All hours actually worked by you for a contributing employer in excess of 750 in a Qualifying Period are kept in an “Hour Bank” account. Up to 50 hours per Qualifying Period may be banked for you. Your Hour Bank cannot exceed 400 hours at any time. You may use up to 100 hours in your Hour Bank to be eligible for Plan B benefits if you do not work enough hours for other coverage. ...
If you are unable to work due to a disability that started while you are actively eligible for benefits, you will be given credit for disability hours at the rate of 8 hours per day (excluding holidays and weekends) not to exceed 40 hours per week, for a period not to exceed the date of your recovery or 6 months (whichever occurs first). You cannot use certified disability hours to upgrade to...
Yes, Prescription Drugs are reimbursed at 80% of the cost. A claim form and receipt must be submitted. Go to the Forms page and click on “Prescription Drug Claim Form” and download the form. Prescription Drug Benefits are covered under the Indemnity Plan. There are no prescription drug benefits available through Kaiser or Health Net. Carefully complete all of Part A of the...
PLAN B: You are required to enroll in an HMO either Kaiser or Health Net for medical benefits. You have no vision or dental benefits. Prescription drugs are reimbursed at 80% of the cost. PLAN A and PLAN A+: have the option of enrolling in an HMO or the Roofers Indemnity Plan. You should be aware that the Roofers Indemnity Plan does have a deductible and there are some services that...
Yes. If they qualify as a legal dependent under the Plan Rules. A “Dependent” is your lawful spouse. However, in accordance with state law, effective July 1, 2005, if you are enrolled in one of the Prepaid Medical plans, your dependent may include your domestic partner of the same sex or opposite sex (effective January 1, 2020), age 18 or older. To qualify for domestic partner...
NO. Coverage is only available through contributions made by a contributing employer. The exception is COBRA. An Active Employee and/or eligible Dependent who loses eligibility may be eligible for continued coverage under the provisions of COBRA. To continue coverage under COBRA you are required to pay a monthly premium.
If you have worked a minimum of 450 hours during a qualifying period (see above) for a contributing employer you will be mailed an eligibility enrollment package. Packages are mailed at the end of the qualifying period in June and December. When you receive the enrollment packages, you must remit an application for the coverage you have selected.
An Eligibility Period is the months that you are eligible for insurance coverage. January 1st through June 30th and July 1st through December 31st. Hours needed to work for insurance coverage during a Qualifying Period are: 450 – 599 Coverage Plan B -Medical, (HMO) Kaiser or Health Net and Prescription Drugs 600 – 749 Coverage Plan A- Medical, HMO,...
An Active employee, must work a minimum of 450 hours for one or more contributing Employers during a Qualifying Period to be covered for benefits in the next Eligibility Period. The hours worked during the Qualifying Period determine the plan benefits you will be covered under during the “Eligibility Period”. Hours needed to work during a Qualifying Period for insurance...
