| Frequently Asked Questions |
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- How do I change my mailing address?
Contact the Trust Fund office at (707) 526-1996.
- How many hours are required to initiate eligibility for coverage?
An active employee must have accumulated a minimum of 500 hours. Coverage is to be effective on the first day of the second month after that month in which this eligibility requirement is satisfied. Example: You reach 500 hours in the month of August; your coverage begins October 1st.
- How many hours are required to maintain coverage?
After qualifying for initial eligibility, a charge for coverage shall be 125 hours per month against the person's accumulated reserve hours, until insufficient hours remain in their reserve. Hours worked in one month shall not apply toward coverage in the next month, but in the second following month. If you fall below 125 hours worked in one month, you can draw from your reserve hour bank to continue eligibility.
- How do I discover how many hours I've accrued in my reserve bank?
Contact the Trust Fund office at (707) 526-1996.
- What benefits are included with the coverage?
Your coverage includes Medical, Prescription Drugs, Dental, Vision Care, Member Assistance Program and a Life Insurance policy of $5,000. All participants and their eligible family members have dental coverage with the Delta Dental Plan of California, vision coverage with Vision Service Plan, member assistance program with PacifiCare Behavioral Health and Life Insurance with PacifiCare.
- What Medical Plans are available?
These are the medical plans available to choose from (request further information on any or all of these plans at the Trust Fund office):
- Kaiser Permanente Medical Plan (HMO)
- Sutter Health Plus HMO
- Western Health Advantage (WHA) HMO
- Anthem PPO Plan – only available to participants outside of the service area of the HMOs
- United American for Medicare Retirees only
- How do I receive a list of Providers who participant in each Medical Plan, Delta Dental Plan, Vision Service Plan and/or PacifiCare?
You can link to each individual website provided on the Insurance Carrier links in the Health & Welfare Plan options or request this information at the Trust Fund Office by calling (707) 526-1996. For PacifiCare benefits, please call (877) 22-LABOR (52267) to access benefit information.
- When is Open Enrollment?
You are permitted to make your annual election to change your medical plan at any time during the year. Subject to any HIPAA Special Enrollment rights you may have (see page 26), you will not be able to change medical plans during the consecutive twelve-month period following the date of your election.
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