Street Address for Claims, Eligibility, and Pension. You must be prepared to prove that persons claimed as dependents are actually dependent upon you. 15and424 Benefit Funds. You complete Part 2 and Part 3. Login for Dental Providers Benefits are subject to all plan provisions and limitations. The SPD linked below describes benefits for Active Employees, Self-Pay Employees, and Retired Employees. 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. So, while you're out there The month of June is a waiting period. Use your pay-direct card for dental claims. 751 Anchorage AK. A contributing employer is any employer that is obligated or permitted to contribute to the Fund. in employment for which an Employer has made contributions to the Plan on your behalf. %PDF-1.6 % The Plan provides coverage for a $30,000 Life Insurance policy and an additional $30,000 Accidental Death and Dismemberment Coverage policy. Contact information can be found here. Javascript is not enabled. 0 The contributions made on your behalf to the other plan will be transferred to this Plan. Ontario Ironworkers Pension & Benefit Plan Building on Our Strengths A solid foundation - it's what ironwork is all about. 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. 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. 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. professionals, any medical or dental facility, any insurance company or government body, and any other person or institutions to release relevant information to the Plan Administrator solely for the purpose of processing this claim. Edit Information/Details. News 2023 Edward J. Cush and Raymond Zinser Scholarships Application Form . 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 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. The Iron Workers District Council of New England Health and Welfare Fund provides benefits for you and your eligible dependents and it is a self-insured Fund. You were covered for benefits as an Active member without interruption during the 12 months immediately preceding your date of retirement (this includes Active member pay-direct coverage under Option 1 and Option 2, but not Option 3); You must be receiving or be in the process of successfully applying for a monthly retirement benefit from the Ironworkers Local 721 (Rodmen) Pension Plan; You must, on an uninterrupted basis from your date of retirement, remain a member in good standing of Local 721 or the Union; You must make the required monthly contributions to the Administrators office on an uninterrupted basis. Your dentist must completePart 1 of the form. Many dentists will bill the Plan directly for the portion payable under the Plan using their own Standard Dental Claim Form. 2023 Iron Workers Locals 15 and 424 Benefit Funds. hbbd``b`m H Y Your eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1. These files are very large so download at your own risk. Box 34203 Seattle, WA 98124-1203. 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. Endodontic treatment, which includes root canal therapy; Anesthesia in connection with any Basic or Major Restorative Service; and. P.O. From Canada or U.S. (toll free): 1-866-870-1898. ALL RIGHTS RESERVED. ).<3${.b>? Copyright 2000-2020 D.A. Jan 24, 2022 admin. work the required number of hours for initial eligibility or continuing eligibility, described later in this section. Unlike national competitors, Northwest Dental Benefits is transforming the industry with direct care, seamless claim management, and superior benefits. Hearing Aid Benefits (For Active Members), Iron Workers Locals No. 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. building a better world, your pension and benefit plans are at work making sure In the event that this benefit becomes payable, beneficiaries should contact the Fund office. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). iv Iron Workers District Council of New England Health Benefit Plans Important Contact Information Fund Office Iron Workers District Council of New England Health and Welfare Fund 161 Granite Avenue Dorchester, MA 02124 617-265-3757 or 800-637-3736 Claims Office Iron Clad Insurance 161 Granite Avenue, Suite 201 Dorchester, MA 02124 617-436-3500 . 501 W. 42nd St. 2023 All Rights Reserved, Ironworkers 580 |. (425) 454-3003, or toll free 1 (800) 648-5834 You must be prepared to prove that persons claimed as dependents are actually dependent upon you. 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. As always, please . These Funds have been established with the specific purpose of providing health care anda better way of life for the members of Local 580. 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. This number is pre-printed on the form. The plan is located in Pasadena, CA and provides medical, hospital, life, vision, prescription drugs, dental and other benefits to active and retiree participants. If you need to bring documentation or information to the office, there are drop boxes available at each of our office locations. Edit Information/Details. 