Health Benefits
Employees eligible for benefits from the Health & Welfare Trust Fund can choose dental benefits provided by the Self-Funded Dental Plan, which is administered by Delta Dental of California, or the Met Life Pre-Paid Dental Plan.
For complete information about dental plan benefits, refer to the Health & Welfare Summary Plan Description.
Delta Dental Plan of California
(888) 335-8227
www.deltadentalins.com
(800) 880-1800
www.metlife.com
Most members who have health coverage through the Stationary Engineers Local 39 Health and Welfare Plan also have Life Insurance and Accidental Death and Dismemberment (AD&D) benefits. Some Collective Bargaining Agreements, however, do not provide for these benefits. You should check with the Administrative Office to confirm whether you have these benefits.
Life Insurance provides coverage to your beneficiary in the event of your death. AD&D pays the full benefit amount to your beneficiary in case of accidental death; a partial benefit is paid to you for certain covered losses. Benefits from AD&D are payable in addition to benefits from life insurance.
The Plan also provides you with benefits in the event of the death of an insured Dependent.
Active Employees under age 70 are generally covered in the amount of 500 times their monthly dues rates, up to a maximum of $75,000. Some members have different amounts of coverage, or no coverage as specified by their Collective Bargaining Agreements.
Active Employees age 70 and over are generally covered at $2,000. Coverage terminates upon retirement.
Designating a Beneficiary
You name anyone you wish as your beneficiary. Beneficiary designations are kept on file in the Administrative Office. You may request a change of beneficiary at any time. The latest signed and dated beneficiary form on file will be the one honored in the event of your death. Your beneficiary should contact the Administrative Office in the event of your death for assistance in claiming benefits.
If you do not designate a beneficiary or if your beneficiary does not outlive you, the amount of the life insurance benefit will be payable as follows:
Beneficiary Designation Form
Employees eligible for benefits from the Health & Welfare Trust Fund can choose comprehensive medical benefits coverage through three medical network providers:
The comprehensive Self-Funded Medical Benefits Plan, which features the Anthem Blue Cross Blue Card PPO and prescription drugs through Caremark, or the Kaiser Permanente or Anthem HMO Plans with which the Health & Welfare Trust Fund contracts. You must live or work in the HMO service area in order to have HMO Coverage.
For complete information about health plan benefits, refer to the Health & Welfare Summary Plan Description.
Summary of Benefits & Coverage
(800) 810-BLUE
www.anthem.com/ca
www.bluecares.com
Directory of Providers www.bluecares.com
Provided if you live in a Kaiser Permanent service area.
Summary of Benefits & Coverage - Actives
Summary of Benefits & Coverage - Early Retirees
(800) 464-4000
1 800 788-0616 (Spanish)
https://thrive.kaiserpermanente.org
1-855-256-9404
www.bsca.com
Network Providers www.blueshieldca.com/fad
For members in the comprehensive Self-Funded Medical Benefits Plan, your prescription drug coverage is offered through OptumRx.
For members in the Kaiser Permanente and Blue Shield options, your prescription coverage is offered through your HMO.
(855)-295-9140
https://www2.optumrx.com/
Member Services (800) 227-3670
Pharmacy Services (800) 824-0898
The Plan provides self-pay retiree medical and prescription drug coverage for yourself and your eligible Dependents if you are eligible for retiree benefits and not eligible for Medicare. Dental, vision and life insurance coverage are not offered to retirees through this Plan.
This program allows you to self-pay for continuing health coverage through an HMO option under the Plan until you are eligible for Medicare. The health plans currently offered are Kaiser and Anthem HMOs. A Self-Funded plan will only be offered if you live outside of Kaiser’s and Anthem’s service areas.
Note: The effective date of your Retiree health benefits will be the commencement date of your first pension check.
The retiree program should not be construed as a promised or vested benefit. The Trustees reserve the right to modify or eliminate the program at any time.
For members enrolled in the Comprehensive Self-Funded Medical Plan or Blue Shield HMO, you and your eligible dependents can participate in the Vision Care Plan provided through EyeMed.
For members enrolled in the Kaiser Permanente medical plan, you will receive vision benefits through Kaiser.
(866) 804-0982
https://www.eyemed.com/en-us
