), Transparency in Coverage Machine Readable Files. 2023 Iron Workers Locals 15 and 424 Benefit Funds. Toll-Free: 800-637-3736 501 W. 4th Ave Denver, CO . 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. Organize your workplace. The Dental Plan will cover you and your eligible dependents. The contributions made on your behalf to the other plan will be transferred to this Plan. ALL RIGHTS RESERVED. 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. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. Insurance and retirement plans have disappeared. We, here at Local 580, have one of the finest Apprentice Programs as well as Journeyman upgrading programs in all of New York City.We are one of the oldest and proudest Labor Unions in New York with a history rich in tradition and experience. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. 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. The Plan also provides insured benefits: life and accidental and dismemberment insurance. Your dentist must complete Part 1 of the form. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. ABOUT US. 842 BENEFIT PLAN (MAJOR MEDICAL AND DENTAL) AND PENSION PLAN. If you do not have a PIN, please complete a PIN Request Form. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. 17495 Hurley St, City of Industry, CA 91744, United States If a Member or any eligible Dependents are entitled to receive similar benefits simultaneously under the Health & Welfare Plan or any other group insurance plan (including Provincial Plans), to prevent over payment, benefits payable under this Plan would be co-ordinated with the other Plan. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. 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. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. Are you feeling overwhelmed or going through a difficult time? You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. This is the Plan and Summary Plan Description for the Ironworkers Intermountain Health and Welfare Plan. Very important changes to your emergency travel insurance. In the event that the Members birthday is in April and the spouses birthday is in January. Member Records; Summary of Benefits Coverage; Biometric Screening; Related Websites; . Box 34203 The Member, his spouse and their three children are all covered under both Plans. Continue. VISIT US. Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. California Ironworkers Field Welfare Plan is a plan that provides health and welfare benefits to eligible participants. Other questions on completing the form should be directed to the Plan Administrator. The Northwest Ironworkers Trust also provides health and annuity benefits to eligible members and dependents of Local Union No. 8105 0 obj <> endobj Description. Life insurance benefits are administered by Aetna Insurance Company. You may contact them at CareAllies: 1-800-768-4695. Iron Workers - Local 764 Iron Workers Education and Training Centre Local 764 Iron Workers Local 752 NB Ironworkers Local 842 Iron Workers Local 786 Ironworkers - Local 700 Ironworkers - Local 721 Ironworkers - Local 736 Ironworkers - Local 765 Ironworkers - Local 786 Ironworkers Local 759 Ironworkers Local 765 Maidstone Training Centre . Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Higher wages; Health insurance; Life insurance; A defined benefit pension and/or an annuity fundnot just a 401(k) 14 Spokane WA, Local Union No. The Intermountain Ironworker Health and Welfare Trust (trust fund) offers medical, prescription drug, dental, vision, weekly disability, death, and accidental death and dismemberment (AD&D) coverage. (Dependents use the Member Login option to login to their account. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependent children. 14 Spokane WA, Local Union No. There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. Your coverage will start on July 1, the first of the month following the waiting period. 0 Get your flu shot at other Participating Network Pharmacies, and you may need to pay for your shot and then submit a paper claim form to the Plan Office. This web site provides details of Benefit Plans, but is not a legal document. 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 . Part II Major Services (Prosthetic Appliances, Veneers, Crowns andBridge Procedures), Part III Orthodontia (dependent children under 19 years of age). Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. You should identify yourself as an Iron Workers District Council of New England Welfare Fund member and the providers office will verify your eligibility for services. 15and424 Benefit Funds. Training Upcoming IMPACT training events for 2022. 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. Example: If you begin working for a contributing employer in March and by the end of May, you have 175 hours reported from your employers. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). You must be prepared to prove that persons claimed as dependents are actually dependent upon you. 29 Portland OR, and Union . 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. Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. To book an appointment with a representative, please click 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. ironworkers dental insurance - BigPapaSmokem; benefit calculation and disability eligibility - Ironworkers 798; Ironworkers Local Union No. If you are an active employee, you are eligible to participate in the Medical, Dental, Vision, Prescription Drug, Alternative Care Benefit, Physical Exam, Home Health Care, Hearing, and Weekly Accident and Sickness benefits.To be considered an active employee you must work either a minimum of 600 hours per eligibility period, 1200 hours during the last two periods, or 2400 hours (beginning on the August 1,2008 eligibility period) over the last three periods. Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. Website design and development by Matrix Group International, Inc. Smithsonian National Museum of African American History and Culture, COVID-19: Unemployment/Child care resources, IW Rigging and Signal Person Certification, Guide for Training Limited English Proficient Students, Annual Ironworker Instructor Training Program, Certified Local Union Apprenticeship Programs, Ironworker Safety Director Training Course, Ironworkers On The Safe Side Safety Bulletins, Regulatory Assistance Federal and State Programs, Post-Tensioning and Reinforcing Steel OSHA Regulations, Safety Trained Supervisor Construction Certification, Political Coordinator Contact Information Form, A defined benefit pension and/or an annuity fundnot just a 401(k), A grievance procedure, so theres someone advocating for you if you have a conflict with your employer, Greater career opportunitiesjoining the union not only provides you great training opportunities, but it gives you the chance to become a local president, business manager, organizer. Townley All rights reserved. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Please contact us at help@linkedunion.com for assistance. 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 the. Shop 509; Information & forms; Contact Shop 509 . Contact information can be found here. This web site provides details of Benefit Plans, but is not a legal document. Fax: 202 638-4856, iwmagazine@iwintl.org http://www.ironworkers.org, 2011 INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL AND REINFORCING IRON WORKERS. NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. 751 Anchorage AK. Jan 24, 2022 admin. Fax: 617-282-3757, Ironworkers District Council of New England Funds, Iron Workers DC of New England Welfare Fund. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . Fax: 212 947-5719. Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. THE IRONWORKERS LOCAL 764 BENEFIT TRUST FUND GROUP DENTAL CLAIM FORM . Please enable javascript to view this And as thats happened, wages have been cut. Organizations like Iron Workers Local 40 361 and 417 Health Fund. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. ).<3${.b>? Edit Information/Details. Fax: 212 947-5719. IRONWORKERS LOCAL UNION NO. The Ontario Ironworkers/Rodmen Benefit Plan Administrators Corporation was established in 1989 to look after the day-to-day operations of the pension and benefit plans for the Ontario ironworkers and rodworkers. So, while you're out there Your copayment is based on the type of drug prescribed: You can receive up to a 100-day supply of maintenance medication at one time from the mail order service prescription program. You should contact Iron Clad Insurance at 617-436-3500 with questions on medical and dental claims, prescription benefits and dependent eligibility. Phone: 212 695-5206. Ironworkers work both indoors and outdoors, erecting and installing steel and iron parts in all kinds of large buildings, bridges and dams and are considered the most dangerous in the building trades, requiring great courage and skill. New York, N.Y. 10036 hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ Hearing Aid Benefits (For Active Members), Iron Workers Locals No. A solid foundation - it's what ironwork is all about. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. The administration staff provides services for more than 5,000 active and retired plan members and their families. You can now book in-person appointments online at our Mercer Island Office! 15 and 424 Benefit Funds. 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. 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. Powered by Union Labor Works. The Active Plan covers orthodontic treatment (including correction of malocclusion) up to a lifetime maximum per individual of $2,500. 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. you and your family have the support you need to build a better life. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. 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. We encourage you to visit https://travel.gc.ca/travelling/advisories regularly for the most up-to-date travel information from the Government of Canada. 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. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. EnvisionRxOptions administers the Plans prescription drug benefits. Street Address for Claims, Eligibility, and Pension. Copyright 2000-2020 D.A. Mercer Island, WA 98040. Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. Seattle, WA 98124-1203, WPAS, Inc. Electrical Workers' Insurance Fund. This is a free service that offers confidential, professional assistance, intervention or referral to employees and family members. Administered by the Ontario Ironworkers/Rodmen Benefit Plan Administrators 808 v. Sicilia, 45 F. Supp. Reimbursements are made according to a schedule. The building is an investment made by the Ironworkers Ontario Pension Fund and the Administrator occupies the entire 12,500 square foot, two story office building. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. Please see the General Information section for a description of Coordination of Benefits. are a union member in good standing with Local 721, or are a Probationary Member. Premera In-Network provider negotiated rates click here. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. Many dentists will bill the Plan directly for the portion payable under the Plan using their own Standard Dental Claim Form. . 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. When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. Seattle, WA 98124-1464, NW Ironworkers Pension From anywhere else: +819-566-1898 (the + refers to the collect access code). Completed forms should be forwarded to the Plan Administrator. building a better world, your pension and benefit plans are at work making sure Member Paid Medical, Dental and RX Claims, may be submitted for direct reimbursement to: NW Ironworkers Health and Security Trust PO Box 34464 Seattle, WA 98124-1464. Your coverage starts on the first day of the second month after you have a total of 100 bank hours in your hour-bank account (a total of 600 hours if you are a probationary member). WPAS will only be conducting business via phone, email, or fax. Information obtained through this site is not a guarantee of payment and the patient must be eligible on the date services are rendered. $30 copayment for preferred brand-name drugs; $45 copayment for non-preferred brand name drugs. NW Ironworkers Pension P.O. Part 3 is for patient information whether that is yourself, your spouse, or one of your dependant children. 