Benefits
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Dental & Orthodontic Benefits
For Participants and Covered Dependents
Effective November 2002
Good dental care is an important part of staying healthy. The Trust Fund provides this comprehensive dental benefit to all employees, retirees and dependents enrolled in the Trust Fund.- Annual MaximumPPO: $2,000 per individual
Non-PPO: $2,000 per individual - Calendar Year DeductiblePPO: No deductible
Non-PPO: No deductible
- Coinsurance RatePPO: Plan pays 80% of UCR for diagnostic, preventive services, restorative services, prosthodontic services, oral surgery, periodontic and endodontic services.
Non-PPO: Plan pays 80% of UCR for diagnostic, preventive services, restorative services, prosthodontic services, oral surgery, periodontic and endodontic services. - Dentists Accepting Insurance as Payment in Full*
From: Gary D. Mauger, Secretary-Treasurer
Subject: Dental Care Providers
Updated: August 2008
The following dental care providers have agreed to accept Teamsters insurance as payment in full for services rendered for eligible union members and their dependents. When making an initial appointment, and before any treatment begins, have the provider verify that they, indeed, accept Teamsters insurance as payment in full for all services rendered. Should you encounter any difficulties with any of the providers, please notify Local 14 immediately. This document is not intended as an endorsement of any of the providers listed.
Michael Alterman, DDS
ABSOLUTE DENTAL
ABSOLUTE KIDS, INC.
8380 W.
(702) 388-8989
Michael Alterman,DDS
ABSOLUTE DENTAL
ABSOLUTE KIDS, INC.
9400 S. Eastern Ave.,
(702) 456-0009
Michael Alterman, DDS
ART DENTAL, INC.
(702) 804-8888
Charles W. Ashman, DDS
Andrew P. Shelton, DDS
Daniel J. Oehler, DMD
(702)363-0444
Liem Vu, DDS
SMILE BRITE DENTAL
(702) 248-2748
COMFORT CARE DENTAL GROUP
Scott Brown, DDS
Michael Stafford, DDS
Carol Rowe, DDS
(702) 384-4721
Ellen Piyevsky, DDS
7481
(702) 304-1234
Ellen Piyevsky, DDS
WIGWAM DENTAL CARE
(702) 617-3333
Dr. Matthew McGee
(702)360-4200
John Soumi, DDS
PECCOLE FAMILY DENTISTRY
(702) 242-4680
Ben Truong, DDS
ACCLAIM DENTAL
7260
(702) 562-8852
Ben Truong, DDS
AC DENTAL
1520 N. Eastern Ave. #105
(702)633-6339
NORTH POINTE DENTAL
(702) 515-7737
POINTE NORTH DENTAL
Raymond Kim, DDS
(702) 396-9924
John H. Hastings, DDS
(702) 646-2020
R.F.John Holtzen, DMD
Brendan G. Johnson DDS OMFS
(702) 360-8918
R.F. John Holtzen, DMD
Brendan G. Johnson,
DDS, OMFS
Stuite 125
(702) 433-4355
5 Locations
SmileCare
(702) 382-0380
SmileCare
(702) 990-2960
SmileCare
1420 E Highway 372
(775) 727-6647
SmileCare
(702) 948-7939
SmileCare
(702) 656-2301
Lee R. Turner, DDS.
Lee R. Turner, DDS
4358
(702) 735-9500
All Teeth R Us Family Dentistry
Dr. Sayed K. Raiyn
(702) 796-0009
Aloha Dental Care
Dr. Sayed K. Raiyn
3955
(702) 242-6777
- Diversified Dental Services, Inc.
Diversified Dental Services, Inc., is an independent Preferred Provider Organization (PPO) serving Nevada since 1995. Diversified Dental Services, Inc. contracts with dentists to provide their services at a discount from their normal fees. Clients receive dental services at discounted rates when they seek dental care from a PPO dentist.
