Plans
Medical
About Your Medical Plan Options
NEW HIRES are limited to enrollment in the Anthem PPO Medical Plans during your first 18 months of Coverage. There are two options to choose from: The Basic Plan and the Enhanced Plan. New Hires are also limited to enrollment in the United Healthcare DHMO Dental Plan during your first 36 months of Coverage under the Plan.
After 18 months of coverage under the Plan, you may enroll in the Kaiser HMO Medical Plan option, and after 36 months of coverage under the Plan, you may enroll in the Anthem PPO Dental Plan option.
For a complete description, Continue Reading
- Comparison of Medical Plans
- Anthem Basic Indemnity SBC
- Anthem Enhanced Indemnity SBC
- Kaiser Permanente DHMO SBC
- Kaiser Evidence of Coverage
Contact Information:
Anthem Blue Cross Website
1-800-274-7767
Kaiser Permanente Website
1-800-464-4000 (English)
1-800-788-0616 (Spanish)
LiveHealth Online (Telemedicine)
LiveHealth Online is a telemedicine program that gives you and your eligible dependents 24/7/365 access to quality medical care through video consultations. LiveHealth Online Doctors are U.S. board-certified Doctors and pediatricians who have practiced medicine with an average of fifteen (15) years’ experience and who are specially trained for online consultations. With LiveHealth Online, you have the ability to access convenient quality health care without making a copay or being subject to the deductible. You should use LiveHealth Online for the following circumstances:
- Colds, sore throats, flu, allergies, infections, or nutrition advice
- If you are considering the emergency room or urgent care center for a non-emergency issue
- If you are sick on vacation, a business trip, or away from home (domestic only)
- For short-term prescriptions or refills, when appropriate Please note that LiveHealth Online is not intended for medical emergencies. For life threatening medical emergencies go to a hospital emergency room, or an urgent care facility if your condition is not life threatening and immediate intervention is not necessary.
To access the program, simply log on to the website and follow the simple steps. You will need your Anthem Blue Cross ID number from your ID card when creating your account.
- Anthem Live Health Online (Telemedicine)
- How to Register
Contact Information
LiveHealth Website
1-866-670-1565 (24/7 Nurse line – phone service only)
Prescription Drug
About Your Prescription Drug Benefits
Participants that are enrolled in either the PPO Medical Plan or the Kaiser HMO Plan are eligible for prescription drug benefits available in two convenient ways; either through the Retail Pharmacy Card Program or the Mail Order Program.
Both programs are administered by OptumRx. You can contact OptumRx directly for information about participating pharmacies, mail-order prescriptions and to order refills.
Summary of Prescription Drug Benefits
For a complete description, Continue Reading
Contact Information
OptumRX Website
(800) 797-9791
Dental
About Your Dental Care Program
Participants of the PPO Medical Plan and the Kaiser HMO Plan are eligible for dental benefits under one of the two following plans:
- UnitedHealthcare Dental Option
(UnitedHealthcare is a prepaid dental plan that works like an HMO)
- Anthem Dental PPO Plan Option
Newly hired Employees and their Dependents are limited to the UnitedHealthcare Dental Option for the first three (3) years of coverage in the Fund.
Optional Dental Benefits
The Plan allows you to opt out of Dental coverage. However, the cost of coverage remains the same whether you remain in the Dental Plan or opt out of these benefits, so there is no financial advantage to you to opt out. To opt out, you need to request the form from the Fund Office. Please call the Fund Office at (855) 690-7250 if you have questions regarding this election.
For a complete description, Continue Reading
Contact Information
Anthem Blue Cross Website
1-800-274-7767
United Healthcare Website
1-877-816-3596
Vision
About Your Vision Care Benefits
This section applies only to Employees who are enrolled in the PPO Medical Plan. If you are enrolled in the Kaiser HMO Plan, eye exams, lenses and frames are provided by Kaiser. Kaiser HMO participants can also obtain lenses and frames from VSP, but the cost for the lenses and frames will only be reimbursed under the Non-VSP Provider Schedule.
If you are enrolled in the PPO Medical Plan, the Fund has an agreement with VSP Vision Care to provide vision benefits to you and your eligible dependents. Under this agreement, you can use any provider you wish. However, if you use a VSP provider, you may receive higher benefits and they automatically file claims for you.
Optional Vision Benefits
The Plan allows you to opt out of Vision coverage. However, the cost of coverage remains the same whether you remain in the Dental Plan or opt out of these benefits, so there is no financial advantage to you to opt out. To opt out, you need to request the form from the Fund Office. Please call the Fund Office at (855) 690-7250 if you have questions regarding this election.
For a complete description, Continue Reading
Contact Information
VSP Website
1-800-877-7195
Teamsters Assistance Program (TAP)
About Your Substance Abuse Benefits
Substance abuse benefits for all Plan participants (in both the PPO Medical Plan and Kaiser HMO Plan) are provided through the Teamsters Assistance Program (TAP).
TAP is a consultation and referral program established to provide assessment, referral for treatment and counseling for substance abuse problems.
The TAP counselor will either schedule an appointment for you or direct you to the most appropriate health care professional in their pre-screened network for additional assistance or treatment.
If you are referred to another resource, the TAP counselor will monitor the services you receive to be sure you are getting the help you need.
After you have completed a treatment or rehabilitation program, your TAP counselor will work with your primary counselor to be sure you are connected with all of the Teamsters’ support services including aftercare meetings, fellowship activities, volunteer support and special education classes.
For a complete description, Continue Reading
Contact Information
TAP Website
If you live in the San Francisco Bay Area, contact TAP by calling (510) 562-3600
If you are outside the San Francisco Bay Area, call (800) 253-TEAM
Death and AD&D
About Your Death Benefits
If you, as the Employee, die while you are covered under the Plan, your designated beneficiary will be entitled to a death benefit of $5,000.
If you have not designated a beneficiary upon your death or if your designated beneficiary dies before you do, your next of kin will be entitled to the entire death benefit. Your next of kin is determined by the following order:
- Your lawful spouse at the time of your death
- Children (including legally adopted children)
- Parents
- Brothers and Sisters
- Executor or Administrator
If two or more persons are entitled to a death benefit, the benefit will be divided in equal parts between or among them.
If you divorce and your ex-spouse is listed as your beneficiary, that designation will be automatically revoked as of the effective date of your divorce, and your designated beneficiary will be determined under the next-of-kin rules described above, unless you submit a new beneficiary designation.
You may change your beneficiary at any time by filing the required form with the Fund Office.
Any claim for an employee death benefit, a disability death benefit, or a dependent death benefit must be received no more than one (1) year from the date of death.
For a complete description, Continue Reading
Contact Information
Health Services & Benefit Administrators
4160 Dublin Blvd, Suite 400
Dublin, CA 94568
Attn: NCSD
855-690-7250