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TeleData Health & Welfare

Empowering IBEW Local 212 Members with Comprehensive Resources

Introduction to the Plan

MAJOR MEDICAL BENEFITS

All benefits will be based upon Reasonable & Customary allowances.

Network (PPO Providers)

Calendar Year Deductible

Per IndividualPer Family
$ 500.00$1,000.00

Most eligible charges will generally be paid at 80% until the maximum out-of-pocket amount has been satisfied. After the maximum out-of-pocket amount has been satisfied, 100% payment on eligible charges thereafter for that individual for the remainder of that Calendar Year.

Maximum Out-of-Pocket Expense per Calendar Year (including the deductible)

Per IndividualPer Family
$2,500.00$5,000.00

PRESCRIPTION DRUG BENEFITS

Calendar Year Deductible per Individual$25.00
Maximum Out-of-Pocket Expense per Calendar Year$2,500.00
Retail Copay at a Sav-Rx Pharmacy, up to a 34-day supplyYou pay 20%

$5.00 minimum on generic
$20.00 minimum on brand

Retail Copay at a Non- Sav-Rx Pharmacy, up to a 34-day supplyYou pay 50%
Sav-Rx Mail Order Copay, up to 90-day supplyYou pay 20%

$5.00 minimum on generic
$20.00 minimum on brand

Plan Details

Local Union No. 82, IBEW Health and Welfare Fund.

Plan Administrator: American Benefit Corp.

Address: 5420 W. Southern Avenue, Suite 407, Indianapolis, IN 46241

Phone:  855-251-1486

Website: Contact – IBEW Local 82 (ibew82.org)

Administration

The Plan is administered by the Board of Trustees with the support of American Benefit Corp.

The Board comprises Union Appointed Trustees from IBEW Local Union and NECA Appointed Trustees from various local companies.

DENTAL BENEFITS

Calendar Year Maximum (per individual, Class I, II and III)$2,500.00*
Deductible (per individual, Class II, III and IV)$100.00
Orthodontic Lifetime Maximum$2,500.00 per Participant

Percentages Payable:

  • I.
  • II.
  • III.
  • IV.
  • Preventive Services
  • Basic and Restorative Services
  • Major Services
  • Orthodontic Services
  • 100%
  • 80%
  • 50%
  • 50%