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UFCW LOCAL 1776 and
PARTICIPATING EMPLOYERS HEALTH and WELFARE FUND |
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Who Insures My Benefits? |
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The plan pays directly for, or self-insures, your benefit for child care. The Board has contracted with an outside
provider to process the claims for child care, as described in the appropriate sections of this
booklet. The names and
addresses of the provider is listed below. When you submit a claim for a charge for these services, the providers listed
is responsible for following the schedule of benefits established by the Board of Trustees and making payment in
accordance with that schedule. The Fund pays these providers a fee to perform
these administrative services. If you disagree with an action or decision made by the provider that administers your self-insured benefit listed above, you should write to the Fund Administrator to request a review of the of the provider's action or decision, as described in the section titled " Appealing a Denied Claim." (You should also follow the claim procedure to dispute a decision made by the Fund about any of the benefits.) The name and address of the provider that the Board of Trustees has hired to administer your benefits is: Time for Tots, Inc/Tot Time 1101 Little Lane Warminster, PA 18974 OPTIONAL COVERAGE The Fund provides health insurance benefits for hospitalization, doctors visits, and certain other medical care through an insurance policy purchased from Keystone Point of Service. The address for this insurance company is: 1901 Market Street Philadelphia, PA 19103 |