You will become Eligible for benefits on the first day of the eligibility quarter after you accumulate 350 contribution hours within a nine-month period. Eligibility quarters are June through August, September through November, December through February and March through May. Contribution hours are the hours you work for which an Employer contributes to the Fund on your behalf. Hours from all contributing employers count toward Eligibility.
You continue eligibility based on the number of hours your work for which an Employer contributes to the Fund on your behalf. You need to have 350 hours in a benefit quarter, 700 in the last 2 benefit quarters, 1,050 in the last 3 benefit quarters or 1,400 hours in the last 4 benefit quarters to continue coverage in the corresponding eligibility quarter.
|Benefit Quarter||Eligibility Quarter|
|January through March||June through August|
|April through June||September through November|
|July through September||December through February|
|October through December||March through May|
Your dependents become eligible when you become eligible and they meet the Fund’s definition of a dependent.
An “Eligible Child” under the Plan is any one of the following individuals:
See the Summary Plan Description (SPD) more information about active eligibility.
When you retire, you may continue coverage under the Pre-Medicare Retiree Self-Pay Program if:
If you are covered under the Tri-State Welfare Fund benefits (either by your employment or by self-payment), you and your eligible spouse may self-pay for the Medical coverage available under the Iron Workers Tri-State Pre Medicare Retiree Welfare Plan. You must self-pay monthly for this coverage.
If you are covered under the Tri-State Welfare Fund benefits (either by your employment or by self-payment), you and your eligible spouse may self-pay for the Medicare options available under the Iron Workers Tri-State Medicare Retiree Welfare Plan. You must be entitled to Medicare and self-pay monthly for this coverage.
If you are active on, and earned at least one Quarter of Service, after your effective date and retire, you may be eligible to continue Eligibility with the Retiree Pre-Funded Allowance. You must waive COBRA Continuation Coverage in order to receive the Allowance, which is used as a discount toward the quarterly self-pay rate for the Pre-Medicare Retiree Plan of Benefits, or the Medicare Advantage Plan. The allowance is applied toward the quarterly self-pay rate for your and your dependents’ coverage.
|Pre-Funded Allowance||Effective Dates|
|Local 444||January 1, 2004|
|Local 465||January 1, 2005|
|All others||January 1, 1999|
To be eligible for the Retiree Pre-Funded Allowance, you must be:
See the brochure Ironworkers Tri-State Welfare Fund Pre-Funded Allowance Plan for more information.
© Iron Workers Tri-State Welfare Fund. The information on this Web site presents selected highlights of the Iron Workers Tri-State Welfare Fund. The actual Plan provisions of the Plan are in the Plan’s legal document. In the event of a conflict between the wording on the site and the legal documents, the legal documents will govern. The Trustees reserve the right to amend, modify, or discontinue all or part of the Plan at any time.