HB Bulletin #42-15
February 5, 2015
HEALTH BENEFITS BULLETIN
DIRECTORY OF HELPFUL SOURCE OF INFORMATION
ILWU-TRUSTEES Ray Familathe International Vice President Ray Ortiz Coast Committeeman Leal Sundet Coast Committeeman |
MILLIMAN PLAN CONSULTANT Phil E. Davidson Senior Plan Consultant |
PMA-TRUSTEES James C. McKenna President & CEO Stephen Hennessey Sr. Vice President Michael H. Wechsler Sr. Vice President |
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ILWU-BENEFITS SPECIALIST John Castanho 1188 Franklin Street San Francisco, CA 94109 (415) 775-0533 |
PMA-CONTRACT BENEFITS Betty Page-Wilson 555 Market St. 3rd Floor San Francisco, CA 94105-5801 (415) 576-3200 |
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ILWU/PMA BENEFIT PLANS Administrator of the Plan Mario Perez Benefit Plans Manager 1188 Franklin Street – 3rd Floor San Francisco, CA 94109 (415) 673-8500 ILWU/PMA AREA WELFARE DIRECTOR Sam Alvarado 28924 So. Western Ave. Suite 202 Rancho Palos Verdes, CA 90725 (310) 833-5144 |
COASTWISE/ZENITH CLAIMS Payout of all medical bills/Claims Department Catherine Knezevic Operations Manager 221 Main Street Suite #250 San Francisco, CA 94105 (800) 955-7376 PMA– BENEFITS MANAGER Betty Pleas 300 Oceangate – 12th Floor Long Beach, CA 90802 (562) 495-7600 |
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ILWU LOCAL 13 Jerry Avila Health Benefits Officer STAFF: |
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Pam Armstrong |
Maria Valdez |
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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.
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VACATION NOTICE
If you have any questions, corrections or need to file a vacation claim, please contact Betty Pleas @ PMA (562) 495-7600 or Records Clerk @ Dispatch Hall: (310) 834-7386. VACATION NOTICES ARE SOLELY FOR VACATION PURPOSE.
(Over)
ILWU-PMA PENSION PLAN – IRS DETERMINATION LETTER
Please know there is No Action Required if you received an ILWU-PMA Pension Plan – IRS Determination letter. If you have any questions or need additional information in regards to this letter, please contact the ILWU-PMA Benefit Plans at (415) 673-8500.
UPDATING PERSONAL INFORMATION
REMINDER: It is your responsibility to update your personal information i.e. address, phone number, e-mail, beneficiary form(s), dependent add/delete or important notice regarding taxation, etc.
Important Note: All Updated Personal Information must be submitted by the Participant(s) only. (You become a Participant in the ILWU-PMA when you become registered.) You must notify PMA Payroll Office in person separately.
COASTWISE ZENITH UPDATE
ILWU Local 13 has successfully secured an extension of stay for the Coastwise Zenith Representative; David Bisuano. David will be available at Local 13 and will continue to assist you with any problematic claim(s), please take advantage of this service.
This service is available for Members and their family only, NO PROVIDERS.
David Bisuano may be reached at (310) 830-6116 ext. 122, Monday through Friday, 8:30 a.m. to 4:10 p.m. or if you’d like to come into ILWU Local 13 – 630 South Centre Street, San Pedro, CA 90731 please sign in at Receptionist’s desk and patiently wait to be seen. While you wait make sure to have your claims/bills ready and out of the envelope.
We will continue advocating until everything stabilizes. The fight is far from being over.
UTILIZING IN-NETWORK PPO BLUE SHIELD
Claims from “in network” providers have the least difficulty getting processed and paid, DO NOT assume that your “in network” provider will refer you to “in network” providers for other services. If they refer you for anything outside their office; such as blood work, diagnostic testing (MRI’s, CT Scans, X-rays, etc.), to see a specialist, or for other treatment such as; surgery, physical therapy etc. your very first question to them should be: “Is that provider in network?” If they are not, you may request a referral that is “in network” or use that provider knowing that it will be paid at the 80/20 of Maximum Allowable Charges (MAC) rate.
SAFETY TIP
BEWARE:
Any injury sustained on the terminal before your start time, may result in the denial of your claim.
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).
MEMBERSHIP MEETINGS
Attend your membership meetings, read your UNION Bulletins. DO NOT LISTEN TO RUMORS! Hear it first hand from your Officers and Caucus Delegates! We must support our Negotiating Committee and our Caucus Delegates.
HOLIDAY
In observance of the Presidents’ Day Holiday, Local 13 will be closed, Monday, February 16, 2015.
LONG LIVE THE ILWU!
In Solidarity, Jerry Avila Health Benefits Officer ILWU Local 13 OPEIU #537/mv HB Bulletin #42-15 |
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