Alaska Teamster-Employer
Welfare and Pension Trusts
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- About
- Adequacy of Disability Insurance – A Problem Ignored
- Adequacy of Life Insurance
- Designation of Beneficiary: IRA, 401k, Life Insurance
- Durable Powers of Attorney – Introduction
- Estate Planning
- Factor Table 1
- Factor Table 2
- Factor Table 3
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- Pension Summary Plan Description
- WELCOME TO THE ALASKA TEAMSTER-EMPLOYER PENSION PLAN
- 1 INTRODUCTION
- 2 PARTICIPATION
- 3 VESTING
- 4 WHEN YOU MAY RETIRE
- 5 HOW YOUR BENEFIT IS CALCULATED
- 6 RECAPTURED VESTING AND BENEFIT SERVICE
- 7 HOW BENEFITS ARE PAID
- 8 HOW TO APPLY FOR RETIREMENT BENEFITS
- 9 SEPARATION FROM SERVICE
- 10 SUSPENDIBLE EMPLOYMENT
- 11 CHANGING YOUR FORM OF PAYMENT AFTER 90 DAYS
- 12 PRE-RETIREMENT DEATH BENEFITS
- 13. ADMINISTRATIVE INFORMATION
- 14. FACTS ABOUT THE PLAN
- 15. PLAN INFORMATION
- APPENDIX A: Participation Rules
- APPENDIX B: General Vesting Rules
- B.1 Vesting in Your Normal Retirement Age Benefit if You Have Not Been a Participant After June 30, 2001.
- B.2 Vesting in Your Normal Retirement Age Benefits if You Have Not Been a Participant After June 30, 1999.
- B.3 Summary Table of Vesting Requirements Prior to July 1, 2001
- B.4 Break-in-Service
- B.5 Re-establishing Participation
- APPENDIX C: Early Retirement, Qualified Retirement, and Rule of 80 Retirement for Benefits Accrued Before January 1, 2012
- APPENDIX D: Return to Covered Employment
- APPENDIX E: Past Benefit Service
- APPENDIX F: Special Provisions for Benefits Accrued Before July 1, 1990
- F.1 Unreduced Retirement
- F.2 Unreduced Retirement Date If You Meet Minimum Hour and Contribution Requirements
- F.3 Vesting
- F.4 Your Retirement Benefit
- F.5 Retirement Benefits If You Meet Minimum Contribution Requirements
- F.6 Past Benefit Service
- F.7 Lump Sum Payment of Employer Contributions
- F.8 Form of Benefit Applicable to Benefits Earned Before July 1, 1990
- F.9 Special Suspendible Employment Rules for Benefits Earned Before July 1, 1990
- APPENDIX G: Special Provisions for Benefits Accrued Between July 1, 1990 and June 30, 1997
- APPENDIX H: Special Provisions for Benefits Accrued Before and After July 1, 2006
- DEFINITIONS
- Privacy Policy
- Reduction Factors
- Rehabilitation Plan – Effective July 1, 2011
- Self-Pay Online
- Self-Payment and You
- Sitemap
- Special Restatement Provision
- Summary of Material Modifications (SMM)
- Terms of Use / Disclaimer
- Welfare
- BenefitTabs™
- Find Network Provider
- Forms
- Frequently Asked Questions
- Links
- Open Enrollment
- Welfare Summary Plan Description
- Letter to Participants
- Quick Reference Table
- Frequently Asked Questions
- Summary of Benefits
- Section 1 – Eligibility Rules for Employees
- 1.1 INTRODUCTION TO PLAN LEVELS, DOLLARS BANK ACCOUNT, AND SELF-PAYMENT ACCOUNT
- 1.2 ELIGIBILITY FOR EMPLOYEES
- 1.3 DOLLARS BANK ACCOUNT FOR EMPLOYEES
- 1.4 SELF-PAYMENT ACCOUNT FOR EMPLOYEES
- 1.5 CERTIFICATE OF CREDITABLE COVERAGE FOR HEALTH BENEFITS
- 1.6 INITIAL ENROLLMENT, OPEN ENROLLMENT, AND SPECIAL LATE ENROLLMENT RULES
- 1.7 TERMINATION OF ACTIVE ELIGIBILITY FOR EMPLOYEES
- 1.8 REINSTATEMENT OF ACTIVE ELIGIBILITY FOR EMPLOYEE
- 1.9 CONTINUED COVERAGE WHILE IN UNIFORMED SERVICE
- 1.10 FAMILY AND MEDICAL LEAVE ACT
- 1.11 SPOUSES WITH DUAL EMPLOYER CONTRIBUTIONS TO THE PLAN
- 1.12 COMPOSITE FLAT RATE CONTRACTS
