Anthem Cyber-Attack Announcement
For information regarding the Anthem Cyber Attack, please click here to read more.
Summary of Material Modifications (Plan Changes by Mailed Notification Date Order)
JULY 2016 – Plan Changes effective July 1, 2016
MAY 2016 – Plan Changes effective July 1, 2016
DECEMBER 2015 – Plan Changes effective January 1, 2016
NOVEMBER 2014 – Plan Changes effective January 1, 2015
SEPTEMBER 2014 – Plan Changes effective January 1, 2014
DECEMBER 2011 – Plan Changes effective January 1, 2012
MARCH 7, 2011 – Plan Changes effective January 1, 2011
DECEMBER 10, 2010 – Plan Changes effective January 1, 2011
JUNE 1, 2010 – Plan Changes effective June 1, 2010
MAY 18, 2010 – New Insurance Cards with Plan Changes effective June 1, 2010
New Anthem ID Cards
Effective June 1, 2010, New ANTHEM ID CARDS were mailed to all eligible participants, as the Fund changed the PPO Discount Carrier from HealthEOS by Multiplan to Anthem Blue Cross Blue Shield. This card is for your medical and dental benefits. Your prescription card with Sav-Rx has not changed and you still need to present your Sav-Rx card to the Pharmacy for not only your prescription purchases, but also your INSULIN AND DIABETIC SUPPLIES as of June 1, 2010.
If you do not have a new Anthem ID Card, please contact the Fund Office at 1-800-422-2128.
Please note that your PPO Out of Pocket Benefits has not changed, still 90% reimbursement after your calendar year deductible has been satisfied. However, if you use a Non-Network Provider, the Plan's reimbursement rate dropped from 80% to 70%.
Terms for Filing a Claim: Disability claims must be filed within 6 months of the date the disability began. All other claims must be filed within one year of the date the expenses are incurred. No benefit will be paid on bills or claims postmarked more than one year after the date the expense was incurred.
Newborns: A new enrollment card must be completed adding all dependents plus the newborn and returned to the Fund Office with a copy of the birth certificate.
Coordination of Benefits: If anyone in your family has or obtains other health insurance coverage or if the other health insurance coverage terminates you must notify the Benefit Fund Office immediately as this effects the proper processing of your health insurance claims. In the event this Plan makes an overpayment due to your failure to report other coverage or for any of reasons, the Trustees have the right to recover the amount of the overpayment from you. In the case where the other insurance is terminating you must supply the Fund Office with a written notice of termination from the other insurance company (certificate of insurance).
Prescriptions: Wal-Mart Pharmacy has not been a covered pharmacy under the Plan since August 1, 2003. Therefore, no benefit payment will be considered on any prescriptions purchased through Wal-Mart.