Benefits are $150 per calendar week or $21.43 per workday. Maximum of 26 weeks per disability.
Paid to the last designated beneficiary for employee or retired employee as per the below schedule.
|Employees Years of Coverage||Amount|
|2 months to 1 year||$1,000|
|1 year to 2 years||$2,000|
|2 years to 3 years||$3,000|
|3 years to 4 years||$4,000|
|4 years or more||$6,000|
ACCIDENTAL DEATH OR DISMEMBERMENT BENEFITS
For Employee Only:
|Loss of Life||Scheduled death benefit above|
|For Loss of both hand, or both feet|
or, loss of one hand or foot and
|sight in one eye||Scheduled death benefit above|
|For loss of one hand, one foot, or|
|sight in one eye||50% of scheduled death benefit above|
ORTHODONTIC BENEFITS (OVER AGE 19 OR NON-MEDICALLY NECESSARY)
Lifetime maximum of $1,500.
ORTHODONTIC BENEFITS (UNDER AGE 19 AND MEDICALLY NECESSARY)
|Up to $1,500||Paid at 100%|
|$1,501 - $3,000|
Paid at 40%
|$3,001 +||Paid at 20%|
Covered up to $15 per visit, up to 24 visits per calendar year.
Covered up to $15 per visit, up to 12 visits per calendar year.
|At Pharmacy||Mail Order|
|Generic||Greater of $5 or 20% of Cost||$5|
|Preferred Brand||Greater of $5 or 20% of Cost||$10|
|Non-Preferred Brand||40% of Cost||$25|
|Up to $3,000|
Subject to Co-pays above
|$3,001 - $6,000||60% co-insurance (Plan pays 40%)|
|$6,001 +||80% co-insurance (Plan pays 20%)|
PRE-PAID LEGAL SERVICES
SCHEDULE OF BENEFITS
Note: These benefits are not defined and subject to modification/change by the Fund's Board of Trustees.
Copyright D. McCredo. All rights reserved.
ALLIED BUILDING INSPECTORS
IMPORTANT NOTE REGARDING BENEFIT ELIGIBILITY
In order to qualify for benefits, an employee must have on file with the Union Welfare Fund Office, a signed enrollment form providing data as to social security number, birth date, family status, and beneficiary. Before coverage for dependents can begin, a copy of marriage certificate/domestic partner certificate required for spouse and birth (naming the member as parent) or adoption certificates for children are required.
New York, New York, United States
Phone: 212. 233.2690