Union Construction Workers Health Plan

P.O. Box 697 Toledo, Ohio 43697-0697 Tel. (419) 248-2401
Toll Free-Oh., MI., Ind., Fla. 1 (800) 432-2924

January 1, 2003
TO: Member Participants, Ironworkers Local No. 55

Ironworkers Local No. 55 and Contributing Employers have established benefits supplementing Ironworkers’ health coverage under the Union Construction Workers (UCW) Health Plan. This booklet describes these supplemental benefits, and is part of your UCW Health Plan and Summary Plan Description.

Two supplemental benefits are available:

1. Personal Account Plan (PAP)

Contributions received from employers for PAP benefits will be deposited directly to the active member’s PAP Account. The Account may be used to maintain your health coverage when you receive a notice that your eligibility is being terminated because contributions on your behalf are not enough to maintain your eligibility. It may also be used to obtain reimbursement for health benefits that are not paid by any health insurance program covering you, your spouse, your dependent, and which are allowable under the Internal Revenue Code. Spouses and dependents of deceased employees may continue to be reimbursed for medical care expenses up to an amount equal to the unused reimbursement amount remaining at the time of death. The claim form, together with an EOB and/or detailed bill, must be submitted to receive a reimbursement.

2. Pooled Eligibility Assistance Plan (EAP)

The EAP Plan provides assistance to certain Ironworkers in making their self-payments to
maintain eligibility under the UCW Health Plan:

1. Certain Ironworker Retirees who meet an income test provided for in the Plan,
   
2. Certain Non-Retired, Disabled Ironworkers who are under Workers’ Compensation Payment Programs, and
   
3. Certain Active Ironworkers who may be required to make a self-payment to maintain coverage in the UCW Health Plan because a delinquent employer has not submitted required contributions to the UCW Health Plan.

Except for Retiree assistance, Eligibility Assistance shall be limited to 36 months.

Please refer to your UCW Health Plan and Summary Plan Description for other terms which
may apply to your EAP and PAP benefits.

Fraternally,

UNION CONSTRUCTION WORKERS HEALTH PLAN

By: Ironworkers’ Subcommittee
Eligibility Assistance PlanEditRegion3

 

Download the Plan in Adobe Acrobat Format - Download a printable Claim Form