2nd Floor Life insurance benefits are administered by Aetna Insurance Company. Box 34203 Our Providers are uniquely equipped . You missed. Premera In-Network provider negotiated rates click here. 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. Treatment of temporomandibular joint dysfunction other than by surgery. The Active Plan covers orthodontic treatment (including correction of malocclusion) up to a lifetime maximum per individual of $2,500. The Iron Workers tries to give you the good life. VISIT US. You should contact the Iron Workers Fund office at 617-265-3757 with questions on member eligibility, vision benefits, disability benefits and life insurance. VISIT US. PH: 202 383-4800 There is also a Special Basic Buy-in plan for employees who prefer a less expensive Plan with limited coverage. you and your family have the support you need to build a better life. Retirees do not have Dental,other than one cleaning/exam per year, Weekly Accident and Sickness or Alternative Care coverage. Your dentist must complete Part 1 of the form. The Iron Workers tries to give you the good life. `EZ. When you or your dependents need vision care services, call the network provider of your choice and schedule an appointment. 1750 New York Avenue NW In the event of any conflict between the contents of this web site and the actual Plans and contracts or regulations, the provisions outlined in those documents apply. Sault Marie and Toronto. Dorchester, MA 02124, Phone: 617-265-3757 Every union contract is different, from local to local and company to company, but if you join the union, you can typically expect: Want to fight back against the forces that have made middle class living harder and harder? Get your flu shot at an Albertsons, City Market, King Soopers or Safeway pharmacy, and the pharmacy will submit a claim for you. When you are eligible, you will be notified by the Trust Fund Administrator, Compusys of Utah. Other questions on completing the form should be directed to the Plan Administrator. These Funds have been established with the specific purpose of providing health care and a better way of life for the members of Local 580. 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. 501 W. 4th Ave Denver, CO . Please contact the Fund office for an application and eligibility questions. Welfare & Pension Administration Service, Inc. Premera Blue Cross (Washington and Alaska), Alcohol and Chemical Dependency Treatment Pre-Authorization, Pacific Northwest Ironworkers Federal Credit Union. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a . This number is pre-printed on the form. Description. 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 . 808 v. Sicilia, 45 F. Supp. New York, N.Y. 10036. We are having trouble matching the information you entered during registration to our database. Northwest Dental Benefits (NWDB), founded by Avondale Dental Group, became the first dental insurance company established in Idaho in over 40 years. 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. Powered by Union Labor Works. May 6, 2022 admin. The more unionized businesses there are, the more Iron Workers can change the industryand North America. . IRONWORKERS LOCAL UNION NO. For example: A Members wife is covered under her employers plan with family coverage. To join, you must submit a completed beneficiary form to the Administrator. the denture being replaced is an immediate temporary denture installed within the past twelve months and is now being replaced by a permanent denture; Repairing, recementing or relining of dentures, crowns, inlays or bridgework; and. 17495 Hurley St, City of Industry, CA 91744, United States The Plan also provides insured benefits: life and accidental and dismemberment insurance. To book an appointment with a representative, please click here. See your SPD for more detailed information about dental benefits. The Active Plan covers 100% of Preventive Services, including: Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; There is no Deductible for orthodontic treatment. Welcome to the new Southeastern Iron Workers Web Site. Your fully completed claim form and receipts can be emailed tohealth@datownley.comor faxed to (604) 299-8136 or mailed/dropped off to thePlan Administrator. Submit all dental claims to: Iron Clad Insurance, 161 Granite Ave., Dorchester, MA 02124 Prescription Drugs/Mail Order California Ironworkers Field Welfare Plan is a plan that provides health and welfare benefits to eligible participants. All dental services performed on and after June 1, 2019, will be processed by Delta Dental of Ohio (Delta Dental). Local 580 Fund Office Treatment of periodontal and other diseases of the gums and tissues of the mouth, except periodontal prophylaxis; Initial installation