Benefits Bulletins Old

HB Bulletin #42-15

 

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


LealSundet

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

              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

            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

ILWU LOCAL 13

Jerry Avila

Health Benefits Officer


STAFF:

       Pam Armstrong

      Maria Valdez


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.

 

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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