HB Bulletin #33-14
July 10, 2014
HEALTH BENEFITS BULLETIN
DEATH NOTIFICATION
Active or Retired Members,
Please inform your family that in the event of death, they must notify your respective Local (13, 63 or 94) and the ILWU-PMA Benefit Plans office in San Francisco. When notifying your Local, family should be prepared to give appropriate contact information.
For the Families of Local 13:
I ask that each family schedules an appointment with me, so that I may provide you with my utmost undivided attention.
Local 13 will provide the following:
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Flower arrangement for funeral services
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Active Class A – $10,000 in Life Insurance
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(The above Life Insurance is voluntary for Retired members. All must be in good standing and a beneficiary form must be in file.)
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A Union posting for memorial services
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Bible of their faith
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Retired – $2,000 in Life Insurance
Family members, please provide the following:
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Original Death Certificate (Deferred Death certificate is not acceptable by insurance carrier)
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Picture eligible to scan
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Copy of marriage certificate (if married). Please bring your personal ID
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Detailed information regarding memorial services, burial, viewing, celebration of life, etc…
PLAN YEAR
The Plan Year is July 1 – June 30. This is the basis for all annual benefit renewals and limitations. For example:
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Chiropractic Treatment; limited to 40 visits per plan year, Skilled Nursing Facility; up to 100 days per plan year, Mental Health Benefits.
SAFETY TIP
In a question of convenience vs. safety,
safety first.
In a question of comfort vs. safety,
safety first.
In a question of tonnage vs. safety,
safety first.
(Over)
EDUCATION WORKSHOP
FOR ALL SOUTHERN CALIFORNIA LOCALS
The ILWU Local 13 in conjunction with the Southern California Area Welfare Director will be hosting an educational workshop: “Reading Your EOB’s and Understanding the Appeal Process for the Benefit Plan”, Thursday, July 17, 2014 at ILWU Memorial Hall, 231 West “C” Street, Wilmington, CA 90744.
Agenda:
Arrival 9:30 a.m.
Educational Workshop 10:00 a.m. to 11:00 a.m.
Contracted Vendors Presentation 11:00 a.m. to 12:00 p.m.
Contracted Vendors Q & A 12:00 to 4:00 p.m.
Disclaimer:
This is an educational workshop covering the topics listed above to provide the membership with helpful information. This is NOT a forum to discuss problematic claims on an individual or a collective level. This is NOT a forum to vent your frustration regarding ANY aspects of your benefits. ANY attempts to sway the discussion in this manner will NOT be tolerated. Please allow those members who want to be provided with this information the ability to receive it uninterrupted.
YOUR PATIENCE IS APPRECIATED
Due to the following, we are experiencing more than average daily phone calls and foot traffic:
▪ Retirement Applicants & Evaluations ▪ Deceased Notifications ▪ Loss of Welfare Coverage ▪
▪ Supplement Claims (follow-up & re-submission) ▪ Problematic Claims ▪
▪ Light Duty ▪ Open Enrollment ▪ Medical/Dental Change Over ▪ Job related injuries ▪
ADA
(American Disability Act)
ADA JPLRC meeting is scheduled 1st and 3rd Tuesday of each month at 9:00 a.m. at Pacific Maritime Association, 300 Oceangate 12th Floor, Long Beach, CA 90802 (no parking validation – CASH ONLY). Information regarding “Casual Board” privileges, please attend ADA JPLRC
APPOINTMENT WITH THE HEALTH BENEFITS OFFICER
The Health Benefits Officer maintains an open door policy, however, if you need special assistance, (i.e. retirement, disability or personal matter) we recommend that you schedule an appointment with Jerry Avila at (310) 830-6116.
In Solidarity,
Jerry Avila, Health Benefits Officer
ILWU Local 13
OPEIU #537/mv
HB Bulletin #33-14
