Effective June 1, 2011 you will be eligible to receive reimbursement for prescription drug co-pays, which do not exceed the maximum of $50.00 in the benefit period, which ends December 31, 2011.Effective January 1, 2012 and in each succeeding benefit year you will be eligible to receive a maximum of $100.00.
In 2011 you must be active on June 1st and active on December 31st. Employees who retire after June 1, 2011 will be eligible to received this benefit at the end of the year in which retirement occurs.
Beginning 2012 and subsequent benefit years, you must be active on January 1st and active on December 31st.
HOW TO CLAIM REIMBURSEMENT
Each January send your co-pay receipts for the previous year to the Welfare Plan.Each receipt must contain your name and social security number on the back of the receipt.
To: AllESSEXCOUNTY UNION MEMBERS
If you are not currently in enrolled in I.B.E.W. Local 1158 Disability Program and would like To join open enrollment is January 1st.
If you are interested, please complete a Disability Authorization Form and return it to our office.
I.B.E.W. LOCAL 1158 BENEFIT LIMITS AND ELIGIBILITY SUMMARY FOR
UNION MEMBERS EMPLOYED BY
ELIGIBILITY EFFECTIVE DATE
Optical Plan- One month from date initiated into IBEW 1158 Union. Prescription Reimbursement Plan- In 2011 you must be active on June 1st and active on December 31st.Beginning 2012 and subsequent benefit years, you must be active on January 1st and active on December 31st.
Dental Plan-Three (3) months from the date initiated into IBEW 1158.
Disability- Member must agree to participate in this plan. Benefits are effective the 1st day of the month per one month of contribution are received by the fund.
Member Spouse and Children are covered for the following funds:
Dental Plan - $1,500. total family per benefit calendar year (MPY)
Optical Plan- Up to $ 55.00 for Exam per Claimant once per benefit year (MPY) Up to $225.00 for Glasses or Contacts per Claimant once per benefit year (MPY)
Prescription Benefit- 2011-$50.00 family per benefit calendar 2012-$100.00 family per benefit calendar MEMBER COVERED ONLY: Disability Plan - Up to $250.00 per week max of 26 weeks per disability.
MPY- MAX.PER BENEFIT YEAR
Please read I.B.E.W. Local 1158 Essex County Members Welfare Plan Fund Booklet for more information regarding the benefits listed above.
I.B.E.W Local 1158 1149 Bloomfield Ave • Clifton, New Jersey • United States 07012 Phone: 973-773-3336 • Fax: 973-773-1422 • firstname.lastname@example.org