News Items
Baby Well Visits
Posted July 13, 2018
The Trustees approved changing the Well Baby Visit policy to be more in line with the American Academy of Pediatrics. This change is retro to January 1, 2017. We will be working with ISSI for programming changes, updating SPD’s and will run reports to identify members that may be effected.
| Well Baby Care |
| Old Well Baby |
New Well Baby |
| 6 visits, birth through 12 months |
7 visits, birth through 12 months |
| 6 visits, 13 months through 23 months |
3 visits, 13 months through 23 months |
| 6 visits, 24 months through 35 months |
3 visits, 24 months through 35 months |
| 2 visits, 36 months through 47 months |
2 visits, 36 months through 47 months |
ERP Suspended
Posted July 13, 2018
The benefit week ending date of 07/15/2018 has been suspended due to calls going into Book II. If you are an apprentice, on the Book II or have taken a referral with a delayed start, you are still eligible to apply for this benefit. All other members will not see a payment for this week ending date.
Opioid Program Effective 6/1/2018
Posted April 2, 2018
A mailing to all participants went out March 30, 2018 regarding Opioid Prescription Coverage Guidelines. Click here to see letter.
2018 ERP Week Ending Suspension Dates
Posted February 14, 2018
2/18/18; 2/25/18; 3/11/18; 4/29/18; 5/6/18; 5/20/18; 6/3/18; 6/10/18; 6/17/18; 6/24/18; 7/1/18; 7/8/18; 7/15/18
Summary Annual Reports
Posted December 12, 2017
We are required are by law to make Summary Annual Reports available to its benefit plan participants and surviving beneficiaries with an interest in the plans. These are legally required notices; no action is required. Please click here to see the mailing.
Summary of Benefits and Coverage Mailing
Posted December 5, 2017
Under the Affordable Care Act, we are required to send a notification in a specific format called a Summary of Benefits and Coverage (SBC) explaining the health plan benefits and coverage. You will see this mailing in the month of December. No action is required. Please click here to see this notice, and Click here to view the SBCs.
2017 ERP Week Ending Suspension Dates
Posted February 10, 2017
2/12/17; 3/5/17; 3/19/17; 4/2/17; 4/9/17; 4/16/17; 4/23/17; 4/30/17; 5/7/17; 5/14/17; 5/21/17; 5/28/17; 6/4/17; 6/11/17; 6/18/17; 6/25/17; 7/2/17; 7/9/17; 7/23/17; 7/30/17; 8/6/17; 8/13/17; 8/20/17; 8/27/17; 9/3/17; 9/10/17; 9/17/17; 9/24/17; 10/01/17; 10/15/17; 10/22/17; 10/29/17; 11/5/17; 11/12/17; 11/19/17
Summary Annual Reports
Posted December 7, 2016
We are required are by law to make Summary Annual Reports available to its benefit plan participants and surviving beneficiaries with an interest in the plans. You will see this mailing in the month of December. These are legally required notices; no action is required. Please click here to see the mailing.
Summary of Benefits and Coverage Mailing
Posted December 5, 2016
Under the Affordable Care Act, we are required to send a notification in a specific format called a Summary of Benefits and Coverage (SBC) explaining the health plan benefits and coverage. You will see this mailing in the month of December. No action is required. Please click here to see this notice.
Non-Discrimination Notice
Posted October 13, 2016
Non-Discrimination Notice
Biannual Enrollment Form – Action Required!
Posted October 7, 2016
October Mailing - Biannual Enrollment
September 2016 Notices
Posted September 26, 2016
September Notice to Participants
2016 ERP Week Ending Suspension Dates
Posted March 16, 2016
3/13/16; 3/20/16; 3/27/16; 4/3/16; 4/17/16; 4/24/16; 5/1/16; 5/8/16; 5/15/16; 5/22/16; 5/29/16; 6/19/16; 6/26/16; 7/10/16; 7/17/16; 7/24/16; 7/31/16; 8/28/16; 9/25/16; 10/16/16; 10/23/16; 10/30/16; 11/6/16; 11/13/16; 11/20/16; 12/11/16; 12/18/16; 12/25/16
1095-B Forms
Posted January 21, 2016
Recently the funds office mailed Form 1095-B to all members that had eligibility in the health plan during the 2015 calendar year. Form 1095-B is proof that you and your dependents had Minimum Essential Coverage (as defined by the Affordable Care Act) through the Toledo Electrical Welfare Fund. Please take this form with you when you get your taxes completed.
Holiday Hours
Posted December 9, 2015
The Funds office will be closed on the following days:
December 24th & December 25th
December 31st & January 1st
Important SFBF/VEBA Claim Submittal Deadline
Posted December 9, 2015
All claim submissions with dates of service in 2015 must be in the Funds office by February 29, 2016.
IMPORTANT SFBF/VEBA CLAIM SUBMITTAL UPDATE
Posted October 10, 2014
Please read the attached regarding the cut-off date for submitting your out of pocket medical expenses through the SFBF/VEBA Fund. There is a deadline for submitting these claims for processing. SFBF/VEBA Deadline For Claim Submittal