Health and Welfare Plan Benefits
A Preferred Provider Organization (PPO) is a group of physicians and hospitals that have negotiated a contract with the Welfare Trust Fund to provide discounts to members. Physicians and hospitals that participate in the PPO Network are known as PPO Providers. BlueCross BlueShield, the Plan’s current PPO Network, will answer your questions regarding whether your provider participates in their network.
The Welfare Trust Fund has an agreement with a Preferred Provider Dental Organization (PPDO). The name of the PPDO is Guardian DentalGuard Preferred Select. You and your dependents may choose dental treatment provided by the PPDO or non-network providers. PPDO providers have negotiated discount prices with Guardian Dental. By using a PPDO provider, you will gain more services for your dental maximum. For more information, or to locate a PPDO provider, please visit the Guardian Dental website.
Prescription Drug Benefits are available to all employees and their eligible dependents. The Plan’s Prescription Drug Benefits are provided through Express Scripts.
Vision benefits are covered by the Welfare Trust Fund. Please refer to the Summary Plan Description 2013 for more information.
The Welfare Trust Fund, in partnership with EPIC Hearing Service Plan, assists active participants and pre-Medicare retirees* in locating hearing care professionals and, in most cases, reducing out-of-pocket expenses for hearing exams and hearing aid devices. For more information, please refer to the Epic Hearing Service Plan informational brochure or the Summary Plan Description 2013.
* Medicare-eligible retirees can access the EPIC program, but benefit coverage is not provided by the Fund. Medicare-eligible retirees do not have hearing aid coverage.
LifeWorks is a free employee assistance program offered by the Welfare Trust Fund. Visit www.lifeworks.com or read more about the LifeWorks program.
If you are an eligible participant with an HRA balance of more than $10.00, look for your new Benny Card which will arrive in the mail. If you receive a Benny card, you can login to your HRA Participant Portal, where you can view your current HRA balance and claim information. You can use this portal to file claims online and to upload your receipts. If you need help, please see the HRA Participant Portal User Guide in the Documents and Forms Library.
How to login to the HRA Participant Portal
How to use the Mobile App to Upload Documentation for an HRA Claim
A current Data Claim Statement (Data Card) is required to avoid any delays in processing your claims. For your convenience, the Interactive Data Card can be completed online. You can then print and return the completed Data Card to NECA-IBEW by fax or postal mail. Please do not email the Data Card as it contains private information and email may not be HIPAA-compliant.
Nondiscrimination Notice Section 1557 ACA