UFCW LOCAL 1776 and PARTICIPATING EMPLOYERS
                                  HEALTH and WELFARE FUND
 

Claim Filing Deadlines
In order for a claim to be considered for payment, it must be submitted within a certain time frame. Read the information in the following sections carefully to determine the specific claim filing deadline for each benefit. If you file a claim after the deadline, it will not be paid by the Plan. After you file a claim, it must be approved or denied within 120 days after it is received.

Child Care
Attendance sheets from non-network centers must be filed for reimbursement no later than 90 days from the date of service.

Dental
Claims must be filed no later than 1 year from the date of service.

Educational Benefit Program
Claims for reimbursement and/or grade reports must be filed no later than June 30th. immediately following the year  in which the semester ends.

Medical Coverage (Personal Choice)
Claims must be filed no later than 1 year from the date of service.

Mental, Nervous, Drug & Alcohol
Claims must be filed no later than 1 year from the date of service.

Physical Examination
Claims must be filed no later than 1 year from the date of service.

Physical Well-Being Program
Claims must be filed no later than 90 days from the end of the calendar year in which the membership or participation in a program occurred.

Vision
It is the Liberty Vision Care, Inc. participating provider’s responsibility to file the claim no later than 30 days from the date of service.
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