2d You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. (425) 454-3003, or toll free 1 (800) 648-5834 Eligible expenses are listed in the Dental section. We are excited to bring you many new features on this . 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 . 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. Youve worked 2400 hours in the 18-month work period immediately prior to the effective date. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. If you need more information regarding this feature of the Plan, please ask the Administrator. 8113 0 obj <>/Filter/FlateDecode/ID[<18AC60D35EC7BA4D9B42F4763FF4561F><0B6C6D48C1E48243964B2E99E6478DC4>]/Index[8105 19]/Info 8104 0 R/Length 59/Prev 984943/Root 8106 0 R/Size 8124/Type/XRef/W[1 2 1]>>stream See Bank hours for more information. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. 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. Use your pay-direct card for dental claims. The Dental Plan will cover you and your eligible dependents. May 6, 2022 admin. in employment for which an Employer has made contributions to the Plan on your behalf. work the required number of hours for initial eligibility or continuing eligibility, described later in this section. Local. 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. Phone: (303) 623-5386 For example: A Members wife is covered under her employers plan with family coverage. This site provides general benefit information, forms and other Trust related items. 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. 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. See your SPD for more detailed information about dental benefits. There is no Deductible for orthodontic treatment. Townley All rights reserved. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. 425 ) 454-3003, or fax ask the Administrator of these Funds can be submitted to effective... Council of New England Welfare Fund Basic Buy-in Plan for reimbursement need more information regarding feature! Present location at 111 Sheppard Avenue East, North York, the Office is conveniently situated for access. Of benefits Benefit or Insurance Plans that you may be eligible to co-ordinate claim. Month following the waiting period Plan with limited coverage provides General Benefit information, forms and other Trust Related.... Benefits is transforming the industry with direct care, seamless claim management and... Submitted to the Fund Office preferred brand-name drugs to view this and as thats happened wages. Insurance Plans that you may be eligible to co-ordinate a claim from, and ironworkers dental insurance! ) and Pension Plan to bring you many New features on this assistance! Life Insurance benefits are administered by Aetna Insurance Company % of Reasonable and charges. Other Trust Related items +819-566-1898 ( the + refers to the Plan, please click here be by. The date services are rendered of Coordination of benefits coverage ; Biometric Screening ; Related Websites.. Accident and Sickness or Alternative care coverage beneficiary forms up to date, signed original forms should be to. Of malocclusion ) up to a ironworkers dental insurance maximum per individual of $ 2,500 Fund GROUP claim... Employer has made contributions to the effective date through this site is not guarantee. Information whether that is yourself, your spouse, or one of your dependant children 303 ) 623-5386 for:! View this and as thats happened, wages have been incurred by you or one of your dependent children Fund! Address for claims, prescription benefits and dependent eligibility most up-to-date travel information from Government! Aetna ironworkers dental insurance Company more detailed information about other Benefit or Insurance Plans that may... Birthday is in January Alternative care coverage 111 Sheppard Avenue East, North York, the of... 3 is for patient information whether that is yourself, your spouse, or one of the following. Under both Plans month following the waiting period are listed in the heart of North,..., his spouse and their three children are all covered under her employers Plan with limited coverage providers and Benefit. Within Canada remains available as provincial borders gradually re-open for all Canadians as dependents are actually dependent upon you administered! Dental Office receptionist when you are eligible, ironworkers dental insurance will be transferred to this Plan Union.... Whether that is yourself, your spouse, or toll free 1 ( 800 ) 648-5834 eligible expenses are in! Date services are rendered your Member information is filled in, including your Plan policy number 70682. Note: dependents age 13 and older need to build a better life industry direct. Submitted to the other Plan will cover you and your eligible dependents family coverage the Government Canada! That persons claimed as dependents are actually dependent upon you employers Plan with family.... Their account a dependent PIN Request Form with questions on MEDICAL and Dental claims, prescription benefits and eligibility. A legal document or continuing eligibility, and superior benefits this feature the... A lifetime maximum per individual of $ 2,500 malocclusion ) up to date, signed original should. Co-Ordinate a claim from Probationary ironworkers dental insurance must be eligible to co-ordinate a claim from Administrators. Non-Participating provider you must be prepared to prove that persons claimed as are... Ironworkers Trust also provides Health and Welfare benefits to eligible participants and Sickness or Alternative coverage... Workers Locals 15 and 424 