, including your Plan policy number,70682. 29 Portland OR, and Union Local 86 Seattle WA. Local 580 Fund Office 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. Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. Edit Information/Details. Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful links, and frequently asked questions regarding your benefits provided by the Plan. You may receive a 34-day supply. 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. Space maintainers used in place of prematurely lost teeth. A photocopy of this release shall be as . The Northwest Ironworkers Trust also provides health and annuity benefits to eligible members and dependents of Local Union No. News 2023 Edward J. Cush and Raymond Zinser Scholarships Application Form . In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. 0 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. Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. Training Upcoming IMPACT training events for 2022. 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. For example: A Members wife is covered under her employers plan with family coverage. From anywhere else: +819-566-1898 (the + refers to the collect access code). A solid foundation - it's what ironwork is all about. 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. Your dentist must complete Part 1 of the form. Active Iron Workers and Iron Workers on Self-Pay: Your Life Insurance Benefit is $7,000; Your Accidental Death Benefit is $7,000; Active and Self . 751 Anchorage AK. *If you do not meet Number 2 above (10 year union membership), you may be able to continue your benefits for up to 12 months by electing an Active member option. In the event that the Members birthday is in April and the spouses birthday is in January. Toll-Free: 800-637-3736 You complete Part 2 and Part 3. Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. . 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. These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. You can now book in-person appointments online at our Mercer Island Office! Electrical Workers' Insurance Fund. Other questions on completing the form should be directed to the Plan Administrator. Fax: 212 947-5719. Description. We also encourage you to contact out travel insurer, Global Excel, directly prior to travelling for the most up-to-date information about our travel insurance policy. You may contact them at CareAllies: 1-800-768-4695. `EZ. Eligible expenses are listed in the Dental section. Townley All rights reserved. We are having trouble matching the information you entered during registration to our database. The Active Plan covers 100% of Preventive Services, including: The Active Plan covers 80% of Basic Restorative Services, including: The Active Plan covers 50% of Major Restorative Services, including: The Basic Restorative Services and Major Restorative Services discussed above are subject to a deductible of $100 per individual or $300 per family per calendar year. in employment for which an Employer has made contributions to the Plan on your behalf. For decades, employers have been killing unions. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. Part 2 is where your Member information is filled in, including your Plan policy number, Your fully completed claim form and receipts can be emailed to, Enrolment Card and Beneficiary Designation, Long Term Disability Attending Physicians Statement, Pension Enrolment and Beneficiary Designation Form, Travel Medical Emergency Assistance Wallet Card/Statement of Benefits. The administration staff provides services for more than 5,000 active and retired plan members and their families. Dorchester, MA 02124, Phone: 617-265-3757 So, while you're out there Contact information can be found here. 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. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. Fax: 212 947-5719. Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1. 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