Please call 1-800-527- 4613 and ask for our Benefits Information Center (BIC).
A customer service representative will verify your eligibility status.
What are my benefits?
For covered medical please refer to the most current summary of benefits and coverage for your Plan - for dental refer to the dental fee schedule. CLICK HERE for Health & Welfare information.
What is the status of my claim?
Please allow six to eight weeks from the date of service before contacting our customer service representatives at
1-800-527-4613. That way you can assured that all of your payment information has updated to the system.
What is the difference between a pre-certification and pre-authorization?
A pre-certification is required for all in-patient hospital stays. For all Fee-For-Service participants, the provider and/or the
hospital must contact Anthem Blue Cross to secure the correct pre-certification prior to your hospital stay.
A pre-authorization is required for most out-patient services and can be requested by calling Pacific Health Alliance (PHA)
at 1.855.754.7271. Be sure to discuss all of your options with the representatives at PHA to ensure you schedule your services
Do I need pre-authorization for in-patient hospitalization?
No, but pre-certification is mandatory. Please have your provider or the hospital contact Blue Cross at 1-800-688-3828 to pre-certify an in-patient hospital stay.
Pre-authorization is required for all outpatient surgeries, such as breast, nasal, eye lid and stomach. Please contact Pacific Health Alliance (PHA) at 1-855-754-7271 to ensure you get the most up-to-date information on our contracted providers and the most cost effective for you and the Plan.
ALWAYS VERIFY YOUR BENEFITS PRIOR TO SEEKING SERVICES FROM ANY PROVIDER.
Who pays my prescription drug benefits?
If you are on the Ironworkers Fee-For-Service medical plan, HealthNet or United Healthcare (Pacificare), all prescription drug benefits are paid through the Envision Rx Options pharmacy program. You may walk-in to a contracting pharmacy or you may use the Orchard mail order program. The Orchard mail order program is both efficient and cost saving for maintenance drugs as you can order a 90-day supply for one co-pay. Prescriptions not listed on the current Formulary List (CLICK HERE) require review before being approved. You and your physician will need to complete a CFI Non-Formulary Exception Prior Authorization Request Form(CLICK HERE) in so EnvisionRx can review any prescription not listed on the current Formulary List.
Questions? Contact the Envision Help Desk at (800) 361-4542 - Option 2.
Do I have vision benefits?
Yes, members eligible under the Fee-For-Service plan, Health Net, Health Plan of Nevada (HPN) and PacifiCare are covered by VSP or Spectera.
You may contact VSP by phone at 1-800-877-7195 or online at www.vsp.com
You may contact Spectera by phone at 1-800-839-3242 or online at www.spectera.com
Verify your benefits prior to making an appointmentand locate a contracted doctor near you prior to making an appointment. Members enrolled in Kaiser are covered by the group, please call or contact the Kaiser Member Services department for more information.
How was my claim paid and what is the benefit in In-network and Out of network?
Please call 1-800-527-4613 to speak to a customer service representative from our Benefits Information Center for assistance with your question.
How do I change my address?
If you are an active Ironworker your address can only be changed by completing a Change of Address Form and returning the signed original to the Trust Fund Office. If you are a retired ironworker, please advise us in writing.
A vacation application form must be filed with the Trust Fund Office. Please contact our Benefits Information Center at (800) 527-4613 and a specialist will assist you with your request. Be sure to request an Electronic Funds Tansfer (EFT) application to arrange for automatic deposits and ensure your funds reaching your account in a timely manner.
Can I get my vacation check early?
No. Vacation checks are disbursed quarterly based on the following schedule:
WORK September - October - November
Check will be distributed February 1st
WORK December - January - February
Check will be distributed May 1st
WORK March - April - May
Check will be distributed August 1st
WORK June - July - August
Check will be distributed November 1st
Can the Internal Revenue (IRS) or Franchise Tax Board (FTB) levy my vacation check?
Yes, federal statutory law states creditors may reach vacation funds at the time of a payout.
Is the mail from our office forwarded?
No! The post office will not forward your mail because of the possible contents of the mail; therefore we have requested that all undeliverable mail be returned to the Trust Office. The most common reason for returned mail is an out-of-date address with the Trust Fund Office. Again, it is your responsibility to keep the Trust Office updated at all times of any change in your personal information.
What do I do if work hours appear to be missing from my vacation check?
Copies of your check stubs for the time period in question must be mailed to the Trust Fund Office. Please take into
consideration that most employers report and pay the last week of a work month in the following reporting period. For
example, hours worked January 25th through January 31st are reported and paid to the Benefit office as part of the February
reporting period. Please check all pay stubs and verify if this is the reason you believe you are missing hours. Simply
subtract the last week (pay period) of the last month reported from your monthly total. Your hours reported should balance
to the totals reflected on your quarterly statement.
Please contact our office via email or by calling 1-800-527-4613 if you have any further questions or comments. Please contact the Shop 509 office at (800) 973-0615. Please contact the Shop 790 office at (866) 339-7467.