BenefitTabs

  • Initial Eligibility

    A07 Benefit Package:

    To initially establish eligibility you must have $2,175 or more in your dollar bank account within the three-month period. At least $1.00 of contributions must be earned in the first month of the three-month period. You must enroll with the Trust Office before a claim can be processed.

    B07 Benefit Package (previously enrolled in the Carpenters-Employers Health and Security Plan of Washington-Idaho):

    To initially establish eligibility you must have $2,025 or more in your dollar bank account within the three-month period. At least $1.00 of contributions must be earned in the first month of the three-month period. You must enroll with the Trust Office before a claim can be processed.

     
  • Dependent Eligibility

    The following family members become eligible at the same time you become eligible:

    • A lawful spouse, unless legally separated.
    • A domestic partner subject to satisfaction of certain enrollment and tax prepayment requirements.
    • Children who are under age 26 including:
      • Natural children and legally adopted children.
      • A child placed with you for adoption before the adoption is finalized.
      • Stepchildren.
      • Children of domestic partners.
      • Legally placed children, meaning any child dependent by virtue of a court order specifying that you have legal custody.
      • Natural children born out of wedlock.

    See the SPD for definitions of some of these terms and for a discussion of establishing paternity for natural children born out of wedlock.

     
  • Lag Month

    Because the Trust Office needs to process the contributions sent in by your employer, there is a lag month between the month your dollar bank accumulated $2,175 for A07 or $2,025 for B07 and the month your eligibility begins. So, if you reach a dollar bank balance of $2,175 (A07) for initial eligibility in April, then your coverage will begin on June 1st. May is the lag month.

     
  • Continuing Eligibility

    After you establish initial eligibility, the cost for one month of eligibility is $725 for A07 and $675 for B07. The monthly deduction from your dollar bank account is made the month before the month of eligibility.

     
  • Losing Coverage

    Your eligibility ends on the first day of the month your dollar bank account is less than the amount required to buy one month of eligibility ($725 for A07 and $675 for B07). Other, less common, reasons for termination of eligibility can be found in the SPD. When you lose coverage you may be able to self-pay for coverage under COBRA for a limited time. If you are temporarily unemployed or disabled, other self-pay options may be available (A07 only).