You are eligible for benefits based on contributions by employers. You can check with Benefit Services to determine when you are eligible.
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
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 email@example.com) . Remember to always keep a copy of the receipt for your own records.
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 firstname.lastname@example.org
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
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.
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.
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.
Prescription sunglasses are covered under our vision care. You are entitled to $500 every two years for glasses/exams, including sunglasses.
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.