Visit this website for a complete list of providers and services. - How the Dental Benefit Plan WorksThe dental benefit plan is a network plan. You may see any dentist you prefer, whether of on Diversified Dental Services providers list or not. This means the trust will pay only 80% of the rates contracted with Diversified Dental Services, Inc., any cost a dentist outside the Diversified Dental Services providers list may charge above these contracted rates you will be responsible for. When you see the dentist, you pay the dentist for the service (or make arrangements with the dentist for payment), and once you have paid the dentist, submit the receipt to the Fund Administrative Office with a claim form for reimbursement.
- Orthodontia Lifetime Maximum Benefit
PPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)
Non-PPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)
The Calendar Year and Lifetime Maximum Orthodontic Benefit that will be paid for a covered dependent child under age 19 for orthodontic treatment is shown in the Schedule of Benefits. (A covered dependent must have accumulated 9 full months of coverage prior to the commencement of orthodontic work.) The amount of benefits for Orthodontic Charges will be paid as follows:- $300 - banding
- $300 - first six months of adjustments
- $300 - second six months adjustments
- $300 - third six months of adjustments
- Orthopaedic Specialists of Nevada
Please note that effective OCTOBER 11, 2007, Orthopaedic Specialists of Nevada no longer participates in the Beech Street Provider Network. As a result, any routine services or follow up care receievd after this date wil be paid at the non-PPO level of benefits under the Teamsters Security Fund for Southern Nevada Plan. Emergency care rendered by this provider will continue to be paid at the PPO level.
Should you have any questions, please contact Zenith Administrators, Inc. at (702) 734-8601.
- Annual Maximum
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I.B.E.W. PLUS - Your Credit Union
"Serving Members Since 1952"
- Additional Products
- Direct Deposit
- Payroll Deposit
- ATM/Point of Sale Cards
- Check Guarantee/Point of Sale Cards
- Credit Life Insurance on Loans
- Credit Disability Insurance on Loans
- MemberCONNECT Supplemental Insurance
- Health Insurance
- Life Insurance
- Accidental Death and Dismemberment
- Additional Services
- Plus Phone Audio System
- Notary Service
- Wire Transfer (Incoming and Outgoing)
- Quick File Tax Return Service
- Travelers Checks
- Corporate Checks
- Money Orders
- Blue Books
- Federal Tax Deposits (TT&L)
- Credit Union Advantages
- Member Owned
- Low Minimum Deposit Required
- High Competitive Savings Yields
- Low Competitive Loan Rates
- Worldwide ATM Access
- Free Personalized Service
- Each Account Insured up to $500,000
- Full Service Financial Savings and Loan Programs
- Locations & Hours
Jones Branch
1900 South Jones Blvd.
Las Vegas, NV 89146
Winterwood Branch
5105 East Sahara Ave.
Las Vegas, NV 89142
Sunset Branch
1090 West Sunset Rd.
Henderson, NV 89014
Member Service Center
(702) 871-4746
Toll-Free (outside LV area)
(877) 871-4746
Plus Phone
(702) 871-4746 (press 1)
Lobby Hours
Mon - Fri: 9:00 am - 5:00 pm
Saturday: 9:00 am - 1:00 pmDrive Thru/Call Center Hours
Mon - Fri: 8:00 am - 6:00 pm
Saturday: 8:00 am - 2:00 pmClosed Sundays and for posted Holidays.
- Additional Products
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Life & Accidental Death & Dismemberment
The Trust Fund provides life and accidental death and dismemberment insurance to all active employees, and retirees who are not yet eligible for Medicare. Dependents of active employees (but not retirees) are covered by the life insurance policy. This benefit is underwritten and fully insured by a commercial insurance carrier.
