Health Fund Information

To enroll your spouse for coverage under the Plan, submit a completed Information Verification Form along with a copy of the marriage certificate to the Fund Office. Make sure to include all dependents on the form or it will not be accepted.

To enroll your dependent child for coverage under the Plan, submit a completed Dependent Child Enrollment Form or Information Verification Form along with a copy of the birth certificate or adoption papers to the Fund Office. If you are not married to your child’s birth mother/father, then you would also need to complete a Dependent Affidavit Form, and submit it to the Fund Office with any supporting documents.

Submit an Application for Disability Hours Form to the Fund Office. If you are disabled on Workers Compensation, you must submit Proof of Compensation and be unable to engage in any occupation or employment for wage or profit.

The Summary Plan Description is the document that details the benefits of the health plan. The SPD will provide information about the health plan such as the applicable co-insurance amounts, deductible amounts, and out of pocket maximums.

To update your other insurance information, submit a completed Information Verification Form. You may complete the form, by clicking the link. Make sure to list all eligible dependents, whether they are covered under the other insurance or not, or it will not be accepted.

If your other coverage has terminated, we will need a copy of the Certificate of Creditable Coverage (COCC) sent to you by the other insurance company. You can mail or email the Certificate to the Fund Office.

You or your spouse must notify the Plan and mail a fully executed copy of your divorce decree to the Fund Office. Once the Plan receives the divorce decree, your former spouse’s coverage will be terminated as of the end of the month of your divorce. You may also want to submit an updated Beneficiary Designation Card, which you can request by contacting the Fund Office.

If you meet certain criteria defined in the Welfare Summary Plan Description you and your family may be eligible to participate in the regular retiree plan or retiree Medicare supplement plan. Please contact the Fund Office for your retiree options for continuing health coverage.

If you have any questions about your eligibility, benefits or claims, contact the Fund Office at (816) 756-3313 Toll Free: (866) 756-3313. If you have any questions about Union membership or related matters, contact your Local Union.