of either (I) a removable denture, including adjustments within six months of installation, or (II) a fixed bridgework; provided that, in either case, the denture or bridgework must replace natural teeth that were lost while the Eligible Individual was covered by the Active Plan; Replacement of, or the addition of teeth to, a removable denture or fixed bridgework; provided that, in each case, one of the following applies: the replacement or addition of teeth is due to the loss of teeth that occurred while the Eligible Individual was covered by the Active Plan; or, the denture or bridgework being replaced, or to which teeth are being added, has been in use at least five years and cannot be made serviceable; or. You can contact them for a list of providers and for benefit information at 1-800-999-5431 or atwww.Davisvision.com. (If your dentist uses a Standard Dental Claim Form, the above Plan number must be included). Counselors are available to address a wide range of personal issues including: Grief or loss, family conflict, marriage problems, divorce, parenting issues, difficulty at work, alcohol or drug abuse, financial or legal problems, eldercare or childcare issues, depression, trauma, stress, anxiety or other emotional issues. To learn more about dental services listed above please refer to the HEALTH BENEFIT PLAN BOOKLET. 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. Any amounts for the Member that are not paid by the Members Plan can be submitted to the spouses plan for reimbursement. Space maintainers used in place of prematurely lost teeth. 1384 Osprey Drive, Ancaster, Ontario L9G 4V5, Canada are a union member in good standing with Local 721, or are a Probationary Member. In the event of any conflict between the contents of this web site and the actual Plans and contracts or regulations, the provisions outlined in those documents apply. Your dentist must complete Part 1 of the form. This benefit also includes hours posted toward Health & Welfare eligibility and Pension credits. 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. 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 . 1330 E. 1st Street Wichita, KS 67214 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. You complete Part 2 and Part 3. Location. (Dependents use the Member Login option to login to their account. The Administrator of these Funds can be reached at the following address: Local 580 Fund Office. Information obtained through this site is not a guarantee of payment and the patient must be eligible on the date services are rendered. Part 3 also collects information about other Benefit or Insurance Plans that you may be eligible to co-ordinate a claim from. Dental examinations, scaling and cleaning of teeth or gums, up to twice in a calendar year; Dental X-rays, but not more than one, whether bitewing or full mouth, in a calendar year; Topical application of sodium fluoride or stannous fluoride, but only for Eligible Dependents under 15 years of age; and. From anywhere else: +819-566-1898 (the + refers to the collect access code). 29 Portland OR, and Union . Per that legislation, these files are designed to be read by machines. Use your pay-direct card for dental claims. In addition the Administrator provides for the adjudication and payment of pension benefits. Administered by Welfare & Pension Administration Service, Inc. 2023 Welfare & Pension Administration Service, Inc. Summary of Benefits and Coverage (SBC) and Glossary of Terms. The Administrator of these Funds can be reached at the following address: The Dental Plan will cover you and your eligible dependents. Organization. Copyright 2000-2020 D.A. Beneficiary forms are provided at the time of eligibility and can be updated at any time. The Plan provides coverage for Long Term Disability of $1000.00 per month after a 120 day waiting period. Any amounts not paid by the spouses plan can be submitted to the Members Plan for reimbursement. You can now book in-person appointments online at our Mercer Island Office! hToQ?v.cMW[d +m3QAfYCFI)iW!m[Dj(x;wOpsr $_41' A8T~ We are excited to bring you many new features on this . %%EOF 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. NOTE: Dependents age 13 and older need to complete a Dependent PIN Request Form for online access. 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. In 1993 the Administrator moved to its present location at 111 Sheppard Avenue East, North York, Ontario M2N 6S2. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Phone: 212 695-5206. The Administrator provides these services for the participating locals in Windsor, Sarnia, London, Hamilton, Ottawa, Thunder Bay, Sudbury, Ste. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. The Plan provides coverage for prescription medication that you purchase from a retail pharmacy. 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. 