ANTHEM CYBER ATTACK 
                        ANTHEM LETTER (CLICK HERE)
2/12/15 Update - Anthem has indicated they will be providing credit monitoring and other identity theft protections free of charge for two years for everyone in the database.  Anyone who has been covered by Anthem within the past ten years will be eligible for such protections.  However, the law requires that individuals must activate your own "credit monitoring' service youself.  The "identity theft" protection portion will be available without requiring sign up.  The identity protections offered will be retroactive to the first date of the breach.

The information on how to enrol in the "credit monitoring" / "identity theft" protections will be available at www.anthemfacts.com on February 13, 2015. Anthem will also be sending infomration on this to you in the mail.

            Click here for more information on the Credit Monitoring Services
                             Click here for the most recent Anthem news

Members who may have been impacted by the cyber attack against Anthem, should be aware of scam email campaigns targeting current and former Anthem members. These scams, designed to capture personal information (known as "phishing") are designed to appear as if they are from Anthem and the emails include a "click here" link for credit monitoring.
These emails are NOT from Anthem.
While Anthem may send you an email regarding the breach, it will not ask you to click on any links or provide any information.  

                                         Click Here for FAQ

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NEW OFFICE HOURS EFFECTIVE 1/1/15

MONDAY - FRIDAY 8:00AM to 4:30PM
The Fund Office will be opened until 6:00pm on the first Wednesday of each month (Union Meeting Night)
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ON-LINE ENROLLMENT FORM
(Click Link Below for Annual Enrollment Form)

ANNUAL ENROLLMENT FORM (AEF)

New Insurance Cards were mailed to all Participants (except Medicare Primary) effective November 1, 2014.  Please discard your old card and begin using your new card immediately.

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NEW ALTERNATIVE SELF-PAYMENT RATE INCREASE EFFECTIVE FEBRUARY 1, 2015 = $615.00 PER MONTH or $6.15 PER HOUR.  Old rate = $595.00 per month or $5.95 per hour.



 RECIPROCAL POLICY effective July 1, 2014 (Click Here)

Pension Reciprocal Listing by Local Union Number (click here)
B = Defined Benefit
C = Defined Contribution


NEW PRE-CERTIFICATION AND UTILIZATION MANAGEMENT PROVIDER EFFECTIVE NOVEMBER 1, 2014 IS HEALTHLINK
1-877-284-0102


 IBEW #481 Defined Contribution Plan & Trust

Terminated Vested Participant Application
 Click Here

You will need to provide the following documents:

A copy of your Birth Certificate
A copy of your Marriage Certificate (if applicable)
A copy of your Divorce Decree (if applicable)
A copy of your Employment Termination Slip

Revised Termianted Participant Rules Effective August 1, 2014
Click Here


Participant Distributions are paid in 2 separate payments.  The first payment will be approximately 90% of your last know account balance and will be paid within 10 business day following receipt of your approved application.  The second payment (the remaining balance) will arrive approximately 60 days from the end of the quarter in which your first payment was issued.  The quarters end March 31st, June 30th, September 30th, and December 31st.



Effective January 1, 2008 the Trustees established a Health Reimbursement Account (HRA). To view the HRA policy, please visit the "Summary Plan Description - Benefit Fund Summary of Material Modifications" below.  The current employer contribution rate to your individual HRA account is $0.50 per hour.  These monies can be used for certain expenses, as allowed by law.  
Click here to view IRS Publication 502 for a list of  includible and not includible expenses.  Claims on the HRA account must be filed within 6 months of the date the expense was incurred. Eligible claims must total a minimum of $25.00 per person.

H.R.A. Forfeiture Rules (click here)
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ALL ELIGIBLE RETIREMENTS REQUIRE THE FOLLOWING ITEMS:
1.  Your birth certificate
2.  Your spouse's birth certificate (if applicable)
3.  Your marriage certificate (if applicable)
4.  Your divorce decree (if applicable)
5.  Your employment termination slip
 
6.  A severance of employment for a minimum of 30 days

Please contact Bob Cadwell at (317) 923-4577, ext. 200 for an individual retirement planning appointment.
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Benefits Online Links:
Benefits Login
For your first time login, you will be required to have your Social Security number for the ID (do not use the dashes. ie: 123456789) and use GEN4681 as the password. Follow the on-screen instructions to complete your sign in process.


IBEW #481 Defined Contriubiton Plan Earning Rates
 
Summary Plan Descriptions(SPD):

Benefit Fund  (revised 1/1/2012)
Benefit Fund Amendments

Construction Electricians (CE) Benefit Fund

Pension Fund  (revised 7/1/2012)
Pension Fund Amendments

Defined Contribution Plan  (revised 8/2014) 


Forms and Information: 

Designation of Beneficiary Form HIPAA Privacy Notice
 
Participant Data Card Claim Form
 
Claim Appeal Procedure Loss of Time Statement
 
Annual Enrollment Form (PDF Version) Subrogation Agreement Form
 
Change of Address Form HIPAA Authorization Form
 
Loss-of-Time Tax Form Eligibility Requirements Chart
 
Dental Preferred Providers Suspension of Pension Benefit Application
 
HRA Claim Form - PAY PROVIDER  Direct Deposit Form
   
Health Reimbursement Account (HRA) Claim Form Summary of Death Benefits
 

H.R.A. Claim Form (PDF version) 

Retiree Return to Employment Form

C.H.I.P. Notice 


Tax Withholding Form - Pension 

MPPP Retirement Application

 Affidavit

New Healthcare Marketplaces (Exchanges)

 2015 SBC Mailing - includes AEF

Reciprocal Forms Vision Fee Schedule

 Additional Links:

Anthem

Prescription Benefit Manager: SAV-RX Site

United Health Care

ProCare Network

E.R.T.S. (Electronic Reciprocity Transfer System)

Health Reimbursement Account (HRA) Publication 502 Regulations

YMCA OF GREATER INDIANAPOLIS http://www.indymca.org/
 

 

ELECTRICAL WORKERS FRINGE BENEFIT
ADMINISTRATIVE OFFICE

Robert G. Cadwell, Administrative Manager
1828 N. Meridian Street, Suite 103
Indianapolis, IN  46202

(317) 923-4577
Fax: (317) 923-7633

email: info@ewbtf.org

Office Hours:
Monday - Friday = 8:00 A.M. to 4:30 P.M.

The First Wednesday of each month (Union Meeting Night) we will be opened until 6:00 P.M.

 

 

 

© Copyright 2003,2004, International Brotherhood of Electrical Workers Local Union #481, All Rights Reserved.