- Benefits for Active Employees & Retirees Not Eligible for Medicare
- Death Benefit: $9,000
- Accidental Death & Dismemberment Benefits: $9,000
- Accidental loss of two limbs, two eyes, or one limb and one eye: $9,000
- Accidental loss of one limb, or one eye: $4,500
- Dependent Benefits - for Active Employees Only
- Death Benefit for Spouse: $1,000
- Death Benefit for Children Age 6 Months But Less Than 19 Years
(Or Until 26th Birthday If A Full Time Student): $1,000 - Death Benefit for Children Age 14 Days to Six Months: $250
- Submitting Claims for BenefitsIf you or your beneficiary(ies) have a claim from the plan, contact the Fund Administrative Office and they can provide you with the claim forms and help you complete the forms and answer any questions.
If your claim for a plan benefit is denied, you have the right to appeal the decision. The rules for appealing denied claims are described under Claims Appeal Procedure on page 61 of the Trust’s Summary Plan Description.
- Benefits for Active Employees & Retirees Not Eligible for Medicare
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Medical Plan Benefits*
Teamsters 14-995 Security Fund
Office Location
Zenith Insurance Administators
2250 S. Rancho,Suite 295
Las Vegas, NV 89102
Phone (702) 734-8601
Fax (7020 734-8619
- *The benefits listed are representative of those offered under Teamsters Local 14's Indemnity Plan. Please refer to the Summary Plan Description for the rules governing these benefits and the procedures that you must follow to obtain benefits.
- Ambulance ServicesGround Ambulance
PPO: $50 per trip co-payment
Non-PPO: $50 per trip co-payment
Air Ambulance
PPO: $50 per trip co-payment. Limited to a max of $7,500 once every two calendar years
Non-PPO: $50 per trip co-payment. Limited to a max of $7,500 over every two years. - Beech Street Corporation
"Celebrating over 50 years in the healthcare industry, Beech Street Corporation is dedicated to providing the latest, most technologically advanced products and services for healthcare consumers. We are focused on meeting the needs of our consumers, payors and providers by providing them with the customer service they deserve, and the quality of care they have come to expect."
Bill Hale
President & CEO
Beech Street Corporation
Visit this website for a complete list of options and services. - Chiropractic ServicesPPO: $15 per visit co-payment, $500 maximum per calendar year
Non-PPO: 50% UCR after deductible, $500 maximum per calendar year - Deductibles - Medical PlanCalendar Year
PPO: $250 per individual, max of $750 per family
Non-PPO: $1,000 per individual
This deductible is in addition to the per impatient admission deductible (listed below) and any co-payments for network services that may apply. The maximum annual deductible for network services can be satisfied by multiple family members and does not require that three (3) separate individual deductibles be met.
Inpatient Admission
PPO: $100 per admission
Non-PPO: $1,000 per admission - Dependent CoverageTeamsters Security Fund of Southern Nevada Local 14 is pleased to announce the following benefit enhancements effective January 1, 1999:
Members covered by the Trust who wish to have their grandchild(ren) covered may do so if they grandchild(ren) is deemed to be a dependent under the following criteria: The grandchild must be legally adopted or the grandparent appointed by the court as the legal guardian; and the grandchild must be principally dependent on the grandparent for support and live with the grandparent. - Emergency ServicesEmergency Room
PPO: $25 per visit co-payment
Non-PPO: 50% UCR after deductible
Emergency Room Doctor
PPO: $25 per visit co-payment
Non-PPO: 50% UCR after deductible
Urgent Care Facility
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible - Hearing AidsPPO: $50 per device co-payment, maximum of $600 per ear in a five-year period
Non-PPO: 50% UCR after deductible, maximum of $600 per ear in a five-year period - Home Health CareHome Visit
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
IV Therapy
PPO: $10 per visit co-payment. Limited to 40 visits per calendar year.
