Teamsters Local 856 - Health Benefits

Open Enrollment

  • OPEN ENROLLMENT | JANUARY 2021

    Information will be updated soon.

Kaiser

  • The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for coverage health care services. The information below is a summary of what the plan covers and what it costs.

    Kaiser Summary of Benefits and Coverage (SBC)

    Employee Contribution Rates - Kaiser - Full & Part-time Rates

    For more information about your coverage, or to get a copy of the complete terms of coverage see:

    The Enrollment Form (below) must be completed in order to enroll you and your dependents, if applicable, for Health & Welfare coverage under one of the Fund's Plans. Be sure to complete all of the information requested on the Enrollment Form. Under the terms of your coverage, you may make an election of the Medical Plan. Be sure to complete the box marked "CHOICE OF PLANS". Please read your SBC for descriptions of the various plans. Remember, once you make the election, changes are only permitted once in a 12-month period.

    Kaiser Online New Enrollment & Change Form

Non-Kaiser

  • Please note: Only employees currently on non-Kaiser plans are eligible.

    The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for coverage health care services. The information below is a summary of what the plan covers and what it costs.

    Anthem Blue Cross PPO

    Employee Contribution Rates

    The Enrollment Form (below) must be completed in order to enroll you and your dependents, if applicable, for Health & Welfare coverage under one of the Fund's Plans. Be sure to complete all of the information requested on the Enrollment Form. Under the terms of your coverage, you may make an election of the Medical Plan. Be sure to complete the box marked "CHOICE OF PLANS". Please read your SBC for descriptions of the various plans. Remember, once you make the election, changes are only permitted once in a 12-month period.

    Non-Kaiser Enrollment Form

Flex Spending | Dependent Care | Commuter Benefits | Voluntary Benefits

Dental Coverage: Delta Dental PPO

  • In this incentive plan, Delta Dental pays 70% of the PPO contract allowance for covered diagnostic, preventive, and basic services and 70% of the PPO contract allowance for major services during the first year of eligibility.

    The coinsurance percentage will increase by 10% each year (to a maximum of 100%) for each enrollee if that person visits the dentist at least once during the year. If an enrollee does not use the plan during the calendar year, the percentage remains at the level attained the previous year. If an enrollee becomes ineligible for benefits and later regains eligibility, the percentage will drop back to 70%. For more information, please see the employee flyer below.

    Delta Dental Employee Flyer

    Delta Dental Enrollment Form

    Save with PPO

    Visit a dentist in the PPO network to maximize your savings. These dentists have agreed to reduce fees, and you won't get charged more than your expected share of the bill.

    Find a PPO dentist at deltadentalins.com

    To contact Delta Dental directly:

Vision Coverage: VSP

  • As a VSP member, you can visit your VSP doctor for medical and urgent eye care. Your VSP doctor can diagnose, treat, and monitor common eye conditions like pink eye, and more serious conditions like sudden vision loss, glaucoma, diabetic eye disease, and cataracts. For more details, please contact your VSP doctor.

    VSP Employee Flyer

    VSP Enrollment Form

    Plan Information

    • VSP Doctor Network: VSP Signature
    • Primary EyeCare Copay: $5.00

    To contacts VSP directly:

Catastrophic Leave Bank

  • A catastrophic illness or injury is defined as an illness or injury that is expected to incapacitate the employee for an extended period of time, or that incapacitate a member of the employee's family whose incapacitation requires the employee to take off from work for an extended period of time to care for that family member and taking extended time off work creates a financial hardship for the employee because he/she has exhausted all his/her sick leave. A doctor's verification is required.
     
    An employee's family is defined as spouse, child, stepchild, domestic partner, or parent of the employee.
     
    To participate in the program, you must contribute one personal illness day to the catastrophic leave bank. To contribute, cancel or apply for the program, please complete the form below.
     
    Catastrophic Leave Program Contribution and Request Form (This form is not to contribute to the bank. You will receive an email to make a contribution to the bank.)
     
    Visit ESS (certification) to confirm that you have donated to the program.
     
    For more information, please see the Catastrophic Leave Policy MOU.

Employee Assistance Program (EAP): MHN

  • An Employee Assitance Program (EAP) is a service designed to help you manage life's challenges. At MHN, they customize EAP solutions by understanding your unique needs and then offering the appropriate assistance or referrals.

    The following services, paid by your employer, are available to eligible members.

    • Clinical Counseling:
      • Marriage, relationship, and family problems
      • Domestic violence
      • Alcohol and drug dependency
      • Stress and anxiety
      • Depression
      • Grief and loss
    • Work & Life Services:
      • Childcare and eldercare assistance
      • Financial services
      • Legal services
      • Identity theft recovery services
      • Daily living services

    For more information on the services provided, see MHN EAP Employee Informational Flyer.

    To contact MHN directly:

Unions

  • For union contracts and contact information, please visit our Unions page.

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