Most Frequently Asked Questions and their answers
Please call 1-800-527- 4613 and ask for our Benefits Information Center (BIC). A customer service representative will verify your eligibility status.
Contact First Health Network at www.firsthealth.com or call toll-free 1-888-685-7774 from anywhere in the USA.
Contact Blue Cross of California at www.bluecross.com or call toll-free 1-800-688-3828 from anywhere in the USA.
For covered medical please refer to the summary of benefits - for dental refer to the dental fee schedule.
Please allow six to eight weeks from date of service before contacting the Claims department for status; otherwise you may contact customer service at 1-800-527-4613.
No, but pre-certification is mandatory. Please have your provider or the hospital contact First Health Network at 1-800-247-2898 if you not a resident of California, or contact Blue Cross at 1-800-688-3828 to pre-certify an in-patient hospital stay. Pre-authorization is required for some surgeries, such as breast, nasal, eye lid and stomach. Please contact the Claims department for instructions on how to obtain pre-authorization. Surgery should not be scheduled before authorization is completed.
If you are on the Ironworkers Fee-For-Service medical plan, all prescription drug benefits are paid by Envision Rx Options pharmacy program through a walk-in contracting pharmacy or you may use the Orchard mail order program. Some prescriptions require a letter of medical necessity. The letter from your doctor should be faxed to Trust Office at 1-626-792-7667 with the prescription written by the physician. Be sure the member's social security number is on the letter.
Yes, members eligible under the Fee-For-Service plan, Health Net, and PacifiCare are covered by VSP or Spectera; you may contact VSP by phone at 1-800-877-7195 or www.vsp.com, and Spectera by phone 1-800-839-3242 or www.spectera.com to verify benefits and locate a VSP doctor near you. Members enrolled in Kaiser are covered by the group, please call or contact their member service department for more information.
Please call 1-800-527-4613 to speak to a claims department customer service examiner for a response to your question.
If you are an active Ironworker your address can only be changed by completing an address change card. If you are a retired ironworker, please advise us in writing.
A vacation application form must be filed with the Trust Fund Office.
No. Vacation checks are disbursed quarterly.
Yes, federal statutory law states creditors may reach vacation funds at the time of a payout.
No! The post office no longer forwards your mail because of the return service requested.
Mail a copy of your check stubs to the Trust Fund Office.
| WORK PERFORMED |
CHECKS DISBURSED |
| September/October/November |
February |
| December/January/February |
May |
| March/April/May |
August |
| June/July/August |
November |
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