San Diego County Teamsters Health and Welfare Trust Fund [3k]

The San Diego County Teamsters Health and Welfare Trust Fund Plan is a health and welfare plan which provides medical, dental, vision and life insurance benefits.

>> Summary Plan Description

Coverage is provided by the following providers:

Kaiser Permanente
HMO Medical Plan Provider
(Actives and Retirees)
(800) 464-4000
www.kp.org

United HealthCare
HMO Medical Plan Provider
(Retirees Only)
(800) 624-8822
www.myuhc.com

Liberty Dental Plan
Dental Plan Provider
(888) 703-6999
www.libertydentalplan.com

Vision Service Plan
Vision Plan Provider
(800) 877-7195
www.vsp.com

Assurity Life Insurance Company
Life and AD&D Provider
(Active participants only)
(800-869-0355)
www.assurity.com

Eligibility

Only Coast Benefits, Inc. may confirm your eligibility status or accept appeals to the Board of Trustees concerning your eligibility for benefits or for self-funded medical or dental benefits. Appeals on issues with regard to an HMO (United Healthcare or Kaiser Permanente) must be directed to that HMO. Appeals for dental benefits must be processed through LIBERTY Dental Plan.

Your coverage becomes effective on the first day of the second month following any three consecutive months in which you have worked for covered employers for a minimum of 300 hours; example 300 hours combined during March, April, May gives eligibility July 1st. Coverage will continue if you work 100 hours per month for covered employers. Hours worked are reported by your employer in the following month and credited to your account the next following month. For example, covered hours worked in January would be credited to your account in March. Hours worked in excess of 100 per month are added to an hour bank for up to a maximum of 300 hours at any one time. When you are not credited with 100 hours in a given month, hours will be withdrawn from your hour bank to make up the required 100 hours for that month. For more information on your hour bank, please contact Coast Benefits, Inc.

Summaries of the provider benefits:

>> Kaiser Active Summary of Benefits
>> Kaiser Retiree Summary of Benefits
>> United Health Care
>> Liberty Dental
>> VSP

COBRA Continuation Coverage

Every covered person who loses coverage due to a qualifying event may be eligible for COBRA Continuation Coverage. Qualifying events include the death of the participant, divorce or legal separation from the participant, ceasing to qualify as a dependent child, and loss of coverage due to termination of employment or reduced hours. Under certain circumstances, a dependent has a separate right to elect COBRA coverage. For more information on COBRA coverage, please contact Coast Benefits, Inc.







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