Retiree Extended Benefit Fund

The Plan pays the Reasonable and Customary charges incurred by you and your Eligible Dependents for Medically Necessary Covered Medical Expenses, in the amounts and subject to the conditions in the Schedule of Benefits. See your SPD for the Schedule of Benefits.

The Fund has partnered with Anthem to provide medical benefits through a Preferred Provider Organization (PPO). The Anthem PPO benefits are for eligible Active Members, Pre-Medicare Retirees and their Eligible Dependents.

The PPO is made up of physicians, hospitals and other medical service providers who have agreed to charge discounted rates to the Fund. You may choose any provider you like, but Participating Providers or Network Providers will generally be less expensive for you and the Fund.

Pre-authorization is required for some services. Services that require pre-authorization are determined by Anthem and are subject to change from time to time. Please contact Anthem for the current list of services requiring pre-authorization. Also, please contact Anthem for a list of Participating Providers or Network Providers.

See your SPD for more detailed information about the Fund’s comprehensive medical benefits.

The Fund offers Life Insurance (retired members only), medical benefits and prescription drug benefits for pre-Medicare retirees and your Eligible Dependents.

You will be considered a "Retired Member" and eligible for benefits if you meet the following eligibility requirements:

You are at least 58 years of age, but not yet 65 years of age,
You are vested in at least 10 Pension Credits in the Iron Workers' Locals No. 15 & 424 Pension Plan,
You have been employed in Covered Employment with contributions of at least 200 hours made in your name by Contributing Employers during each of the seven consecutive years prior to the later of you reaching age 58 or the last day of work in Covered Employment,
You had a continuous attachment to the Iron Working Trade or Craft through work in Covered Employment as your primary occupation and source of wages for the seven consecutive years prior to the later of you reaching age 58 or the last day of work in Covered Employment,
You have stopped work in the Iron Working Trade or Craft, are not engaged in Covered Employment or Non-Covered Employment, are not an Active Member and, after becoming an Active Member, did not engage in Non-Covered Employment at any time on or after May 1, 1997, and
You file an application, which is approved by the Trustees, and maintain in effect the assignment of pension benefits.

If you want coverage under the Retirees Ages 58-65 Plan, you must apply for coverage by completing and submitting an Application for Retiree Benefits with the Fund Office. You are also required to make monthly self-payments for your coverage. These payments can be deducted from your pension check. Contact the Fund Office for current rates and self-payment procedures.

Coverage will begin as of the first day of the month coinciding with or next following the day on which he or she meets the eligibility requirements.

A former Active Member who elects COBRA Continuation Coverage upon loss of his or her status as an Active Member may become a Retired Member upon the termination of his or her COBRA Continuation Coverage.

See your SPD for more detailed information about the benefits and rules for Pre-Medicare Retirees.

The Fund offers Life Insurance (retired members only), Medicare Advantage medical and prescription drug benefits, hospital and medical benefits, prescription drug benefits and vision benefits for Medicare-eligible retirees and your Eligible Dependents. See your SPD for more detailed information about these benefits.

You will be considered a "Retired Member (Medicare)" and eligible for benefits if you meet the following eligibility requirements:

You are at least 65 years of age, and
You are vested in at least 10 Pension Credits in the Iron Workers' Locals No. 15 & 424 Pension Plan, and
You are entitled to receive benefits under Medicare Parts A and B, or would be if you had applied, and
You either met the eligibility requirements under the Retirees Ages 58-65 Plan until you became age 65 or otherwise eligible for Medicare, or
You were employed in Covered Employment with Contributions of at least 200 hours made in your name by Contributing Employers during each of the seven consecutive years prior to age 65, if you are then retired, or your last day of work in Covered Employment after age 58, whichever applies, and you had a continuous attachment to the Iron Working Trade or Craft through work in Covered Employment as your primary occupation and source of wages for such seven consecutive year period, and
You have stopped working in the Iron Working Trade or Craft, are not engaged in Covered Employment or Non-Covered Employment, are not an Active Member, and, after becoming an Active Member or a Retired Member, did not engage in Non-Covered Employment at any time on or after May 1, 1997, and
You file an application, which is approved by the Trustees, and maintain in effect the assignment of pension benefits.

If you want coverage under the Retired Member (Medicare) Plan, you must apply for coverage by completing and submitting an Application for Retiree Benefits with the Fund Office. You are also required to make monthly self-payments for your coverage. These payments can be deducted from your pension check. Contact the Fund Office for current rates and self-payment procedures.

Coverage will begin as of the first day of the month coinciding with or next following the day on which you meet the eligibility requirements. Once you become a Retired Member (Medicare), you are no longer be eligible for benefits as a Retired Member or as an Active Member, unless you re-establish your eligibility for benefits as an Active Member by working in Covered Employment and having the required number of hours of contributions.

A former Active Member who elects COBRA Continuation Coverage upon loss of his or her status as an Active Member may become a Retired Member (Medicare) upon the termination of his or her COBRA Continuation Coverage.

See your SPD for more detailed information about the benefits and rules for Medicare-Eligible Retirees.