Issue 20, Fall 2019
In This Issue...
The Southern California IBEW-NECA
Health Trust Fund Is
Introducing a Better Health Care Experience with Harmony
Effective January 1, 2020, the Board of
Trustees of the Southern California IBEWNECA
Health Trust Fund ("Health Plan")
has elected to offer eligible participants
UnitedHealthcare's SignatureValue Harmony
HMO as the UnitedHealthcare plan option
available through the Health Plan. With the
addition of the SignatureValue Harmony HMO
network, UnitedHealthcare members will enjoy:
- Expert providers that follow best practices.
- Coordinated care for a seamless experience in getting the care you need—and
without a referral, when appropriate.
- A dedicated call center with one-stop call resolution to help you navigate your care
and coverage, and understand claims.
- Access to providers and hospitals near you!
If you're a current UnitedHealthcare health plan participant, no changes are being made
to your Southern California IBEW-NECA Health Trust Fund benefits. You will continue to
have the same benefits, including the same co-pays and pharmacy access. However,
your provider may not be part of the SignatureValue Harmony HMO network, which
means you'll miss out on the above-mentioned benefits. Consider making a change to
the SignatureValue Harmony HMO network. Simply complete the Enrollment Form
and return it to the Administrative Trust Funds Office by October 7, 2019.
Read the below frequently asked questions to understand this change. If you still have
questions, contact the Administrative Trust Funds Office toll-free at (800) 824-6935 or (323)
221-5861, and ask to speak with a Membership Services Department Representative.
What to Know About the SignatureValue Harmony HMO Network
What is the SignatureValue Harmony HMO?
The SignatureValue Harmony HMO is
UnitedHealthcare's new provider network.
Harmony offers more services on-site within their
medical groups, including access to Urgent Care
facilities.
Is my current provider in the SignatureValue
Harmony HMO network?
By now, you should have received a letter advising
if your provider is part of the SignatureValue
Harmony HMO network.
If you didn't receive a letter, please contact the
Administrative Trust Funds Office toll-free at
(800) 824-6935 or (323) 221-5861, and ask to
speak with a Membership Services Department
Representative.
If my current provider is in the SignatureValue
Harmony HMO network, are there changes to
the hospitals and specialists I can see?
No. You will continue to have access to the same
hospitals and specialists through your current
provider using the SignatureValue Harmony HMO
network. All care will still be coordinated by your
Primary Care Physician.
I'm in the Traditional SignatureValue Flex HMO
Plan, and my current provider is not in the
SignatureValue Harmony HMO network—what
do I need to do?
Consider enrolling in the SignatureValue Harmony
HMO for a smoother and enhanced overall
experience. If you do enroll, you'll need to choose
a new provider from the Harmony HMO networkand receive new ID card(s). Please note: Once
you transition to the SignatureValue Harmony
HMO, you may not return to the Traditional
SignatureValue Flex HMO.
If you decline enrollment with the SignatureValue
Harmony HMO, you will remain enrolled in the
Traditional SignatureValue Flex HMO Plan at this
time, as long as you remain eligible for benefits
with the Health Plan.
I am electing to join the SignatureValue
Harmony HMO Plan. How do I change my
provider?
Contact UnitedHealthcare at (800) 624-8822. A
list of providers within UnitedHealthcare's new
SignatureValue Harmony HMO network is also
available at www.myuhc.com.
Send In Your Annual Pension Verification Forms
Participants receiving a pension benefit from the Southern California IBEW-NECA
Pension Plan should have received an Annual Pension Verification
("APV") packet from the Administrative Trust Funds Office. This packet includes
forms you must complete and send back by December 15, 2019.
As a reminder, the Administrative Trust Funds Office sends this packet every
year to verify that:
- You received all your pension checks from the prior year, and that your mailing
address and other demographic information have not changed.
- You are not working in any employment prohibited by Plan rules.
Why Do I Need to Do This?
