HEALTH & WELFARE

FORMS

FREQUENTLY ASKED QUESTIONS

Contact the Fund Office and ask to speak with an Accounts Receivable Specialist. They will verify eligibility and request a new health & welfare ID card. Your new ID card will arrive within 10-15 business days from the date you notify the Fund Office that you need a new card.
The Important Contact Information page under the Schedule of Benefits provides contact information for the various benefits provided by your Plan.

Non-Supplemental Plan A Schedule of Benefits
Non-Supplemental Plan B Schedule of Benefits
Supplemental Plan A Schedule of Benefits
Supplemental Plan B Schedule of Benefits
If you need to obtain a copy of your EOB contact the Fund Office.
If you receive services from a non-participating provider you may have to submit the claim to the Plan. If you need to submit a claim, you will need to request an itemized bill from the provider and provide this invoice to the Fund Office.
In order to change your mailing address, you must complete a Change of Address Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.
To enroll your spouse for coverage under the Plan, submit a completed Dependent Enrollment Form along with the required documentation (see below) to the Fund Office. You have 30 days from the date of your marriage to notify the Fund Office. Once notification is received benefits will be paid retroactively to the date of your marriage. If you do not notify the Fund Office, in writing, within 30 days of your marriage, your spouse’s coverage will not begin until the first day of the month following the month in which you notify the Fund office.

To enroll your dependent child for coverage under the Plan, submit a completed Dependent Enrollment Form along with a copy of the birth certificate or adoption papers to the Fund Office. You must enroll your child for coverage before the Fund pays any benefits for that child.

With respect to an adoption, placement for adoption, or placement of a foster child, if you notify the Fund Office, in writing, within 30 days of your dependent becoming eligible, benefits will be paid retroactively to the date your dependent became eligible. If you do not notify the Fund Office, in writing, within 30 days, your dependents coverage will not begin until the first day of the month following the month in which you notify the Fund Office.

With respect to a newborn child, if you notify the Fund Office, in writing, within 60 days of the birth, benefits will be paid retroactively to the date of birth. If you do not notify the Fund Office in writing, within 60 days, your newborn child’s coverage will not begin until the first day of the month following the month in which you notify the Fund Office.
Required documents for enrollment includes (but may not be limited to) the following:
  • Government-issued identification
  • With respect to a spouse, a marriage certificate AND ONE of the following documents
    1. a.) Page 1 and signature page of the employees most recent federal income tax return
    2. b.) A document dated within the past six months such as a mortgage statement, loan papers, lease agreement, automobile registration, or credit card or account statement in the name of both the member and spouse.
  • With respect to a dependent child, a birth certificate, court order or certificate of adoption
Same sex marriage is recognized only under the supplemental plans C or D. Contact the Fund Office for more information.
The Schedule of Benefits is the document that details the benefits of the health plan. The schedule of benefits document will provide information about the health plan such as the applicable co-pay amounts, deductible amounts, and out of pocket maximums.

Non-Supplemental Plan A Schedule of Benefits
Non-Supplemental Plan B Schedule of Benefits
Supplemental Plan A Schedule of Benefits
Supplemental Plan B Schedule of Benefits
You will receive your medical card 10-15 business days from the end of the month, following receipt of the required contributions to be eligible for benefits.
You or your spouse must notify the Plan and mail a fully executed copy of your divorce decree to the Fund Office. Once the Plan receives the divorce decree, your former spouse’s coverage will be terminated back to the date of your divorce.
The plan does not offer a retiree health and welfare benefit.
If you have any questions, contact the Fund Office at (630) 288-6868 or (866) 844-0488.
The Important Contact Information page under the Schedule of Benefits provides contact information for the various benefits provided by your Plan:

Non-Supplemental Plan A Schedule of Benefits
Non-Supplemental Plan B Schedule of Benefits
Supplemental Plan A Schedule of Benefits
Supplemental Plan B Schedule of Benefits

PLAN DOCUMENTS & NOTICES

LIFE EVENTS

Birth or Adoption

Marriage

  • Government-issued identification
  • With respect to a spouse, a marriage certificate AND ONE of the following documents
    • Page 1 and signature page of the employees most recent federal income tax return
    • A document dated within the past six months such as a mortgage statement, loan papers, lease agreement, automobile registration, or credit card or account statement in the name of both the member and spouse.
  • With respect to a dependent child, a birth certificate, court order or certificate of adoption

Disability

Moving

Loss of Employment/Coverage

Divorce

Retirement

Death

SERVICE PROVIDERS

WEBSITE DISCLAIMER