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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.

Welfare Fund

New York, New York, United States

 

Phone: 212. 233.2690

Fax: 212.962.2523



Contact

Copyright D. McCredo. All rights reserved. 

​​​​​​​​​​​​ALLIED BUILDING INSPECTORS

Healthcare Benefits

Healthcare

LOCAL NO. 2​1​1

INTERNATIONAL UNION OF OPERATING ENGINEERS

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DISABILITY BENEFITS

Benefits are $150 per calendar week or $21.43 per workday. Maximum of 26 weeks per disability.


DEATH BENEFITS

Paid to the last designated beneficiary for employee or retired employee as per the below schedule.

Employees Years of CoverageAmount
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
Retired Employees$1,000










ACCIDENTAL DEATH OR DISMEMBERMENT BENEFITS

For Employee Only:


Loss of LifeScheduled death benefit above
For Loss of both hand, or both feet

      or, loss of one hand or foot and


      sight in one eyeScheduled death benefit above
For loss of one hand, one foot, or 
      sight in one eye50% of scheduled death benefit above









DENTAL BENEFITS

  • No Deductible
  • Covered from 1st dollar up to amount set in Funds Dental Fee Schedule
  • Benefits will be paid in accordance with a schedule of benefits. You may use a participating Sele-Dent dentist (that will accept the fees as payment in full) or you can use any dentist and pay the difference in charges incurred.
  • Maximum benefit of $1,500/calendar year except pediatric coverage
  • Pre-approval required for services of $350
  • The Sele-Dent Inc. is our dental provider. For information and eligibility call Sele-Dent at 1(800) 520-3368 or www.sele-dent.com


ORTHODONTIC BENEFITS (OVER AGE 19 OR NON-MEDICALLY NECESSARY)

Lifetime maximum of $1,500.


ORTHODONTIC BENEFITS (UNDER AGE 19 AND MEDICALLY NECESSARY)

Up to $1,500Paid at 100%
$1,501 - $3,000

Paid at 40%

$3,001 +Paid at 20%





OPTICAL BENEFITS

  • Maximum total payment of $125 for costs of eye exam, prescribed eyeglasses, prescribed lenses, eyeglass frames, and contact lenses once per 12-month period.
  • Maximum total payment of $25 for eye exam only
  • Services from an ophthalmologist, optometrist, and optician are are excluded if no charges are incurred
  • Payment for sunglasses excluded
  • CONTACT FUND FOR OPTICAL VOUCHER​


HEARING BENEFITS

  • Maximum payment of $25 for hearing evaluation once during 24-month period
  • Maximum payment of $1,500 for hearing  aid once during 24-month period


CHIROPRACTIC BENEFITS

Covered up to $15 per visit, up to 24 visits per calendar year.


PODIATRY BENEFITS

Covered up to $15 per visit, up to 12 visits per calendar year.


PRESCRIPTION BENEFITS


  • Benefit Year Is August 1st - July 31


Prescription Type

At PharmacyMail Order
GenericGreater of $5 or 20% of Cost$5
Preferred BrandGreater of $5 or 20% of Cost$10
Non-Preferred Brand40% of Cost$25






Co-Insurance:

Up to $3,000

Subject to Co-pays above

$3,001 - $6,00060% co-insurance (Plan pays 40%)
$6,001 +80% co-insurance (Plan pays 20%)





PRE-PAID LEGAL SERVICES

  • EMERGENCY APPOINTMENTS: If a real emergency exists, explain the situation when you call (212) 227-8140. If you- are eligible and the service is one covered by the Plan, you will be given an appointment early enough to take care of the emergency.


  • AMOUNT OF LEGAL SERVICE YOU RECEIVE: If an eligible employee or spouse desires to avail himself/herself of the prepaid legal services, he or she is entitled to 25 hours of covered services in a plan year, after which services will be billed at the reduced rate of $100.00 per hour. Coverage is limited to the State of New York, in New York City, Nassau County, Suffolk County, Westchester County, Rockland County, Orange County and Duchess County.


  • WHAT ARE THE COSTS TO THE EMPLOYEE?: If there is Court, witness examination, stenographic,, extraordinary mail, travel, printing, filing fees or fines, these are to be paid by the member to the attorney. These are the only costs to you within the 25 hours of coverage.


  • CONFIDENTIALITY OF PROBLEMS: All services rendered to you by the staff of the law firm will be kept in strictest confidence. Communications with the attorney and the law firm are within attorney client privilege. All legal services and matters not specifically listed as a covered service or matter are not included within the Plan and eligible members will not be entitled to any service not included.​


SCHEDULE OF BENEFITS

  • Consultation
  • Legal advice and research
  • Drafting of wills, powers of attorney, health care proxies, medical directive and simple revocable trusts
  • Prenuptial agreements
  • Separation agreements
  • Divorces
  • Family court custody, visitation and child support
  • Adoptions
  • Change of name
  • Purchase or sale of one or two-family residence
  • Representation of tenant in landlord tenant matters
  • ​Defense of certain civil litigation
  • Retail credit and other consumer contracts
  • Consultation only in immigration matters 
  • Traffic violation resulting in loss of license 


Note:  These benefits are not defined and subject to modification/change by the Fund's Board of Trustees.​