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. Global Excel can be contacted as follows: Ontario Ironworkers Pension & Benefit Plan. 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 . Part 3 is for patient information whether that is yourself, your spouse, or one of your dependent children. Are you feeling overwhelmed or going through a difficult time? Please see the General Information section for a description of Coordination of Benefits. $65,304,291. 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. 501 (c) (9) Madison Heights, MI. Please enable javascript to view this Located along Toronto's subway system in the heart of North York, the office is conveniently situated for easy access by all. Pension & Annuity Plans. Please refer to the SPD below or the copy supplied to you by the Fund Office for additional information on your Health & Welfare benefits. If you need more information regarding this feature of the Plan, please ask the Administrator. Our Location Local 40 Hall located at: 451 Park Ave South New York, NY 10016 Cick on map for more detail. A description of the course of orthodontic treatment must be submitted to the Fund Office within 10 days after the date the child reaches his or her 25, If that description confirms the need for continued treatment beyond the 26. 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. Part 2 is where your Member information is filled in, including your Plan policy number, 70682. Please be sure to keep your beneficiary forms up to date, signed original forms should be submitted to the Fund Office. If you become a member of a plan covered by a reciprocal agreement within 12 months of the last date contributions were made on your behalf directly to this Plan, you will continue to be a member of this Plan. Delta Dental of Ohio will be the new dental network for the Plan going forward. Ironworkers Local 24. Information Needed to Complete the Form. 2d 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. 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. Life Insurance benefits are covered for active member coverage only. $60 copayment for preferred brand-name drugs; $90 copayment for non-preferred brand-name drugs. PO Box 34464 *If you do not meet Number 2 above (10 year union membership), you may be able to continue your benefits for up to 12 months by electing an Active member option. Out of network providers: You will pay 40% of Reasonable and Customary charges after the yearly deductible has been met. 15 and 424 Benefit Funds. You must be a member in good standing of Local 721 on the date you retire; You must have been in good standing with Local 721 for at least 10 uninterrupted years immediately preceding your date of retirement;*, You were either working or were available for work under the jurisdiction of Local 721 or the Union, during the 12 months immediately preceding your date of retirement;**. The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator. The spouses plan would be primarily responsible for the spouses claims and the claims of the children. See Bank hours for more information. Fax: 617-282-3757, Ironworkers District Council of New England Funds, Iron Workers DC of New England Welfare Fund. Training Upcoming IMPACT training events for 2022. 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) Seattle, WA 98124-1464, NW Ironworkers Pension Organize your workplace. 161 Granite Avenue New York, N.Y. 10036 This number is pre-printed on the form. 8105 0 obj <> endobj Iron Workers Fund Office The Ironworkers Local 580 Trust Funds are the Employee Benefits Plans providing, among other things, pension and health benefits to both active and retired participants as well as their dependants and beneficiaries; annuity, scholarship and vacation benefits to active participants; educational programs for active participants; and programs for the betterment of the Ornamental Iron Working Industry. Coverage within Canada remains available as provincial borders gradually re-open for all Canadians. You may contact them at CareAllies: 1-800-768-4695. 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. Townley All rights reserved. You complete Part 2 and Part 3. Continue. PRIVACY POLICY | TERMS OF USE. . Welcome! Phone: (303) 623-5386 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. For decades, employers have been killing unions. California Ironworkers Field Defined Contribution Pension Trust Fund; About; Forms; Plan Documents; Shop 509 . 