Find Answers to Frequently Asked Questions

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How do I initially become eligible?

A new employee will become eligible after 440 or more hours have accumulated within a 12-month period, provided at least 3 full calendar months have elapsed since the first credited hour of employment.

Associates: The same rules apply for associates but there are currently none on the Plan.

Is there an open enrollment period?

No.

Does the Administration Office process check stubs for eligibility?
No.
How do I continue eligibility?

The member must have at least 140 hours reported by an employer or have an hour bank of at least 140 hours.

Is there a Lag Month?

Yes. January hours gives March coverage.

Is there an hour/dollar bank? If yes, what is the maximum a member can retain in the bank?

Yes, there is an hour bank with a maximum of (5) months/839 hours.

I have lost eligibility, how soon can I be reinstated in order to not lose the remaining hours/dollars in my bank and have to go through initial eligibility again?

The member must return to work and become eligible for benefits within 12 months following the last date of active coverage. The bank hours will revert to the Trust on the first day of the 13th month and the member must reestablish initial eligibility. (Time on COBRA will hold the bank for re-instatement).

What coverage is available to active members?

Medical, Dental, Vision, Life insurance, AD&D and dependent life insurance.

When does coverage cease for ex-dependents of active members?

The last day of the month in which the terminating event occurs, both active and retired.

When does coverage cease for dependent children?

Age 26.

Do widows receive medical coverage?

Yes, upon an active member's death, coverage will continue through the end of the month following the month in which the hour bank totals less than 140 hours.

Upon the retiree's death, the surviving spouse and dependents may continue to self-pay for retiree coverage for up to 6 months.

Do active members have life insurance coverage?

Yes.

Who is our preferred provider organization (PPO)?

Aetna. Call (800) 370-4526 or visit www.aetna.com

Who do I contact for pre-authorization?

Aetna. Call (800) 370-4526.

How do I order an ID card?

Contact the Administration Office at (844) 811-6789, option 4 or via e-mail, click on the Contact Information tab above, then click on e-mail eligibility link.

How do I update my address or other personal information?
Contact the Administration Office at (844) 811-6789, option 4 or via e-mail, click on the Contact Information tab above, then click on e-mail eligibility link.
How do I add or remove a dependent?

Complete, print, sign and return an Enrollment Form to the Administration Office.

It is necessary to provide copies of documentation such as a marriage certificate, birth certificate, adoption decree, legal guardianship, and/or parenting plan if applicable. If removing a spouse, provide a copy of the divorce decree, decree of legal separation or death certificate. Additional documentation may be requested by the Administration Office.

Please do not send original documents, a photocopy is sufficient. If the document is two-sided or has multiple pages, be sure to copy all pages and both sides of the paper.

I don't have a copies of the necessary documentation?

If you do not have the necessary documentation, you will need to obtain that information in order to properly complete the Plan's verification request. For example, you may need to contact your county vital records department to obtain a birth certificate or marriage certificate, or you may need to contact the county courthouse for adoption or custodial orders for dependent children.

Washington State Department of Health – The Washington State Department of Health is responsible for issuing certified copies of vital records for events that occurred within the State of Washington.

Alaska Department of Health and Social Services – The Health Analytics & Vital Records Section is responsible for administering vital records for events that occurred within the State of Alaska.