1199SEIU Benefit and Pension Funds 330 West 42nd Street New York, NY 10036-6977
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www.1199SEIUBenefits.org ADDRESS SERVICE REQUESTED
Important Benefit Notices Inside this Issue
DEDICATED TO THE HEALTH & WELL-BEING OF 1199SEIU MEMBERS
For Your Benefit
EN ESPANOL p18
Spanish will go here
Join Fellow Members on Our Facebook Page
Meet Our Featured Members
Our 1199SEIU Benefit and Pension Funds’ Facebook page is helping thousands of members stay up to date on the latest benefit and pension news, health fairs, workshops, wellness news and more. If you’re not yet one of them, just visit www.facebook.com/1199SEIUBenefitFunds and click on “Like.” We think you’ll be glad you did.
An onsite health fair provided the wake-up call these co-workers needed to make lifestyle changes, lose weight and improve their health.
Únase a los Compañeros Miembros en Nuestra Página de Facebook La página de Facebook de nuestros Fondos de Beneficios y Pensiones de 1199SEIU está ayudando a miles de miembros a mantenerse al día de las últimas novedades sobre beneficios y pensiones, ferias de salud, talleres, noticias sobre bienestar y mucho más. Si usted todavía no es uno de ellos, simplemente visite www.facebook.com/1199SEIUBenefitFunds y haga clic en “Like” (Me gusta). Estamos seguros de que se alegrará de hacerlo.
Helen Duncan & Karleen Moncreif
Plus! Diabetes Myths that Could Be Hazardous to Your Health
For Your Benefit
4 Make Informed Decisions with
10 Diabetes Myths that Could Be
5 Coming this Fall: New Benefit
Option Will Help Early Retirees Get the Most Out of Fund Coverage and the Health Exchanges
6 Stay Up to Date with Our New Preferred Drug List
Keep Up with Whatâ€™s Happening at the Funds on Facebook
7 Coordinating Your Care (Now Available at Montefiore!) Your Efforts Helped Your Benefit Fund Save $1.5 Billion in 10 Years!
Hazardous to Your Health
HEALTHY EATING 12 Serve Up Summerâ€™s Best HEALTHY FITNESS 14 Warm-Weather Workouts HEALTHY NEWS YOU CAN USE 16 Add Three or Four Healthy Behaviors to Reduce Diabetes Heart Risk Real Food (Even Butter) Is Best Live Longer with Seven Servings of Fruit and Vegetables a Day
8 Helen Duncan and Karleen Moncreif An onsite health fair hosted by our Wellness Department and Member Assistance Program provided the wake-up call that these co-workers needed to make lifestyle changes, lose weight and improve their health.
MEMBERSHIP ADVANTAGES 17 Our 24-Hour Nurse Helpline Is
Effective October 1, 2014, the SPD and SBC shall be amended to permit Non-Medicare eligible Retirees (SPD Sections VI.E and VI.F) the option to refuse the current Retiree Benefit package and instead opt for a non-minimum essential coverage benefit package consisting of the following: 1. Vision Care as described in Sections VI.E and VI.F of the Current SPD. 2. A per diem â€œhospital indemnityâ€? benefit, with the following limitations: a. Payable to Early Retirees admitted to a hospital; b. Limited to $200 per day of hospital admission; and c. Limited to a maximum of 10 days per hospital stay. 3. Dental benefits described in Section II.K of the Current SPD. 4. Upon the Retiree becoming eligible for Medicare, benefits revert to the retiree health benefits described in the Current SPD as applicable. Effective January 1, 2014, the following changes to the SPD and SBC applied: l. Outpatient mental health and substance abuse co-payments shall be no greater than that Planâ€™s primary care visit co-payment. ll. The SPD shall add the following underlined bold language and omit the following bold strikethrough language: Section: I.B: Pg. 29 WHEN YOUR COVERAGE BEGINS IF YOU ARE A NEW EMPLOYEE You can start receiving benefits from the Benefit Fund after: s 9OU ARE HIRED BY A #ONTRIBUTING %MPLOYER ALREADY PARTICIPATING IN THE "ENElT &UND s 9OU HAVE ENROLLED IN THE "ENElT &UND AND s 9OU HAVE COMPLETED THE WAITING PERIOD specific to your employer specified in your employerâ€™s collective bargaining agreement (in most cases 90 days) and your employer has made 30 consecutive days of contributions to the Benefit Fund based on your employment (in no event can the total exceed the period permitted by the Patient Protection and Affordable Care Act). or s On the first day of the month following 30 consecutive days of employer contributions made to the Benefit Fund based upon your employment. Section II.E: Pg. 74 BENEFIT BRIEF Mental Health s /UTPATIENT TREATMENT PLANS s Up to 30 inpatient days per calendar year Medically necessary inpatient treatment Alcohol/Substance Abuse s Up to 7 days within a 12-month period for Medically necessary inpatient detoxification, maximum twice per lifetime s Up to 30 days within a 12-month period for Medically necessary inpatient rehabilitation, maximum twice per lifetime