Attention All Local 701 Member
working at employers that provide your Medical
Insurance Benefits
The Welfare Fund Office has recently
requested information regarding social
security numbers from every member who
has Medical Benefits through the Fund
and who has dependents- spouses are
dependents under the Plan.
This information is required by Federal
Law and must be completed including full
names, social security numbers, and
birthdates of everyone in your family.
The form also must be signed at the
bottom.
This is the final notice of this
mailing. BENEFITS WILL BE SUSPENDED
ON SEPTEMBER 15, 2009 IF THE COMPLETED
FORM IS NOT RECEIVED BY THE FUND OFFICE.
You have the option of mailing the
form, bringing in the form, faxing the
form to 708-482-4242, or emailing the
form to
cms@mech701-benefits.org
If you have any questions, please feel
free to contact the Welfare Fund at
(708) 482-0110.
Thank You for your cooperation in this
matter.
CMS Form
Summary of Material Modification
2 @ Retail, Then Mail
Effective July 1, 2009
For any maintenance medication
purchased starting on July 1, 2009,
you can fill the original prescription
for maintenance drugs and then one
refill at your local retail pharmacy.
After the one refill at your local
pharmacy you will then be required to
use the informedMail mail order
service for any future refills.
This program is being implemented to
help you and the Fund save money on
the rising cost of prescription drugs.
You will save money on your
maintenance medications by having them
delivered to your home through
informedRx’s mail order pharmacy,
informedMail. Medications for acute or
short-term use will still be available
at your local retail pharmacy.
informedMail offers an easy,
cost-effective and convenient way to
receive your maintenance medications.
With informedMail, you can receive up
to a 90-day supply of prescription
medication delivered to your home,
office or any location of your
choosing.
Read the full notice
Important
Information About Your Medical
Benefits
Effective June 1, 2009
Dear Participant:
As Trustees of the Automobile
Mechanics’ Local No. 701 Union and
Industry Welfare Fund, we are
committed to providing you and your
eligible dependents with the best
possible benefits. As part of our
ongoing efforts to enhance your
coverage whenever possible, we have
made some important changes to
your medical benefits effective June
1, 2009.
Medical Benefit Improvements
In order to help ensure your
dependent children receive
appropriate preventive and wellness
health care benefits, the Fund has
increased the well baby care maximum
and added a new well child care
benefit. Benefits are payable for
services received in accordance with
guidelines recommended by the
American Academy of Pediatrics (AAP).
For more information on the AAP’s
recommendations for preventive
pediatric health care, log on to
www.aap.org and type in “preventive”
in the search window.
Increased Lifetime Maximum
Benefit for Well Baby Care. The
lifetime maximum the Plan pays for
well baby care, up to age two, has
increased from $1,000 to $2,000
per child.
Added Well Child Care Benefit.
The Plan pays $150 per year for
well child care for eligible
dependent children age two and
over.
The Plan will pay 80% of covered PPO
expenses and 70% of non-PPO expenses
incurred for both well baby and well
child care, up to the maximum. These
expenses are not subject to the
Plan’s deductible. Covered services
include physical examinations,
immunizations, screenings, and lab
tests.
Please keep this notice with your
Summary Plan Description for future
reference.
If you have questions about these
Plan enhancements, please contact
the Fund Office.
Sincerely,
The Board of Trustees
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