The Trustees have a fiduciary obligation to ensure that pension benefits are
not paid to pensioners who are engaged in activities which could lead to the
suspension of their monthly benefit under this Plan's Suspension of Benefit
Rules. Your completion of the Annual Pensioner Verification Form is your "self-reporting"
of the activities performed during the preceding year. If you do not
complete and return the forms from your APV packet by December 15
of this year, your pension check will be withheld, and your participation
in the Southern California IBEW-NECA Health Trust Fund Retiree Health
Plan will be cancelled beginning January 1, 2020.
Don't allow your Pension Plan benefits to lapse or your participation in the
Southern California IBEW-NECA Retiree Health Plan to be interrupted. For
more information on the process, view the video and review the frequently
asked questions (FAQ) below. If you have questions or need help completing
the forms, please contact the Southern California IBEW-NECA Administrative
Trust Funds Office toll-free at (800) 824-6935 or (323) 221-5861, and ask to
speak with a Pension Benefits Department Representative.
Keep an Eye Out for 2020 COBRA Rates
Effective January 1, 2020, there will be new rates for COBRA continuation
coverage under the Southern California IBEW-NECA Active Health Plan
("Health Plan"). If you are currently enrolled in COBRA continuation coverage,
the Administrative Trust Funds Office will send you a letter that includes 2020
rates and your coverage options.
The Health Plan offers two COBRA continuation coverage benefit options:
- Core, which includes medical/behavioral health, prescription drug benefits and
Member Assistance Program.
- Core Plus, which includes coverage available under the Core option, plus dental
and vision benefits.
Remember: You or your dependents can use the funds in your Health
Reimbursement Arrangement (HRA) to pay for COBRA continuation coverage
if you lose coverage under the Active Health Plan for any reason other than
Non-Covered Electrical Employment. Contact the Administrative Trust Funds
Office for more information about your HRA benefits toll-free at (800) 824-6935 or (323) 221-5861, and ask to speak with a Membership Services Department
Representative.
Retiree Health
Plan Enrollment
Approaching Soon
The annual open enrollment period for the
Southern California IBEW-NECA Retiree
Health Plan will take place in November
to December. You have until December 6,
2019, to choose a different Retiree Health
Plan medical option for 2020, if you wish
to make a change on your current medical
option. Coverage is effective January 1,
2020.
If you're planning to make a change in
medical plans, fill out the Retiree Health
Plan Medical Enrollment Form, and
submit it to the Administrative Trust Funds
Office. Your enrollment will not be changed
until the Administrative Trust Funds Office
receives all of the required documents on
or before December 6, 2019.
Important
Information About
Your Pension Plan
Is Coming!
The Annual Funding Notice will be mailed
out soon to participants. These notices
give participants a better understanding
about pension funding, the fund's assets
and liabilities, its status as a Plan and
other important information. It's extremely
important that you thoroughly review these
notices. If you have questions, contact the
Administrative Trust Funds Office toll-free
at (800) 824-6935 or (323) 221-5861, and
ask to speak with a Pension Department
Representative.
Health and
Pension Benefits
Fair Is Scheduled
on September 28
The Southern California IBEW-NECA
Trust Funds Benefits Fair and the IBEW
Local 11 Area-wide Picnic will take place
September 28, 2019, at the Hollywood
Sports Park, 9030 Somerset Boulevard,
Bellflower, CA 90706. This is your chance
to speak with Pension and Health Plan
vendors and providers, and Administrative
Trust Funds Office personnel face to
face, learn more about your benefits,
annual enrollment and more. Stop by the
Administrative Trust Funds Office booth
with your questions!
Beware of Medicare Card Scam
New Medicare cards with an 11-digit
identification number are being mailed out
by the federal government to Medicare
enrollees. This is a big step in protecting
seniors from identity theft since the new
cards don't have Social Security numbers
on them.
Because of this change, several scams
are taking place in which seniors are
contacted by phone and email and tricked
into giving their new 11-digit identification
number and having their identities stolen.