Non-PPO: 50% UCR after deductible. Limited to 40 visits per calendar year. - Hospice CareInpatient Care
PPO: $100 deductible per admit, 90% of next $5,000, then 100% thereafter
Non-PPO: $600 deductible per admit, 50% for next $5,000, then 100% of UCR thereafter
Outpatient Care
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Family Counseling
PPO: $20 per visit co-payment
Non-PPO: 50% UCR after deductible
Bereavement Counseling
PPO: $20 per visit co-payment
Non-PPO: 50% UCR after deductible - Hospital Inpatient ServicesHospital Admission Room & Board
PPO: $100 deductible per admit, 90% of next $5,000, then 100% thereafter
Non-PPO: $500 calendar year deductible plus $1,000 admit deductible, 50% of UCR with no out-of-pocket annual maximum
Routine Nursery Care
PPO: $100 deductible waived, 90% of first $5,000, then 100% thereafter
Non-PPO: Deductibles waived, 50% of UCR
Newborn Extended Stay
PPO: $100 deductible per admit, 90% of next $5,000, then 100%
Non-PPO: $250 calendar year deductible plus $600 per admit, 50% of UCR with no out-of-pocket annual maximum - Inpatient Physician CarePrimary Care Provider
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Specialist
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible - Inpatient/Out Surgical Services
In Doctor's Office
PPO: $15 co-payment
Non-PPO: 50% UCR after deductible
Outpatient Facility
PPO: $50 per visit co-payment
Non-PPO: 50% UCR after deductible - Lifetime Maximum Benefit Per IndividualPPO: $1,000,000.00
Non-PPO: $1,000,000.00 - Out of Pocket MaximumIndividual
PPO: $500 plus hospital deductible & applicable co-payments
Non-PPO: No limit on out of pocket maximum for non-ppo providers. Plan pays 50% of UCR after deductible
Family
PPO: $1,500 plus hospital deductible & applicable co-payments
Non-PPO: No limit on out of pocket maximum for non-ppo providers. Plan pays 50% of UCR after deductible - Physician Office VisitPrimary Care
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Specialist
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible - Pre-Admission TestingPPO: No co-payment
Non-PPO: 50% UCR after deductible - Pre-authorization RequiredMany services require pre-authorization from the Utilization Review Organization. When pre-authorization is not obtained when required, benefits payable by the Fund are reduced by 50%.
- Prepaid Health Plan Option or Indemnity Plan OptionWhen you become eligible for coverage for the first time, you must complete enrollment designating the Health Plan Option of your choice:
A. Prepaid Health Plan Option, or
B. Indemnity Plan Option
A. PREPAID HEALTH PLAN OPTION
If you select the Prepaid Health Plan Option, you and your eligible dependents will be provided hospital-medical care and prescription drug benefits under an agreement with Health Plan Nevada. Under this plan, you are required to use the doctors, medical clinics and hospitals which are a part of the Health Plan Nevada.
- Election to be Covered Under the Prepaid Health Plan
(Health Plan of Nevada)
If you live within the service area of Health Plan of Nevada, and you are otherwise eligible for coverage under the active Eligible Member Plan, you may elect to be covered under Health Plan of Nevada in lieu of being eligible for the Medical Expense Benefits described in this booklet. Even if you elect the prepaid health plan option, you will still be eligible for the Life, Accidental Death and Dismemberment, Dental, and Vision benefits, your dependents will still be eligible for Life, Dental and Vision benefits. - Rules for Electing and Revoking Election of Prepaid Health Plan Coverage
If you live within the service area of Health Plan of Nevada, you will have an opportunity annually to elect or revoke the prepaid health plan coverage.
B. INDEMNITY PLAN OPTION
The Indemnity Plan provides you with the greatest flexibility of provider selection. When you obtain covered medical services from a PPO Provider, you will receive greater benefits with lower out-of-pocket costs. In addition, you can obtain covered medical services from a Non-PPO Provider of your choice, but you will have higher out-of-pocket costs, and will be responsible for any changes in excess of what the Plan considers Usual, Customary and Reasonable (UCR).
PPO PROVIDER
PPO or contract providers are paid at a contracted rate schedule (CRS), which is the negotiated rate for Contract Providers. You will not be responsible for charges in excess of the discounted negotiated rate for medical services provided by a PPO Provider.
