The Board of Trustees believe that this Plan is a “grandfathered health plan” under the Affordable Care Act, which permits us to preserve certain basic health coverage already in effect before the law was passed. As with all grandfathered health plans, our Plan does not have to include certain consumer protections of the Affordable Care Act that apply to other plans (for example, providing preventive health services without any cost sharing). However, grandfathered health plans, like our Plan, must comply with other consumer protections in the Affordable Care Act (for example, the extension of coverage for dependent children to age 26). Contact the Fund Office if you have questions about what it means.
Statement of Grandfathered Status
2024
If you are reading this - Congratulations! You made it another year. What a privilege that is. Remember, some people, actually a lot of people, were not so fortunate in that regard. So do not take your existence and your time here for granted and make this the best year ever.
“C’est Reparti”
It is at this time of the year – the beginning - where we pop our head up, ala Punxsutawney Phill style, to try and determine how long “it” will continue.
Unfortunately, the shadow of obliviousness was seen. And we all know what that means. (Sigh)
The 3-M’s
Since its inception, the Benefit Funds have repeatedly used the newsletter to discuss, point out, educate, and update members of the “goings-on’s” within the various Benefit Funds.
IMPORTANT NOTICES
Each of the five (5) notices directly below contain important information on matters that you need to be aware of and/or that may affect you. Please read them carefully.
Notice #1
Effective April 1, 2024, the expense for early retiree coverage and/or retiree disability coverage under the Health and Benefit Plan will increase by $100.00 a month.
Reminders
HRA – Reminder.
Do not utilize your HRA debit card at the time of service unless:
You are 100% sure that the amount you are being charged is the balance that is owed AFTER any deductible or network discounts have been applied.
You are 100% sure that the provider will submit a claim into the Plan so that it can be adjudicated, and an explanation of benefits can be issued in enough time so as to timely substantiate the use of your debit card purchase or payment.
MERRY CHRISTMAS & HAPPY NEW YEAR
We hope this newsletter finds you positive but testing negative.
The holidays are fast approaching and naturally your focus turns to being good to others. This season and throughout the new year, remember to not only be good to others, but better to yourself.
Wishing you and yours a healthy and happy holiday and a prosperous 2024.
“IF YOU DON’T MAKE TIME FOR YOUR WELLNESS, YOU WILL BE FORCED TO MAKE TIME FOR YOUR ILLNESS”
That’s the bottom line. Enough said.
WHAT HAPPENED IN NOVEMBER
The gift giving season started early this year for the Fund Offices. In November, those diligent and involved Plan participants were gifted with the Funds inside tip on its 3 forever investments, the 2 things that they must know about the U.S. Healthcare system, and how to get four more free Covid-tests.
HRA CLAIM SUBMISSIONS
WHEN EOB’S ARE REQUIRED AND WHEN TO USE RECEIPTS
Have you ever wondered why the Plan requires all HRA submissions to be substantiated by an explanation of benefits?
There are two answers to this conundrum. The first is the Internal Revenue Service. They require all account holders to verify the eligibility of any HRA reimbursement for goods or services by submitting detailed documentation in the form of an explanation of benefits or complete receipts.
THE MORE WE KNOW
……. the more we realize how much more there is left to discover! For example, in the last two decades we learned that we do not understand ninety-five percent of what comprises the universe.
Our ignorance about what we know about the human body is a bit more embarrassing.