Learn more about this scam and how you
can protect yourself.
MedExpert Went Above and Beyond for My Daughter
Early this year, a Southern California
IBEW-NECA Health Trust Fund
participant's daughter was rushed to
the hospital after complaining about
stomach pains. After several tests, she
was diagnosed with a large ovarian mass.
The next three months were the hardest
the participant had ever been through,
from trying to get appointments with his
daughter's regular doctor, to obtaining
referrals to see specialists.
The participant learned about MedExpert,
the Health Advocacy provider, from the
Administrative Trust Funds Office. He was
informed that MedExpert was there to
support and guide him (and his daughter)
through the medical care she needed—at
no additional cost to him.
"At the beginning of this ordeal,
my medical insurance seemed to
be dragging their feet with getting
the ball rolling. [The Administrative
Trust Funds Office] referred us to
MedExpert. That's when we first
contacted Maricela, who went above
and beyond her job duties. She
worked to get us in quickly to see the
right providers, and she even called
my daughter daily to offer moral
support through this ordeal. She
was truly awesome and still calls my
daughter to see how she is doing,
even after treatment and all!"
What Can MedExpert Do for You?
- Find providers for your health care needs
- Assist with billing issues and claims
- Provide referrals for covered services
- Explain how your Plan coverage works
- Help transfer medical records to a new
provider
- Locate elder care
- And much more!
Ready to connect? Call MedExpert at (800) 999-1999.
Struggling with a Personal Issue? You Don't Have to Go Through
It Alone
The Member Assistance Program through Optum is a personalized, confidential
counseling service provided to all Southern California IBEW-NECA Active Health
Plan Participants (and their covered dependents, as well as other household
members) enrolled in the Kaiser HMO Plan, the UnitedHealthcare HMO Plan and
the Anthem Blue Cross PPO Plan.
Whatever the issue, Active Health Plan Participants and their covered dependents
can receive a referral to a licensed behavioral health professional for up to three
face-to-face counseling sessions, per Participant, per issue, at no charge to you.
The Member Assistance Program can help with emotional,
interpersonal or behavioral health issues, including:
- Relationship and marital issues
- Family problems, such as parent/child conflicts, single parenting issues, child and
adolescent problems, spousal abuse, incest
- Work-related problems, such as job stress, burnout, interpersonal and situational conflicts,
adjustment issues
- Emotional problems and personal issues, including anxiety, depression, personal crises,
grief and loss, life-change issues
- Disease-related issues, such as coping with chronic and terminal illness
- Alcohol and substance abuse, including codependency
Get Started with One Phone Call
All services covered under this Member
Assistance Program (MAP) must be
provided by an Optum Participating
Provider and must be pre-authorized.
To get a referral to a MAP counselor, call
the Optum Customer Service Department,
which is available 24 hours a day at
(877) 225-2267 (877-22-LABOR).
You do not need a referral from your
Primary Care Physician to get services
under the Member Assistance Program.
Change in Status? Let Us Know!
Have you gotten married or divorced? Have you had a baby or adopted a child?
Have you moved?
Be sure to tell the Administrative Trust Funds Office! You'll need to enroll any
new dependents in the Southern California IBEW-NECA Health Trust Fund and
delete any dependents who are no longer eligible. Check your named
beneficiaries in all the plans. Beneficiary Forms for the plans administered by
the Southern California IBEW-NECA Administrative Corporation are available
online at www.scibew-neca.org. Notify the Administrative Trust Funds Office of
a dissolution, divorce, legal separation or annulment as soon as it occurs to
avoid the loss of prospective eligibility.
When you contact the Administrative Trust Funds Office, check that your
address, birthdates for you and your dependents (spouse and dependent
children), Social Security numbers and other personal information are correct.
Even if your IBEW Local Union has your updated information, the Administrative
Trust Funds Office may not.
