Washington - Idaho Operating Engineers Trust Funds

COBRA (the Consolidated Omnibus Budget Reconciliation Act) is a federal law that requires group health plans to provide temporary continuation of group health coverage that otherwise might be terminated.

For example:

• You lose or quit your job
• You divorce the employee
• The employee dies
• You are no longer covered as a dependent due to your age

Initial COBRA notices are mailed to all new participants who recently gained Health coverage under the Trust. This notice explains your COBRA rights.

If you do not have enough contributions built up in your dollar bank for at least one additional month of coverage, the COBRA election form gives you the option to self-pay for coverage in the months that you do not have coverage based on active employment. If you are currently working full time, you will probably have enough hours reported to continue your coverage without a break.

Unsure if this is correct for this trust:

Balance-billed charges, health care this plan doesn’t cover, vision services, alternative provider benefits, non-PPO coinsurance, expenses in excess of usual, customary and reasonable (UCR), benefits for foot orthotics, non PPO hospital copay and penalty and expenses in excess of Plan limits.

Unsure if this is correct for this trust:

All in-patient hospital admissions (emergency admissions must be pre-authorized by the next business day following admission). Certain outpatient procedures also require pre-authorization. A complete list of those services can be found in the benefit booklet or by calling ________

Your identification number is listed on your ID card.

1. The member must contact the local that they are working in.
2. The member is required to complete a reciprocity transfer form, provided by that local.
3. The Administration Office will only accept health contributions from other locals signatory to the International Reciprocity agreement.

You need to work the required number of hours and have contributions remitted by your employer(s) to meet the dollar bank eligibility requirements or your employer must remit the appropriate flat rate contribution if the CBA requires a flat rate rather than hourly payment.

Your dependents will be covered when you are. You must complete and submit an enrollment form listing your eligible dependents. You are required to provide documentation verifying your dependents’ eligibility and relationship to you, the subscriber. Acceptable forms of documentation include: marriage certificate, birth certificate, adoption decrees, legal guardianship orders, Qualified Medical Child Support Orders and/or parenting plans (if applicable).

Complete a new enrollment form to add new dependents. You are required to provide documentation verifying your dependents’ eligibility and relationship to you, the subscriber. Acceptable forms of documentation include: marriage certificate, birth certificate, adoption decrees, legal guardianship orders, Qualified Medical Child Support Orders and/or parenting plans (if applicable).

You may fill out a new enrollment form or submit the request in writing to the administration office to update addresses.

No, dependents are on the data base but cards are not issued in their name, only the member’s.

You must fill out a new enrollment form to update beneficiary information.

You can either call or email the administration office for a booklet or they are available on the Trust website.