EIT Benefit Funds (“The Fund”) provides benefits for you and
your eligible dependents under the Electrical Insurance
Trustees Health & Welfare Plan for Office and
Miscellaneous Employees
(“The Plan”). Benefits under The Plan are available to Local
134 members who work for contributing employers and meet the
eligibility requirements of The Plan.
The
2008 Summary Plan Description (“SPD”) describes the benefits
available to you once you become eligible to participate in
The Plan. The SPD includes information about how you become
eligible for Health & Welfare Benefits; how you keep your
benefits and what type of benefits are provided under The
Plan.
Periodically, The Plan makes changes to these benefits; you
are notified of these changes by mail, in the form of the
“Benefits Update”. It is important to not only refer to the
SPD, but also the Benefits Update to ensure you are looking
at the most current information.
Consider the SPD and Benefits Updates to be your primary
resource for your benefits and eligibility questions. If you
have questions about information in the SPD or any of the
Benefits Updates, please contact either the claims
administrator (BCBSIL, CVS Caremark, CIGNA, Etc.), or call
the Fund Office.
Benefit Update - June 2023
• End of COVID-19 Emergency Periods
Benefit Update - January 2017
• Behavioral Health Provider Change
• MAP Provider Change
• Prescription Drug Changes
• Copays
• Generic Substitution
• Maintenance Choice
• Exclusive Specialty Pharmacy
• Specialty Preferred Drug Strategy
Benefit Update - June 2016
• When Coverage Ends
Benefit Update - July 2015
• Prescription Drug In-Network, Out-of- Pocket Maximum
• Definition of Essential Health Benefits
Benefit Update - October 2014
• Definition of Spouse
• Changes to Covered Provider Requirements
• Copayment & Coinsurance
• Maximum Annual Benefit Limit
• Occupational, Physical & Speech Therapy Benefit Maximums
• Chiropractic & Napropathic Benefit Maximum
• Acupuncture Benefit Maximum
• Pediatric Hearing Aids, Orthodontia & Vision
Benefit Update - October 2011
• Fraudulent Conduct Benefit Offset Policy
Benefit Update - May 2011
• Definition of Dependent Child
• Out-of-Network Emergency Care
• Life-time Dollar Limit
• Certain Preventative Services Covered Without Cost Sharing
• Breast Reconstruction After Mastectomy
• In/Out-of Network Vision Exams for Dependent Children
• In/Out-of-Network Dental Expenses for Dependent Children
• Claims & Appeals Procedures
Plan Change - November 2010
• Annual Deductible
• Out-of-Pocket Maximum
• Office Visit Copays
• Prescription Drug Copays
• Hearing Aids Limits
• Vision Exam Copay
• Dependent Coverage Eligibility after Retirement
• Medicare-Eligible Claims
• Application for Short-Term Disability Benefits
Benefit Update - September 2010
• Behavioral Health & Substance Abuse Benefits
Benefit Update - January 1, 2008
• Chiropractic & Napropathic Benefit Maximums
• Occupational, Physical & Speech Therapy Benefit Maximums
• Prescription Drug Copays
• Dental Benefits
Summary Plan Description - 2008
Summary of Benefits Coverage (SBC)
& Uniform Glossary:
|