Welfare Fund Plan Features & Documents
Welcome to the Plumbers Local Union No. 1 Welfare Fund Plan Features and Documents. The following are the Plan Documents:
Welfare Fund SMM#1 - January 2021
Welfare Fund Summary Plan Description - June 2020
Welfare Fund Summary Plan Description MES Helper - June 2020
Summary of Benefits and Coverage (SBC) - Active
Summary of Benefits and Coverage (SBC) - MES Helper
Privacy Notice
Surprise Billing Rights Notice
Link to Anthem BCBS Network Provider Directories https://www.anthembluecross.com
Link to Optum Network Provider Directories https://www.liveandworkwell.com/
You will need Adobe Acrobat Reader to view the above forms. If you do not have Acrobat Reader installed, you may download it here.
No Surprises Act and the Federal Transparency in Coverage:
This Plan is required to provide certain information on its website pursuant to the No Surprises Act and the Federal Transparency in Coverage Final Rule published in the Federal Register on November 12, 2020.
Below please find a link, maintained by the Plan’s third part administrator Empire, to an internet-based self-service tool on its website. This tool is intended to provide participants access to the Plan’s prices charged by the provider, contracted or negotiated rates, consumer cost-sharing obligations and other information. You can use this information before receiving care to compare prices and better estimate potential out-of-pocket costs. You will need to login to the Empire portal to use this tool. Please contact Empire at the number on the back of your card for further information on how to use this tool.
https://www.anthembluecross.com
You may receive this information in paper form, upon request. For more information, please contact the Fund Office or visit https://www.cms.gov/healthplan-price-transparency/consumers
