Benefit & Pension Funds of Hospital & Health Care Employees, Philadelphia & VicinityBenefit & Pension Funds of Hospital & Health Care Employees, Philadelphia & Vicinity

IMPORTANT NOTICE – Change In Benefits, Please Read Carefully

IMPORTANT NOTICE – PLEASE READ CAREFULLY!
To All Members and Beneficiaries of the

Benefit Fund for Hospital and Health Care Employees – Philadelphia and Vicinity

NOTICE OF CHANGE IN BENEFITS

This notice, called a “summary of material modifications,” advises you of changes in the information presented in your summary plan description (sometimes called an “SPD” or “descriptive booklet”) with respect to the Benefit Fund For Hospital and Health Care Employees – Philadelphia and Vicinity (the “Plan”). Please do three things with this notice: (1) Read it and, if you have any questions, contact the Plan Administrator; (2) keep this notice with your SPD; (3) mark the Sections of the SPD that have been changed, so that when you refer to that Section of the SPD, you will be reminded that the change described in this notice has occurred.

The following change to the eligibility requirements for the Plan’s prescription drug benefits applies to Wage Class I members who are not disabled and who retire on or after January 1, 2015:

1. If you are a Wage Class I member who is not disabled and you retire on or after January 1, 2015 with a normal retirement benefit (age 65 or older) or an early retirement benefit (age 55-64), you must have 20 years of service to be eligible for the Plan’s prescription drug benefits.

This change results in the elimination of eligibility for the prescription drug benefits for Class 2A (65/10 Wage Class I) and Class 3A (65/5 Wage Class I) members and the modification of Class 8A eligibility for members who retire on or after January 1, 2015. This change to the prescription drug benefit eligibility requirements does not apply to Wage Class I members who retire before January 1, 2015.

The following change to the out-of-pocket maximum for the Plan’s prescription drug benefits applies to all Wage Class I members and retirees effective January 1, 2015:

2. Effective January 1, 2015, if you are a Wage Class I member or retiree eligible for the Plan’s prescription drug benefits, the maximum annual out-of-pocket expense (including deductibles, coinsurance and copayments) that you will incur for covered prescriptions is $2,000 per year if you have individual coverage and $4,000 per year if you have coverage for yourself and your covered dependents.

FOR MORE INFORMATION ON THIS NOTICE PLEASE CONTACT THE FUND OFFICE

PLEASE KEEP THIS NOTICE WITH YOUR SUMMARY PLAN DESCRIPTION

Click To Download and Print This Notice

What is Biometric Screening?

BiometricsBiometric screenings provide you with important information on certain health risk factors, like:

  • Total cholesterol
  • Triglycerides
  • Glucose
  • Blood pressure
  • Waist circumference

The screening involves a set of simple tests: blood test, blood pressure and waist measurement, to help determine if you are at risk for Metabolic Syndrome. Metabolic Syndrome is a group of symptoms that, when occurring together, raise your risk for developing certain health problems, such as heart attack and stroke. Individuals with Metabolic Syndrome are:

  • Five times more likely to become diabetic.
  • Two to three times more likely to have a cardiovascular event.

By understanding your risk for developing Metabolic Syndrome, you can make lifestyle changes to reduce or eliminate your risk.

Who is required to participate in the screening?

Members enrolled in the Benefit and Pension Fund Medical plan are required to participate. Covered spouses are eligible to participate, but not required. If you choose not to participate, your weekly contribution towards your benefits will be increased.

Now is the time to complete your annual biometrics screening and online health assessment!

We care about your health and the biometrics program helps uncover health risks we didn’t know we had, such as high blood pressure or diabetes.

This year, you have THREE options to complete your biometrics testing.

1. You can schedule an appointment with your Primary Care Physician and have your physician fax back the lab results on the physician form to Quest; or

2. You can schedule an appointment at one of our three onsite screening events; or

Date Time Location
Saturday, Sept. 13, 2014 9:00am – 3:00pm Health & Wellness Fair at The Benefit Fund
Friday, Oct. 3, 2014 9:00am – 2:00pm The Training and Upgrading Fund, 10th Floor
Tuesday, Oct. 21, 2014 1:00pm – 8:00pm Union Hall Auditorium – 2nd Floor

3. You can schedule an appointment at a Quest Patient Service Center (PSC).

If you are scheduling an appointment for an onsite event or at a patient service center, you may either go online to my.blueprintforwellness.com or call the Blueprint for Wellness Call Center at 1-866-908-9440. You will need the registration key and ID number found in the mailing you received at your home address.

All information collected is personal and confidential, so your employer and the union will never see your results. As always, spouses are not required to participate, but their participation is highly encouraged. Don’t forget to go online to Aetna.com to complete the second part of your requirement – the online Health Assessment – and print out a completion page to keep on file for your records.

If you did not receive a mailing or have questions about the program, please contact the Benefit Fund office for more information.

Who Is Eligible?

Generally, you are eligible for the benefits described in these pages if you are a Wage Class I, II, or III member working for a participating employer who makes contributions to the Fund as the result of a collective bargaining agreement. Click here for a list of participating employers.

These employer contributions, made according to the terms of applicable collective bargaining agreements, are used to pay:

  • Fund-provided benefits,
  • insurance plan premiums, and
  • administrative fees for self-insured benefit plans.

To learn more about each of our benefits plans go to the Health & Welfare Handbook section using the link on the left.

To learn about how certain events in your life affect your benefits and the changes you can make, click on the Life Events link on the left.

What does the plan provide?

The plan provides normal, early and disability pension benefits. In addition, the Plan may provide pension benefits to your spouse or beneficiary after your death. The Plan is supported by contributions made by employers. Employee contributions are neither required nor permitted.

Generally, you are eligible for the Pension benefits described in these pages if you are a member working for a participating employer who makes contributions to the Fund as the result of a collective bargaining agreement. Click here for a list of participating employers.

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