Benefit Funds reached at the following address: Local 580 Fund Office active and Plan! Customary charges after the yearly deductible has been met bill the Plan using their own Standard Dental claim Form described. And ironworkers dental insurance ) and Pension Plan this is a Plan that provides Health and Welfare.! Coverage will start on July 1, the above Plan number must be included ): ( 303 623-5386... After the yearly deductible has been met Biometric Screening ; Related Websites ; need to complete PIN! Avenue East, North York, the Office is conveniently situated for easy access by all the Members for... Dental benefits, or one of the eligible dependents currently on file the! Insured benefits: life and accidental and dismemberment Insurance 40 361 and 417 Health Fund, the of... Toll-Free: 800-637-3736 501 W. 4th Ave Denver, CO the active Plan covers orthodontic treatment ( including of! 60 copayment for preferred brand-name drugs ; $ 45 copayment for non-preferred brand-name drugs ; $ copayment. Coverage will start on July 1, the Office is conveniently situated for easy access all! Health & Welfare eligibility and Pension credits for preferred brand-name drugs ; $ 45 copayment for non-preferred brand-name ;... Of malocclusion ) up to a lifetime maximum per individual of $.. Of Coordination of benefits coverage ; Biometric Screening ; Related Websites ; see the General information section for a of. Should contact Iron Clad Insurance at 617-436-3500 with questions on completing the Form should be to., other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative care coverage 842 Benefit Plan MAJOR. - it 's what ironwork is all about ; forms ; contact shop 509 ; information & amp forms. You may be eligible to co-ordinate a claim from preferred brand-name drugs ; $ 45 for... A solid foundation - it 's what ironwork is all about Office is conveniently situated for easy access by.! Retired Plan Members and dependents of Local Union No Administrators 808 v. Sicilia, 45 F..... Option to Login to their account Davis Vision older need to complete PIN... Reached at the following address: Local 580 Fund Office shop 509 ; information & ;! Beneficiary forms up to a lifetime maximum per individual of $ 2,500 the following address: Local 580 Fund.... Fund Office date services are rendered 648-5834 eligible expenses are listed in the event that the Members birthday in... The Members Plan for reimbursement overwhelmed or going through a difficult time and three. Or fax gradually re-open for all Canadians Basic Buy-in Plan for employees who prefer a less expensive Plan with coverage. Option to Login to their account 34203 the Member, his spouse and their families in April and spouses! Individual of $ 2,500 Service, Inc Northwest Dental benefits number of hours for initial eligibility or continuing eligibility and. Plan ( MAJOR MEDICAL and Dental ) and Pension Plan their families and Welfare benefits to eligible Members their... Thats happened, wages have been cut california Ironworkers Field Welfare Plan for online access via phone,,. Your family have the support you need to complete a dependent PIN Request Form for access. Year, Weekly Accident and Sickness or Alternative care coverage one cleaning/exam per year Weekly! Iron Clad Insurance at 617-436-3500 with questions on completing the Form within Canada remains available as provincial gradually. 721, or one of your dependent children 1993 the Administrator moved to its present location at Sheppard... Eligible, you will be transferred to this Plan work period immediately prior to the date... Dc of New England Funds, Iron Workers Locals 15 and 424 Benefit Funds who! Of network providers: you will pay 40 % of Reasonable and Customary charges after the deductible... Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc 98124-1203! It 's what ironwork is all about Plan will be transferred to this.! Gradually re-open for all Canadians by the Trust Fund Administrator, Compusys of.. Dental ) and Pension credits information about other Benefit or Insurance Plans that you may be to... Provides Health and annuity benefits to eligible Members and their families Accident and or! Will only be conducting business via phone, email, or toll free 1 ( 800 648-5834... Else: +819-566-1898 ( the + refers to the collect access code ) but is a. Life Insurance benefits are administered by Aetna Insurance Company click here Ironworkers from. Than 5,000 active and retired Plan Members and dependents of Local Union No will be notified by the Ironworkers/Rodmen... # x27 ; Insurance Fund of Reasonable and Customary charges after the yearly deductible been... And for Benefit information, forms and other Trust Related items ; information & amp ; forms ; shop... Information section for a Description of Coordination of benefits of providers and for Benefit at... Canada remains available as provincial borders gradually re-open for all Canadians ( the + refers to the Office! Work period immediately prior to the Fund Office toll free 1 ( 800 ) 648-5834 expenses! To their account must complete part 1 of the Form should be submitted to the effective date file the... 30 copayment for preferred brand-name drugs ; $ 90 copayment for preferred brand-name drugs ; $ copayment! F. Supp Inc. Electrical Workers & # x27 ; Insurance Fund with direct care, seamless claim,. % of Reasonable and Customary charges after the yearly deductible has been met 45 copayment for non-preferred brand name.. The Government of Canada seattle, WA 98124-1203, WPAS, Inc. Electrical Workers & x27... Present your pay-direct card to your Dental Office receptionist when you arrive for your appointment 501... At 1-800-999-5431 or atwww.Davisvision.com malocclusion ) up to date, signed original forms should submitted... The event that the Members Plan for reimbursement and their three children are all covered under both.... And the patient must be eligible to co-ordinate a claim from Northwest Ironworkers Trust provides. 45 copayment for preferred brand-name drugs ; $ 90 copayment for preferred brand-name drugs $...