NON-PPO PROVIDER
Non-PPO or NON-Contract Providers are paid at USUAL, CUSTOMARY AND REASONABLE (UCR) rates, which are based on the fees most frequently made to the majority of patients for the same service or procedure. The charge must be within the range of charges most frequently made in the same or similar medical service area for the service or procedure as billed by other physicians. You will be responsible for charges in excess of what the Plan considers in excess of UCR. - Election to be Covered Under the Prepaid Health Plan
- Prosthetic & Orthopedic Device & Durable Medical EquipmentProsthetic & Orthopedic
PPO: $50 per device co-payment
Non-PPO: 50% UCR after deductible
Durable Medical Equipment
PPO: $50 per device co-payment
Non-PPO: 50% UCR after deductible
Medical Supplies
PPO: No co-payment
Non-PPO: 50% UCR after deductible
- Routine MammogramPPO: $15 per procedure, limited to once per calendar year
Non-PPO: 50% UCR after deductible - Short Term Rehab ServicesOutpatient
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible
Inpatient
PPO: $100 admit deductible, 90% of next $5,000, then 100%
Non-PPO: 50% UCR after deductible, $600 admit deductible, 50% of next $5,000, then 100%
Skilled Nursing Facility
PPO: 100% admit deductible, 90% of next $5,000, then 100%
Non-PPO: $600 admit deductible, 50% of next $5,000, then 100% - SterilizationTubal Ligation
PPO: $200 co-payment
Non-PPO: 50% UCR after deductible
Vasectomy
PPO: $100 per visit co-payment
Non-PPO: 50% UCR after deductible - Surgical ServicesSurgeon
PPO: $50 co-payment
Non-PPO: 50% UCR after deductible
Assistant Surgeon
PPO: No co-payment
Non-PPO: 50% UCR after deductible
Anesthesia Services
PPO: $100 co-payment
Non-PPO: 50% UCR after deductible
Obstetrical Care Physician
PPO: $100 co-payment
Non-PPO: 50% UCR after deductible - Temporomandibular Joint Treatment (TMJ)PPO: 50% of contracted rate up to a $4,000 lifetime maximum
Non-PPO: 50% UCR after deductible, not to exceed $4,000 lifetime - Well Baby CarePrimary Care: 0-12 months
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Specialists: 0-12 months
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible
- Ambulance Services
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Prescription Drug Benefits
For Participants and Covered Dependents
Effective April 1, 2003- About BenefitsThe prescription drug benefit is provided to help you pay for take home prescription drugs you purchase from a pharmacy or through mail order. To combat the escalating cost of prescription drugs, the Trustees have selected the RxAmerica network for prescription drug coverage. The prescription drug benefit will cover any drug that:
- Is prescribed by a licensed physician;
- Must be obtained by prescription;
- Has been approved by the Food and Drug Administration for general marketing by RxAmerica;
- Is dispensed bya licensed pharmacist.
When you enroll in the indemnity medical plan, you are automatically covered by this prescription drug benefit. If you are enrolled in the HMO, you will be covered under the HMO prescription drug benefit.
Generic - $8
Brand with no generic available - Formulary - $20
Brand with no generic available - Non-Formulary - $30
If brand name drug is dispensed when a generic exists, participant pays $8 generic payment, plus the difference in cost between brand name and generic.
Maintenance Drugs can be purchased through mail-order provider. A three month supply can be ordered for cost of one month of applicable payment, i.e. three months of a formulatory prescription would cost $20, etc. - Co-payment Schedule: Mail Order Pharmacy, 90-day limit(Do remember these costs are for a 90-day mail order supply of medications.)
