UFCW LOCAL 1776 and PARTICIPATING EMPLOYERS
HEALTH and WELFARE FUND
Table of Contents
Introduction
Medical Flexible Spending Account
Who Provides My Benefits ?
How it works
How to use This Booklet
Tax Advantages
Benefits at a Glance
Reimbursement
Who is Eligible
"Use It or Lose It"
Changes in Coverage
Mental, Nervous, Drug & Alcohol Benefits
Retiree Benefits
Dental Coverage
If You Terminate Employment
Prescription Drug Benefits
If You Become Disabled
Prescription Incentive Program
Termination of Dependents' Coverage
Overview of the Program
Continuing Coverage Under COBRA
Medical Expenses Reimbursable
Under the Program
Other Federal Law Requirements
Vision Care Plan
Medical Coverage
Disability Benefits
Personal Choice Preferred Provider Network
How to file a Claim
Convenience and Security Across the Country
Coordinating With Third Parties
(Subrogation or Reimbursement)
How the BlueCard PPO Program Works
Life Insurance Benefits
Plan Provisions
Accidental Death and Dismemberment
Pre-certification
Child Care Assistance
How to Submit Claims
Educational Benefit Program
What the Plan Covers
Physical Well-Being Program
General Exclusions
Claim Filing Deadlines
Keystone Point Of Service (KPOS) Program
Appealing a Denied Claim
How the KPOS Program Works
Coordination of Benefits ("COB")
Some Important Terms
Coordinating With Medicare
You Need Medical Care
Important Information
Pre-certification
ERISA Statement
Dual Income Option
Administrative Information