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7570 Caple Blvd 

Northwood, OH 43619-1084, US

419-662-5456

Fax 419-662-4534

 

 

 

 

 

Dental and Eye | Physicals | Prescriptions

 

HEALTH AND WELFARE BENEFITS

Comprehensive Hospital and Medical Benefits – Effective Jan. 1, 2004

*      80/20 Basic Medical Coverage (plan covered doctors and hospitals)

*      Deductible per eligible person per calendar year--------$400

*      Maximum deductible per family per calendar year------$1,200

*      Maximum co-payment per person per calendar year----$1,500

*      Maximum co-payment per family per calendar year----$3,000

*      Maximum benefit per eligible person, per lifetime-------$2,000,000

Eligibility requires 135 hours of work hours to qualify. A reserve bank is established with surplus hours building up to a maximum of 1 year.

Prescription Benefit

The Trustees have retained Scriptsense to administer your prescription benefit program. In addition to a new prescription benefit manager, a three tier co-payment will be implemented, as follows:

Co-payment Per Prescription

Retail

(up to a 34 day supply)

Mail Order

(up to a 90 day supply)

Generic Drug

$10

$20

Preferred Drug

$20

$40

Non-Preferred Drug

$35

$70

***** Supplemental Reserve Account *****
(Medical Savings Account)

$1.15 an hour is contributed - approximately $2,000 is contributed annually
Money is non-taxable and can be used to make co-pay or self-payment

 

 

 

 

Dental and Eye coverage is a maximum benefit of $750 per year, per family

Preventive Health Benefit Plan - Physicals

*      100% covered and not subject to annual deductibles or lifetime maximum

*      Children

*      2 weeks, 2 months, 4 months, 6 months, 9 months, 15 months, 18 months, 

*      2 years, 3 years, 4 years, 5 years, 6 years, 8 years, 10 years, 12 years, 

*      14 years, 16 years

*      Adults

*      18-50 years --- Visits every other year

*      Over 50 years --- Visits every year

After 10 years of service Health and Welfare benefits are available after Retirement.

Death Benefit

Active Member           -- $2,000 from Health & Welfare fund

                                        $2,000 from Local 50

                                        up to $2,500 from UA based on years of service

           Retirees            -- $1,000

Loss of time benefit: Active Member -- $450.00 for maximum of 26 weeks