You must always notify the Administrative Trust Funds Office about any
changes to your personal information, so your benefits can be processed
correctly and promptly, and to ensure that all important notices and information
are delivered to you.
How to Register with ERTS
Transferring your pension, defined contribution and health hours contributions
back to Southern California IBEW-NECA Trust Funds is easy—no matter where
you may be working. Register with IBEW's Electronic Reciprocal Transfer
System ("ERTS"). If it's your first time registering, you'll need to do it in person
at your local Administrative Office or the Administrative Office where you'll be
working. Be sure to bring your photo ID and the signed Participant Verification
Page. Registering will allow the Reciprocal Fund to send employer contributions
to the Southern California IBEW-NECA Trust Funds.
Plus, it establishes:
Your approval of the Authorization and Release(s) regarding reciprocal
transfers under the Agreement(s).
Your agreement to authorize the use of your electronic signature on ERTS. Once you complete your initial registration, you will receive a User ID and
password at the mailing address you provided when you registered. Use your
User ID and password to log in to https://erts.ibew.com from anywhere.
Interested in more information? Contact the Administrative Trust Funds Office at (800) 824-3935 or (323) 221-5861.
Hold On to Your Check Stubs!
Quarterly Benefit Statements are your personal record of the
reported contributions made on your behalf. The Administrative
Trust Funds Office sends these out every three months.
The first 2019 Quarterly Statements were mailed in mid-May
and covered your contributions for the first quarter of 2019
(January 1, 2019, through March 31, 2019). The next Quarterly
Statement was mailed in August, covering the second quarter
of 2019 (April 1, 2019 through June 30, 2019). Be sure to hang
on to your check stubs and match them with the Annual
Statement of Accrued Benefits and the Quarterly Benefit
Statements. Discrepancies? Contact the Administrative Trust
Funds Office immediately at (323) 221-5861. This will help
ensure that you receive all the benefits you may be entitled to.
You can also visit www.scibew-neca.org to view your hours.
Important Contact Information
Southern California IBEW/NECA
Health, Pension, and Defined
Contribution plans
(IBEW Local 11/LA NECA)
Phone: 323-221-5861
800-824-6935 (toll-free)
Website: www.scibew-neca.org
Coast Benefits
3444 Camino Del Rio North
Suite 100
San Diego, CA 92108
Phone: 844-739-7956 (toll-free)
Fax: 619-280-4304
Website: www.coastbenefits.com
IBEW Local 441 Health
NECA/IBEW
Family Medical Care Plans 14, 15, & 17
5837 Highway 41 North
Ringgold, GA 30736
Phone: 706-937-9600
877-937-9602 (toll-free)
Fax: 706-937-9601
Orange County IBEW/NECA
Electrical Workers Defined
Contribution Pension Plan
(IBEW Local 441)
United
Administrative Services
P.O. Box. 5057
San Jose, CA 95150
Phone:
800-748-6417 (toll-free)
National Electrical
Benefit Fund (NEBF)
2400 Research Boulevard, Suite 500
Rockville, MD 20850-3266
Phone: 301-556-4300
Website: www.nebf.com
IBEW–International Office
900 Seventh Street, N.W.
Washington,
DC 20001
Phone: 202-833-7000
Website: www.ibew.org
IBEW Local 440 Health
NECA/IBEW
Family Medical Care
Plans 14 &16
5837 Highway 41 North
Ringgold, GA 30736
Phone: 706-937-9600 or
877-937-9602 (toll-free)
Fax: 706-937-9601
Local 477 Health Trust
Delta Fund Administrators, LLC
1234 W. Oak
Stockton, CA 95203
Phone: 209-474-5671
Fax: 209-474-5771
Email: pat.corcoran@delapro.com
Inland Empire IBEW-NECA Defined
Contribution Plan
Zenith-American Solutions (formerly the Gem Group)
401 Liberty Avenue, Suite 1200
Pittsburgh, PA 15222-1024
Phone: 844-731-7311 (toll free)
Website: GemGroup.com
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