Health and Welfare - Plan Features and Documents

U.A. Local 350 Health & Welfare provides benefits for active and retired participants and their eligible dependents.  The Health & Welfare provides medical, dental, prescriptions, and vision benefits.

Trust Fund contact information
Benefit Plan Administrators
445 Apple Street
Reno, NV  89502
Phone:  (775) 826-7200

Notifications

• Retiree Benefit Increase - January 2019
•  Plan Changes February 2020
  
• Mental Health Clarification March 2020
  
• IRS Application for Favorable Determination Letter - August 2020
  
• 2020 Medicare Part D Creditable Coverage Notice - August 2020
  
• Summary of Benefits & Coverage 2020-2021
  
• OptumRx CommunicationSummary of Material Modification COVID-19 1/15/2021
  
• OptumRx "Refill Too Soon" Letter 3/2021
• Notice of Expiration of Temporary Plan Deadlines 3/2021
• COVID Vaccine for Age 16 and Older Letter 3/18/2021
• Glucose Monitor Letter 4/1/2021
  
• PPO Agreement Changes May 2021
• OptumRx Formulary Exclusions July 2021
• Medicare Part D Letter August 2021
  
• Summary of Benefits 9/1/2021-8/31/2021
• Summary Plan Description and Plan Document 10/2020
  
• Discount Drug Card Clarification Letter 2/23/2022
• Provider Changes 4/1/2022
• PPO Hospital Reminder 7/1/2022
• Provider Additions 7/1/2022
• Surprise Medical Bills Letter 8/2022
• Annual Notice & Reminders 8/2022
• 2022 Medicare Part D Creditable Coverage Notice 8/2022
• Notice of Investment Fund Change 9/22/2022
• Summary Annual Report 9/1/2020-8/31/2021
• National Pension Annual Funding Notice for 2022
• Optum Rx Premium Formulary Exclusions 2023
• Summary of Benefits & Coverage 2023
• PPO Updates April 2023
• Optum RX 2023 Premium Exclusions
  
• End of Public Health Emergency Period(COVID-19)
• PPO Additions and Deletions 7/1/2023
• Annual Notice & Reminders 7/2023
• Summary Annual Report as of 8/31/2022
• Summary of Benefits and Coverage 9/1/23-8/31/24
• PPO Updates 10/2023
• 2024 Premium Formulary Exclusions
• Cologuard is NOT a covered benefit
• PPO Updates 4/1/2024

Summary Material Modification Letters

• Summary of Material Modifications (SMM) and Modification to Summary of Benefits & Coverage (Updated February 2018)

Summary of Benefits and Coverage

•   PPO Directory 2021-2022  

Forms and Instructions

• Address Change Form
  
• Dental Claim Form
• Disability Application Form
• Health & Welfare Enrollment Form
• Medical and Rx Claim Form
• Accident Details Request Form
• Other Insurance Inquiry Form
• Retiree Subsidy Cobra Form
• Retiree $7,500.00 Medical Benefit