Active Members
Eligibility
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I'm a brand new participant, how do I become eligible for Health Benefits?
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If you are a brand new participant in the plan, then you will become eligible for health benefits the 1st of the 2nd month after you have worked 8 hours in a classification that requires contributions to the plan. For example, 8 hours worked in January will give you March 1st coverage. It is important to note that if you lose eligibility you do not regain eligibility immediately upon your return to work.
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I lost eligibility, how do I re-qualify for health benefits?
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Re-qualifying participants will become eligible for health benefits the 1st of the third month following when your employer reports 145 hours in a classification that requires contribution to the plan. For example, the hours you may work in April do not actually dictate eligibility until July coverage. Please keep this in mind when making decisions about your health coverage. Please note: there are special rules for re-qualifying if you have worked at least 80 hours, which will allow you to self-pay the difference between the contributions paid and the full cost of coverage.
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I have to maintain eligibility, how do I do so?
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Once you meet the Initial or re-qualifying eligibility requirements, you will fully maintain coverage if your employer(s) remit a total of 145 hours in the applicable work month. There is a two (2) month lag in your eligibility. In other words, the hours you work in April don't actually dictate eligibility until July coverage.
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I'm a Non-Bargained office employee, who should I seek to inquire about eligibility?
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If you are a Non-bargained office employee contact your employer or the Benefit Office at: (651) 770-0991 about benefits eligibility.
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Who do I call if I have questions about eligibility?
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Wilson McShane
PO Box 9474 Minneapolis, MN 55440-9474 |
Office Hours: Mon-Fri 8am-pm
Office: (952) 854-0795 Toll Free: 1 (800) 535-6373 Fax: (952) 854-1632 |
Plan Coverage
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What services are covered by the Plan?
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Please contact Wilson McShane your Claims Administrator or review the Summary Plan Description and Summary Material Modifications (SMM) provided below. It is very important to review both documents as the SMM updates the Plan Description.
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Please review the Summary Plan Description and Summary Material Modifications for information regarding rules and coverage for the health plan.
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View the Summary Plan Description for both Plan A & B participants here!
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The Summary Plan Description provides a detailed description of the eligibility requirements for coverage and the benefits provided through the health fund.
(If you view this document make sure you also review the Summary of Material Modifications provided below)
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I have questions regarding an Insurance claim, who should I call?
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Wilson McShane
PO Box 9474 Minneapolis, MN 55440-9474 |
Office Hours: Mon-Fri 8am-pm
Office: (952) 854-0795 Toll Free: 1 (800) 535-6373 Fax: (952) 854-1632 |