Home

Good News About COVID Vaccines

You are Covered 100%!

As soon as COVID vaccines become available, the Health Plan will cover 100% of the cost, as well as any attendant costs for an office visit, a health professional to deliver the vaccine, or any other related charge. You can see the details HERE.

Some distributors such as pharmacies or clinics may charge an upfront fee – most will not. Simply provide a copy of the receipt to the Health Plan and you will be reimbursed in full. You can get a reimbursement form HERE.

We will provide educational updates to you as more is known about COVID-19 as well as vaccine availability.

Welcome to Open Enrollment 2021

If you would like to keep your existing coverage then no action is required on your part.

This is the time to add, reinstate or dis-enroll family members and to change your Extended Coverage or COBRA plans. If you live in California you may also change your dental plan PPO or HMO plan. Just click here to find the forms that are needed to make changes on your plan.

To all our Participants. During these difficult times, the Board has passed numerous enhancements to make sure all Participants have access to COVID testing. The Department of Labor has recently added even more protections. Please be aware that the following COVID-related services are covered:

There is no Participant cost share for in-network or out-of-network serological testing, including traditional and non-traditional settings.

There is no Participant cost share for in-network or out-of-network related services, including x-rays, when the end result of the office visit is the administration of a COVID-19 diagnostic test.

Earnings Minimum Increase Notice

As of July 1, 2020, a writer will have to earn $39,858.00 of covered reportable compensation within four consecutive calendar quarters in order to qualify for one year of Health Fund coverage.

Click HERE to learn more.

ADDRESSES TO USE WHEN SENDING EMPLOYER CONTRIBUTION PAYMENTS

If you are an employer and need to make a contribution, click HERE for banking information.

ADDRESSES TO USE WHEN SENDING COBRA

OR

DEPENDENT PREMIUM PAYMENTS

If you are a Participant and need to make a Dependent Premium payment or a COBRA payment, either by mail or electronically, please click HERE for more information.

VIDEO-BASED OFFICE VISITS

 

Due to the fear of transmitting COVID-19, many therapists and doctors are insisting that they meet with their patients via Skype or other electronic means. Doing so may reduce the risk of transmitting the virus, both to patient and doctor, but until today, the Health Plan did not reimburse online visits unless the visit was in-network and conducted through LiveHealth Online.

 

This morning, the Board of Trustees voted unanimously to temporarily allow for reimbursement of doctor, therapist, and other licensed provider visits (both in-network and out-of-network) when the visit occurs electronically via Skype or other similar method, and at the same rate as an in-person visit, subject to normal Plan rules. Participants will be notified when the temporary program ends. LiveHealth Online and LiveHealth Online Psychology continue to be allowed as before.

 

For important details about this benefits change, click HERE.

 

 

WE’VE GOT YOU COVERED

 

 

COVID-19 (Coronavirus) is here, and the Health Plan is here to help. If you or a dependent need to get screened or tested for COVID-19, the Health Plan will cover 100% of your cost-sharing (including deductible and co-insurance) for both in-network and out-of-network tests and screening. Please note that treatment of COVID-19 illnesses will be covered under Plan Rules as usual with cost-sharing in effect. For more details about this waiver, click HERE.