- Section 2 – ELIGIBILITY RULES FOR RETIRED PARTICIPANTS
- Section 3 – ELIGIBILITY RULES FOR DEPENDENTS
- Section 4 – NOTIFICATION OF STATUS CHANGE REQUIREMENTS FOR PARTICIPANTS
- Section 5 – MEDICAL PLAN BENEFIT
- 5.1 CALENDAR YEAR DEDUCTIBLE
- 5.2 PERCENTAGE PAYABLE
- 5.3 ANNUAL OUT-OF-POCKET LIMIT
- 5.4 PREFERRED PROVIDER PROGRAM
- 5.5 HOSPITAL EMERGENCY ROOM
- 5.6 INPATIENT HOSPITAL SERVICES
- 5.7 OUTPATIENT HOSPITAL SERVICES
- 5.8 SURGICAL SERVICES
- 5.9 SKILLED NURSING FACILITY OR EXTENDED CARE FACILITY
- 5.10 PREADMISSION TESTING
- 5.11 TRANSPORTATION AND EXPENSES FOR MEDICALLY NECESSARY TREATMENT
- 5.12 HOSPICE CARE
- 5.13 PREVENTIVE HEALTH CARE
- 5.14 PROFESSIONAL SERVICES AND SUPPLIES
- 5.15 HEARING LOSS BENEFIT
- 5.16 HOME HEALTH CARE BENEFIT
- 5.17 TREATMENT FOR MENTAL ILLNESS/SUBSTANCE ABUSE
- 5.18 MEDICARE PART B REIMBURSEMENT
- 5.19 HEALTHREACH DISEASE MANAGEMENT PROGRAMS
- 5.20 HEALTH REIMBURSEMENT ARRANGEMENT (HRA)
- Section 6 – UTILIZATION MANAGEMENT PROGRAMS
- 6.1 ELEMENTS OF THE UTILIZATION MANAGEMENT PROGRAMS
- 6.2 ADMINISTRATION OF THE UTILIZATION MANAGEMENT PROGRAMS
- 6.3 RESTRICTIONS AND LIMITATIONS OF THE UTILIZATION MANAGEMENT PROGRAMS
- 6.4 PRECERTIFICATION REVIEW
- 6.5 REQUEST FOR REVIEW OF DENIAL OF BENEFITS BASED ON PRECERTIFICATION REVIEW
- 6.6 CONCURRENT (CONTINUED STAY) REVIEW
- 6.7 REQUEST FOR REVIEW OF A DENIAL OF BENEFITS BASED ON CONCURRENT REVIEW
- 6.8 RETROSPECTIVE REVIEW
- 6.9 CASE MANAGEMENT
- Section 7 – EXCLUSIONS AND GENERAL LIMITATIONS
- Section 8 – PRESCRIPTION DRUG BENEFIT PROVIDED BY THE TRUST FOR ELIGIBLE EMPLOYEES, RETIRED PARTICIPANTS AND DEPENDENTS
- Section 9 – DENTAL CARE BENEFIT FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS
- Section 10 – VISION CARE BENEFIT PROVIDED BY THE TRUST FOR ELIGIBLE EMPLOYEES AND THEIR ELIGIBLE DEPENDENTS
- Section 11 – TIME LOSS BENEFIT PROVIDED BY THE TRUST FOR ELIGIBLE EMPLOYEES
- Section 12 – LIFE INSURANCE AND ACCIDENTAL DEATH& DISMEMBERMENT BENEFITS
- Section 13 – VACATION PLAN BENEFIT
- Section 14 – CONTINUING COVERAGE
- Section 15 – PAYMENT OF CLAIMS
- 15.1 ENROLLMENT PROCEDURE
- 15.2 SUBROGATION AND REIMBURSEMENT
- 15.3 COORDINATION OF BENEFITS (COB) AND DUPLICATE COVERAGE
- 15.4 WHEN AND HOW COORDINATION OF BENEFITS (COB) APPLIES
- 15.5 HOW MUCH THIS PLAN PAYS WHEN IT IS SECONDARY PAYOR
- 15.6 ADMINISTRATION OF COB
- 15.7 COB WITH MEDICAID, TRICARE, OR VETERANS AFFAIRS FACILITY SERVICES
- 15.8 COB WITH MOTOR VEHICLE NO-FAULT COVERAGE REQUIRED BY LAW
- 15.9 COB WITH OTHER COVERAGE PROVIDED BY STATE OR FEDERAL LAW
- 15.10 COORDINATION WITH MEDICARE
- 15.11 COORDINATION WITH MEDICARE COVERAGE – WHO PAYS FIRST
- 15.12 HOW MUCH THE PLAN PAYS WHEN IT IS SECONDARY TO MEDICARE
- 15.13 HOW TO FILE YOUR CLAIMS
- 15.14 TIME LIMIT FOR FILING CLAIMS
- 15.15 PAYMENT OF BENEFITS
- 15.16 CLAIMS REVIEW PROCESS
- 15.17 ASSIGNMENT OF CLAIMS PROHIBITED
- Section 16 – IMPORTANT PROVISIONS AND INFORMATION REGARDING YOUR PLAN BENEFITS
- Section 17 – PROTECTION OF PRIVACY AND SECURITY
- 17.1 USES AND DISCLOSURE OF SUMMARY HEALTH INFORMATION
- 17.2 PERMITTED AND REQUIRED USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION FOR PLAN ADMINISTRATION PURPOSES
- 17.3 CONDITIONS OF DISCLOSURE FOR PLAN ADMINISTRATION PURPOSES
- 17.4 CERTIFICATION OF BOARD OF TRUSTEES
- 17.5 PERSONNEL WITH ACCESS TO PROTECTED HEALTH INFORMATION
- Section 18 – GENERAL PLAN DEFINITIONS
- STATEMENT OF RIGHTS UNDER EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974