Active Employees

Family Health Benefits

Active Participants & H Plan Employees

Prior to the start of your eligibility, you will be sent notification from the Fund Office as well as more detailed information regarding the benefits summarized below. These benefits are available for you and your family when medically necessary and not the result of a work related accident.

This chart contains information on the benefits available for your work classification. If you are self-paying for your coverage due to disability or unemployment or are on COBRA, refer to the Summary Plan Description (SPD) for the benefits available to you and your eligible family members. Certain restrictions, limits, pre-authorizations, deductibles and co-pays apply. Refer to the SPD for details. If there is a discrepancy between the SPD and the Plan Document, the Plan Document governs.

Click here if you wish to see the benefits available to your covered spouse and eligible dependent children.

	Active Electrical Worker	Office Worker (Non-Bargaining Unit Employee)	H Plan Employees
Requirements	135 hours/payroll month	Covered once you work 60 or more hours in a month	135 hours/payroll month Must be working under the CROP agreement
Medical (office visits, doctor charges, etc.)	X	X	X Through UnitedHealthcare Choice Plus Network Only
Well Woman	X	X	X Through UnitedHealthcare Choice Plus Network Only
Routine Physicals	X	X	X Through UnitedHealthcare Choice Plus Network Only
Lab & X-rays	X	X	X Through UnitedHealthcare Choice Plus Network Only
Chiropractic care, physical therapy, occupational therapy, & speech therapy	X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418	X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418	X Through UnitedHealthcare Choice Plus Network Only Contact OneNet for Pre-Notification 1-800-850-1418
Hospitalization & Surgery	X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418	X Contact UnitedHealthcare for Pre-Notification 1-800-850-1418	X Through UnitedHealthcare Choice Plus Network Only Contact UnitedHealthcare for Pre-Notification 1-800-850-1418
Maternity & Gynecological Care	X Maternity benefits not available to dependent children	X Maternity benefits not available to dependent children	X Maternity benefits not available to dependent children Through UnitedHealthcare Choice Plus Network Only
Emergency Room	X	X	X
Employee Assistance Plan (Business Health Services)	X	X	X
Substance Abuse & Mental Health	X Contact Business Health Services for Pre-Certification 1-800-765-EAPS	X Contact Business Health Services for Pre-Certification 1-800-765-EAPS	X Through EAP Only 1-800-765-3277
Prescription Drugs	X	X	N/A
Dental	X	X	Effective 1/1/04
Vision	X	X	N/A
Hearing	X	X	X
Death	X	X	N/A
Accidental Dismemberment & Loss of Sight	X	X	N/A
Weekly Accident & Sickness	X	X	N/A
Supplemental Occupational Benefit	X	X	N/A