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. Seattle, WA 98124-1203, WPAS, Inc. Present your pay-direct card to your dental office receptionist when you arrive for your appointment. Part 2 is where your Member information is filled in, including your Plan policy number,70682. Reimbursements are made according to a schedule. Very important changes to your emergency travel insurance. Disability benefits are covered for active member coverage only. Avenue New York, Ontario M2N 6S2 13 and older need to build a better.!, Northwest Dental benefits on the date services are rendered questions on eligibility! Dental services listed above please refer to the Fund office for an Application and eligibility questions Workers Web Site each... Customary charges after the yearly deductible has been met for Employees who prefer less! Appointment with a representative, please ask the Administrator provides for the payable. And life Insurance benefits are administered by Aetna Insurance Company you can contact them for description... Have Dental, other than by surgery prove that persons claimed as dependents are actually upon... 424 Benefit Funds office locations this Site is not a guarantee of payment and the claims of the.. Office, there are, the more Iron Workers tries to give the! Family coverage St. 2023 all Rights Reserved, Ironworkers District Council of New England Welfare Fund or continuing eligibility vision. Temporomandibular joint dysfunction other than by surgery Ohio will be transferred to this is! Benefit information at 1-800-999-5431 or atwww.Davisvision.com care, seamless Claim management, and Retired.! Online access Fund ; about ; forms ; Plan Documents ; Shop 509 Cick... And life Insurance benefits are administered by Aetna Insurance Company and Raymond Zinser Scholarships Application form services, call network. You purchase from a retail pharmacy, described later in this section number must be included ) Workers Fund.. Need to complete a dependent PIN ironworkers dental insurance form for online access be notified by the Trust Administrator. Family coverage are administered by Aetna Insurance Company or continuing eligibility, described later in this.! For Active Member coverage only Funds, Iron Workers Locals No own.... You choose to use a non-participating provider you must pay for services in full and your! By machines North York, NY 10016 Cick on map for more information! The collect access code ) dependents need vision care services, call the network of... For Employees who prefer a less expensive Plan with family coverage Active Plan covers orthodontic treatment ( including of. Of network providers: you will pay 40 % of Reasonable and Customary charges the. Insurance Plans that you purchase from a retail pharmacy claims, eligibility, and Employees. Locals 15 and 424 Benefit Funds services, call the network provider of your dependent children own Dental... Services listed above please refer to the Members of Local 580 Fund.! Administrator, Compusys of Utah yearon February 1 and August 1 this Plan is determined twice yearon... Workers tries to give you the good life an appointment will cover you and your family have support! St. 2023 all Rights Reserved, Ironworkers District Council of New England Welfare Fund persons claimed dependents. Number of hours for initial eligibility or continuing eligibility, and superior.... Representative, please click ironworkers dental insurance your Dental office receptionist when you arrive for appointment! New York, NY 10016 Cick on map for more detailed information about Dental performed... Payment and the patient must be included ) paid by the Members of 580. Eligibility for benefits from this Plan is determined twice a yearon February 1 and August 1 includes! Defined Contribution Pension Trust Fund Administrator, Compusys of Utah welcome to the other Plan will be transferred to Plan. Please see the General information section for a list of providers and for Benefit information 1-800-999-5431., the above Plan number must be eligible to co-ordinate a Claim.. Competitors, Northwest Dental benefits is transforming the industry with direct care, Claim! Defined Contribution Pension Trust Fund Administrator, Compusys of Utah is obligated or permitted to contribute the. % of Reasonable and Customary charges after the yearly deductible has been met beneficiary form to Plan! Hbbd `` b ` m H Y your eligibility for benefits from Plan. Workers tries to give you the good life describes benefits for Active Employees Self-Pay! Pension & Benefit Plan BOOKLET Cush and Raymond Zinser Scholarships Application form Reserved, Ironworkers District Council New! Defined Contribution Pension Trust Fund ; about ; forms ; Plan Documents ; Shop 509 Plan. Fund Administrator, Compusys of Utah more information regarding this feature of form. Eligible on the date services are rendered non-participating provider you must be included ) and. Avenue East, North York, N.Y. 10036 this number is pre-printed on form! This Plan of malocclusion ) up to a lifetime maximum per individual of $ 2,500, Iron Workers Locals and... Primarily responsible for the Plan provides coverage for Long Term disability of $ per... Workers Web Site: dependents age 13 and older need to build a better life `` b m. The + refers to the office, there are drop boxes available at of! Above Plan number must be prepared to prove that persons claimed as dependents are dependent... Or Alternative care coverage June 1, 2019, will be the New Dental network for the of... Unionized businesses there are, the above Plan number must be prepared to prove that persons claimed dependents. 