I am a member with active benefits, what am I covered for?
For a full list and in depth look of what your Health & Welfare Trust Fund covers please refer to your booklet and if you wish to have a paper copy they are available at your Union Office.
How long am I covered for?
You are eligible for benefits based on contributions by employers. You can check with Benefit Services to determine when you are eligible.
When can I use my PayDirect Drug Card?
Two of the most frequently used benefits are Prescription Drugs and Dental appointments, So we’ve provided you with a PayDirect Drug Card, just present it to your Pharmacist and at your Dental office and they will be able to send your claim in electronically. There are also many other health care professionals that may offer direct billing. They must be register with NexgenRx at theclaimsxchange.com or can contact provider services at 1-866-39-3648
How do I claim other Health Expenses?
In order to be reimbursed for all other Health Expenses we have Claim Forms to be returned with receipts to the Benefit Office at the Union Hall. If you do not have access to a computer, feel free to call in and request the forms be mailed to your home. Be sure to complete forms entirely and return to our office (by mail, fax or email to firstname.lastname@example.org) . Remember to always keep a copy of the receipt for your own records.
Where do I send my claim?
Please send completed forms with receipts to your Local 493 Union office at: 584 Clinton Ave, Sudbury On P3B 2T2, Attention: Benefit Services or fax 705-674-6728 or email email@example.com
How long will my claim take to process?
When submitting claims manually to our office the typical wait period is 1 weeks, but this process can be quicker if you provide our offices with the necessary information to set up Direct Deposit into your bank account. You can also register with NexgenRX online at www.nexgenrx.com and you are able to file claims yourself which will result in faster payment
I haven’t received any payment? Who do I talk to?
If you haven’t received an Explanation of Benefit or payment from NexgenRx after the 1 week period please contact your Local 493 Group Benefits at (705)805-5601 or NexgenRx at 1- 866-424-0257.
I am a Retired member, what am I covered for now?
Benefits are available to qualifying Retirees as outlined in the benefit booklet. There is a required contribution, paid in advance and due on December 31 each year.
How can my dependents be added to my plan?
Once an active member in our plan you can add dependents that include: unmarried children under the age of 22 who are dependent on you for support, functionally impaired children who are totally dependent on you for support, a child of your spouse providing the spouse is also living with you and has custody of the child, your spouse as the result of a valid civil or religious ceremony or a common law spouse of a minimum 24 month period. More specific details are outlined in the benefit booklet online or available in the local 493 union office.
What if I have transferred in from another local to Local 493? What happens to my contributions from my former local?
When you transfer in from another local, you must fill out a reciprocal request form in order for us to have your former locals’ benefit plan transfer your contribution funds. This is available at our local office. Be aware there will be a lapse in coverage for administration purposes. Consult with Benefit Services if you have concerns.
What if I am transferring from Local 493 to another local? What happens to my contributions from Local 493?
When you transfer out to another local, we must receive a reciprocal request from your new local benefit plan in order to transfer your contribution funds. Be aware there will be a lapse in coverage for administration purposes. Once you transfer out from Local 493 you are no longer a member in good standing and are not eligible for our benefit plan. Should you decide not to transfer your funds, be advised they are held in trust for a period of up to 12 months, and are available to you for benefit coverage should your transfer back to local 493 as a member in good standing.
How long do I have to make a claim?
You have up to one year to make a claim for benefits providing you are an active member in our plan at the time of the claim.
Are sunglasses covered by our plan?
Prescription sunglasses are covered under our vision care.
Does the plan cover for a drug and alcohol treatment center?
Yes, we pay a monthly premium to Denovo Treatment Center to have this available to our members. Call Group Benefits for more information
If my benefits are terminated what happens to any remaining money in my dollar bank?
Once your benefits are terminated if you have insufficient funds, or are no longer a member in good standing, and you have some money in your dollar bank, these funds will be held in trust for a period of up to one year following the day your benefits were terminated. After this grace period, any remaining amounts will be transferred to the general assets of the Welfare Trust Fund..