- Network Pharmacy - Generic Drug: No co-payment
- Network Pharmacy - Brand Drug No Generic Available (formulary): $30
- Network Pharmacy - Brand Drug Generic Available (non-formulary): $60
- Non-Network Pharmacy: Not Covered
- Co-payment Schedule: Walk In Pharmacy, 30-day limit
- Network Pharmacy - Generic Drug: No co-payment
- Network Pharmacy - Brand Drug No Generic Available (formulary): 20% (minimum of $20) of the retail cost
- Network Pharmacy - Brand Drug Generic Available (non-formulary): 45% (minimum $45) of the retail cost
- Non Network Pharmacy: Not Covered
- Drug FormularyA drug formulary is a list of preferred medications published by the prescription drug network service provider, RxAmerica, which offers the best value without sacrificing quality of care. A formulary is developed and maintained by a panel of practicing pharmacists and physicians. This panel, called a Pharmacy & Therapeutics Committee, meets quarterly to review new drugs, and maintain the integrity of the formulary.
Studies show that the choice of the most appropriate drug through the use of a formulary results in fewer treatment failures, reduced hospitalizations, a fewer side effect. Efficient and effective use of a drug formulary helps to keep overall medical costs down. - Mail OrderThe prescription drug benefit has a convenient mail-order program through American Diversified Pharmacies (mail order provider through RxAmerica). You can receive a 90-day supply (rather than a 30-day supply) for one co-payment, i.e. three months of a formulatory prescription would cost $20, etc. This is particularly convenient when taking drugs on a regular, long-term basis, such as drugs for high blood pressure, arthritis or diabetes.
To order prescriptions by mail order, follow these steps:
- Ask your doctor to prescribe necessary medications for up to 90-days, plus refills.
- Complete the initial order form, which includes a patient information questionnaire with your first order only. This allows the mail order pharmacist to make sure you are not taking medications that could conflict with other medications or conditions you have. Be sure to answer all of the questions for yourself and your covered dependents. To obtain an initial order form and patient information questionnaire, call the Fund Administrative Office. Refills may be called into the mail-order pharmacy at 800-568-2155.
- Send the completed Patient Information Questionnaire and your original prescription(s) to American Diversified Pharmacies using the preaddressed order envelope. Enclose the appropriate co-payment.
- Refills may be called into the mail-order pharmacy at 800-568-2155, American Diversified Pharmacies (mail order provider through RxAmerica). RxAmerica Help Desk: 800-700-8014.
- On-Line Services
Refills may be ordered on-line.
Go to the American Diversified Pharmacies website. - RxAmerica
"As an industry leader, RxAmerica is dedicated to provide quality pharmacy benefits management services, improve the health of patients, and reduce costs for our clients.
RxAmerica has proven experience in successfully controlling the medical loss ratio associated with pharmaceutical care while delivering operational excellence, exceptional provider support and complete consumer satisfaction. ”
John Gardynik, President RxAmerica L.L.C.
Visit this website for more information on our services. - Walk In Network Pharmacy
Present your ID card to the participating pharmacy. Provided your name is included in the list of eligible participants in the prescription drug plan, you pay the applicable
co-payment. (If your name is not on the list, contact the Fund Administrative Office.)
The plan pays for prescriptions only when purchased at a network pharmacy. Here is a partial list of network pharmacies in Nevada:- Albertson’s
- Costco
- Longs
- Medicine Shoppe
- Safeway
- Sav-on
- Shopko
- Smith’s Food and Drug
- Vons
- Walgreen’s
- Rite Aid
Call the Fund Administrative Office at 702-734-8601 for a complete list of network pharmacies.
- About Benefits
-
United Labor Agency of Nevada (U.L.A.N.)
AFL-CIO Community Services
ULAN, a non-profit agency, is a joint venture of the Nevada AFL-CIO and the United Way.- AFL-CIO & United WayULAN is the only labor sponsored United Way funded community services agency in Nevada with special emphasis on assisting union members and their families.