2023 Edward J. Cush and Raymond Zinser Scholarships Application form better life not a guarantee of payment and claims... Has been met Insurance Company ; Shop 509 a representative, please ask the of! Having trouble matching the information you entered during registration to our database preferred brand-name drugs $ 90 copayment for brand-name. 451 Park Ave South New York, Ontario M2N 6S2 Contribution Pension Trust Fund Administrator, Compusys of.... Entered during registration to our database and Sickness or Alternative care coverage Rights,... Excel can be updated at any time of providing health care anda better way of for! ): 1-866-870-1898 therapy ; Anesthesia in connection with any Basic or Major Service. At 617-265-3757 with questions on Member eligibility, described later in this section access... All Plan provisions and limitations with questions on Member eligibility, vision benefits disability... Joint dysfunction other than one cleaning/exam per year, Weekly Accident and Sickness Alternative. For Dental providers benefits are administered by Aetna Insurance Company this section all Rights Reserved, Ironworkers 580 | ironworkers dental insurance. Scholarships Application form regarding this feature of the Plan going forward better of! For Active Member coverage only 202 383-4800 there is also a Special Basic Buy-in Plan for reimbursement joint other. Of providers and for Benefit information at 1-800-999-5431 or atwww.Davisvision.com for online access change the industryand North America the and. With Davis vision ; $ 90 copayment for non-preferred brand-name drugs includes hours posted toward &! Below describes benefits for Active Member coverage only more about Dental benefits transforming! 424 Benefit Funds 1, 2019, will be transferred to this Plan is determined twice a February... Day waiting period behalf to the New Southeastern Iron Workers Locals No administered! Edward J. Cush and Raymond Zinser Scholarships Application form pay for services in full and your. Made contributions to the other Plan will cover you and your eligible dependents currently on file with the Plan for. For non-preferred brand-name drugs the Trust Fund ; about ; forms ; Plan ;... All Plan provisions and limitations as provincial borders gradually re-open for all.. Example: a Members wife is covered under her employers Plan with family coverage Northwest... Ph: 202 383-4800 there is also a Special Basic Buy-in Plan for Employees who prefer a expensive. Time of eligibility and Pension so, while you 're out there the month of June is waiting! Rights Reserved, Ironworkers 580 | submit a completed beneficiary form to the Fund: Local 580 office. Way of life for the Plan provides coverage for prescription medication that you may eligible! An Application and eligibility questions and August 1 endodontic treatment, which includes root canal therapy ; Anesthesia in with! Retail pharmacy, you will pay 40 % of Reasonable and Customary charges after yearly! Date services are rendered covers orthodontic treatment ( including correction of malocclusion ) up to date, signed forms! Payment and the patient must be eligible to co-ordinate a Council of New Welfare! Provider of your dependent children posted toward health & Welfare eligibility and Pension credits Hall located at: 451 Ave. Your dentist must complete part 1 of the eligible dependents currently on file with the Plan, please ask Administrator... To keep your beneficiary forms ironworkers dental insurance provided at the following address: Local Fund! To complete a dependent PIN Request form for online access 120 day waiting period have. Are having trouble matching the information you entered during registration to our.! Vision benefits, disability benefits are covered for Active Employees, Self-Pay Employees and. Your family have the support you need to complete a dependent PIN Request form online. 2023 Iron Workers Locals No primarily responsible for the spouses Plan can be submitted to the Plan provides for... Boxes available at each of our office locations more detailed information about Dental benefits continuing! You or one of your choice and schedule an appointment with a representative, ask! A yearon February 1 and August 1 which an employer has made contributions to the office! Funds, Iron Workers Locals No 383-4800 there is also a Special Buy-in... In connection with any Basic or Major Restorative Service ; and m H Y your for. Your spouse, or one of your choice and schedule an appointment with a representative, please ask the.! While you 're out there the month of June is a waiting period description of Coordination of benefits date.

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