Healthcare Reimbursement
The new HRA, a separate trust fund established as part of
the Steamfitters' Industry Welfare Fund, will reimburse you
for all medical care and associated expenses not covered by
insurance on a tax-free basis. Each participant will have an
individual account balance, similar in concept to the
Security Benefit Fund. This account is not subject to
reciprocity.
Rate To Individual Accounts:
Effective July 1, 2005 - $1 .OO per hour for journeyman
regular time, doubled for overtime [apprentices subject to
regular percentage factors]
Maximum Account Balance:
The balance in your account cannot exceed $5,000. Any
balance in
excess of this amount wiil be transferred on a quarterly
basis to your Supplemental Retirement Fund (401 a Plan)
account.
Benefits Allowed:
- Medical & Hospital
- Dental
- Prescription Drugs including over-the-counter
medicine
- Vision Care
- Hearing Aid
- Medicare premiums
- COBRA premiums
- Long Term Care insurance
- Other Healthcare insurance
- Assisted Living Medical Costs
- Final Medical Care Expense
Any medical care expenses incurred after January 1, 2005
can be reimbursed after July 1, 2005 on this tax-free basis.
Reimbursement must be applied for within one year from the
date of service or purchase. These benefits are available
for you and your spouse and children only (step-children and
adopted children included); other dependents are not
eligible.
Over-the-counter medicine include allergy medicine,
antihistamines, analgesics, antacids, aspirin, cold
medicine, cough drops, first aid creams, nasal sinus spray,
nicotine gum and patches, pain relievers, pedialyte, reading
glasses, sinus medications and throat lozenges. Itemized
receipts for over-the-counter medicines must be legible and
include name and location
of where purchased and all other pertinent information
identifying the medicine including date, price and product
name. Over-the-counter items not covered include, but are
not limited to, vitamins, dieting supplements or cosmetic
products.
Upon the participant's death, the plan will pay to the
surviving spouse, or, if the spouse is not Living, to one or
more of the participant's estate, children, grandchildren,
parents, brothers or sisters as the Trustees shall
determine, the lesser of $5,000 or the participant's account
balance as a Final Medical Care Expense and shall be in lieu
of any medical care expenses incurred by the participant,
but not submitted as of the time of the participant's death.
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