ULAN provides various programs to assist union members and their families who have been victims of an accident, illness, layoff, disaster or any situation that has caused a hardship. These include information and referral to access existing community services such as counseling, education and training, food, shelter, clothing, financial, medical and legal aid. ULAN also provides emergency assistance, food baskets, clothing and household items and citizenship assistance. To receive assistance from ULAN, union members must be referred by their union. - Citizenship AssistanceThrough donations and fund-raising, ULAN is able to provide on-site emergency assistance to prevent homelessness, hunger, utility turn-offs, and to aid in obtaining health care needs, clothing, household items and employment fees.
- Contact UsUnited Labor Agency of Nevada (U.L.A.N.)
1201 N. Decatur Suite 106
Las Vegas, Nevada 89108
Phone: (702) 648-3500
Fax: (702) 648-3509 - Direct AssistanceThrough donations and fund-raising, ULAN is able to provide on-site emergency assistance to prevent homelessness, hunger, utility turn-offs, and to aid in obtaining health care needs, clothing, household items and employment fees.
- Holiday Food BasketsDuring the Thanksgiving and Christmas Holidays, ULAN provides special holiday foods to needy union members so they can prepare a nice holiday dinner for their families.
- How does ULAN work?When members of local unions and their families are referred to ULAN, they are interviewed by ULAN staff who will assess their needs. These needs are met by referrals to appropriate off-site agencies or through the direct assistance programs provided on-site by ULAN. All discussions held with the ULAN staff remain confidential. There is no fee for ULAN's assistance.
- ULAN ProgramsULAN locates available resources, prescreens for eligibility and makes referrals to appropriate human and health services. ULAN works with other non-profit, government and private agencies to facilitate potential solutions.
- AFL-CIO & United Way
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Vision Benefits
The Trust Fund provides vision benefits through Vision Service Plan (VSP). Vision Service Plan (VSP) provides eye exams, and, if your vision needs to be corrected, lenses and frames or contact lenses through their network of VSP Doctors who include licensed ophthalmologists, opticians and optometrists. The Trust Fund provides this vision benefit plan to all employees, retirees and dependents who are enrolled under the Trust Fund.
- Contact LensesMedically Necessary Contact Lenses
One pair every 12 months if necessary instead of frames and lenses
Elective Contact Lenses
$105 allowance for one pair every 12 months, if necessary instead of frames and lenses - Cost of Vision BenefitsWhen you or your enrolled dependents select a doctor from the VSP list, the vision benefit covers examination, professional services, lenses, and a wide selection of frames at no expense to you, except a $15 deductible. Copayments are to be paid to the VSP Doctor at the time of examination. Any additional care, services and/or materials not covered by the vision benefit may be arranged between you and your doctor.
- Deductible - Vision PlanPPO: $15 co-payment
- FramesPPO: 1 set every 24 months, if necessary.
Non-PPO: Up to $45 - How the Vision Plan WorksVSP has a network of vision care providers (ophthalmologists, optician and optometrists) from which you can choose. Follow these steps:
1. Obtain a list of VSP Doctors in the area from the Fund Administrative Office.
2. Select a VSP doctor from the list.
3. When you call to make an appointment inform the VSP Doctor that you are a VSP participant.
4. The VSP Doctor will contact Vision Service Plan for your eligibility status and a benefit form.
5. Pay the $5 copayment to the VSP Doctor when you receive the service.
6. Payment for any additional (non-covered) services can be arranged between you and your doctor.
- LensesSingle Vision, Bifocals, Trifocals, Lenticular
PPO: 1 pair every 24 months, if necessary.
Non-PPO: Up to $40 - Seeing Non-VSP ProvidersYou or your eligible dependents may obtain services from a non member optometrist, ophthalmologist or dispensing optician. You and your enrolled dependents that follow this course must still obtain a benefit form, which you can obtain from the Fund Administrative Office. You should pay the doctor his or her full fee. You will then be reimbursed by VSP according to the reimbursement schedule for non-providers provided in the full Summary Plan Description.
- Vision ExamPPO: 1 exam every 12 months by VSP provider
Non-PPO: Up to $40
- Contact Lenses