Once on the program, participants will be able to remain on the program until reaching Medicare age. Participants enrolled in the Early Retiree Health Benefits Program will make self-payments to the Trust at the same rate and benefits as their prior COBRA coverage and will have coverage under this program up to the month before they turn age 65, consistent with Medicare’s enrollment rules. have exhausted their continuation coverage under COBRA (18 months).have at least twenty (20) years of service or the equivalent number of months (240) as a participant in the UNITE HERE Northwest Health Trust Fund UNITE HERE is a union that represents workers in the hospitality industry and health care sector. Under the program, Trust participants who meet the following requirements will be eligible to enroll in the Early Retiree Health Benefits Program: To help you bridge the gap between early retirement and Medicare, the Trustees have implemented an Early Retiree Health Benefits Program to ensure you will have access to the same Trust health coverage you have come to rely on. Despite good planning, if you retire early, you may have gap years, which could result in a scramble to find affordable, quality health care coverage until you are eligible for Medicare at age 65. These forms can be found by clicking on the Forms section of the web site, or by calling the Administrative Office.Retiring before age 65? You may be planning to retire early or you may need to retire earlier than anticipated. Located in the same building as your Fund and union offices, the Health Center gives you exclusive access to primary care, convenient care, and pharmacy services. Delta Dental and Liberty Dental also has a separate enrollment form that must be completed for dental plan enrollment. The UNITE HERE HEALTH - Health Center is a medical practice just for you eligible Local 1 and 450 union members and your adult dependents. An additional enrollment form is required for participants that select the Martin Luther King Community Healthcare Plan, Kaiser Medical Plan or Health Net plans. Life Insurance benefits are provided by the Trust Fund.Īll eligible participants must complete the Funds Medical Choice Enrollment Form in order to select their medical plan option and enroll their dependents. Prescription coverage is provided by Express Scripts. Dental coverage is provided by Delta Dental or Liberty Dental. Eligible participants have the choice to enroll in one of the three medical plan options, Martin Luther King Community Healthcare Plan, Kaiser or Health Net. Once a participant establishes eligibility for benefits in accordance with the eligibility rules of the Santa Monica UNITE HERE Health Benefit Fund they are entitled to Medical, Prescription Drug, Dental and Life Insurance coverage. The Trust Fund has contracts with the medical, prescription drug and dental providers to provide services to eligible participants of the Trust Fund. The Trust Fund is not an insurance company. The Board of Trustees has the exclusive right, power and authority, in their discretion, to administer, apply, interpret and /or terminate any provision of the Fund. The eligibility rules and benefits are established and determined by the Board of Trustees of the Fund. Box 6020 Aurora, IL 60598-0020 When to call for Prior Authorization Medical Management Review is a mandatory program requiring prior authorization and review of certain treatments and procedures. The funding of the benefits provided by the Santa Monica UNITE HERE Health Benefit Fund are established through Collective Bargaining between your Union and Employer. Electronic claims payer ID code: UNITE Claims address: UNITE HERE HEALTH P.O. The Santa Monica UNITE HERE Health Benefit Fund was established in 1953 and has served to provide benefits to participants and their family's for decades.
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