If you are unsure which Welfare Plan you belong to, please contact the Fund Office at (630) 887-4150
Summary Plan Description (SPD) – Excavating, Grading and Asphalt Welfare – June 2016
Summary Plan Description (SPD) – Garage Attendants, Linen & laundry Welfare – June 2016
Summary Plan Description (SPD) – Private Scavengers Welfare – June 2016
Women’s Cancer Act Notice – December 2023
Medicare Part D Notice All Funds – Creditable Coverage Notice
Privacy Permission Form for Family Members
Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA)
Family and Medical Leave Act Notice
Genetic Information Nondiscrimination Act (GINA)
Qualified Medical Child Support Order Procedures
Summary of Material Modifications – Exclusion of Humira, Skyrizi, and Rinvoq – January 2024
Summary of Material Modifications – SkinIO – December 2023
2024 Fall Wellness Program Announcement – February 2024
Summary of Material Modifications – Hinge Health – July 2023
Summary of Material Modifications – COVID Change – May 2023
Summary of Material Modifications – Out of Pocket Wellness Reminder – December 2022
Summary of Material Modifications – OTC Covid Tests – January 2022
Summary of Material Modifications – Rx Copay Changes – January 2022
Summary of Material Modifications – OOP Wellness Reminder – December 2021
Summary of Material Modifications – Wellness Program – September 2022
Summary of Material Modifications – September 2021
Summary of Material Modifications – May 2021
Illinois COVID-19 Vaccine Update – January 2021
Summary of Material Modifications – December 2020
Flu Shot Notice – October 2020
Viveka Mobile App Announcement – July 2020
COVID-19 Coverage Announcement – May 2020
Health Plan Improvement – December 2019
Summary of Material Modifications – December 2019
“Building Bridges to Health” Health Fair – August 2019
Summary of Material Modifications – December 2018
Vision, Bariatric Surgery, Prescription Drug – Specialty, Prescription Drug – Formulary
Summary of Material Modifications – October 2018
Health Plan Merger, Prescription Out-of-Pocket Maximum, Oral Surgery, Eligibility for Retiree Health Care, Weight Loss
Summary of Material Modifications – September 2017
Hearing Benefit Improved, Correction to Summary Plan Description – Mental Health and Chemical Dependency, Substance Abuse Facilities, Kovak Dermatology and Laser Institute no longer serving dermatology, Wellness Program Incentive
Summary of Material Modifications – August 2017
Kovak Dermatology and Laser Institute, Substance Abuse Facilities, Prescription Drug Out-of-Pocket Maximums, Smoking Deterrent, Genetic Testing, Wellness Program Incentive
Health Plan Improvements – November 2015
Dental Benefit Increase, Loss of Time Benefit Increase, Hearing Benefit, Prescription Druf Program at Retail, Specialty Prescription Drugs, Wellness Program Incentive
Health Plan Improvements – July 2014
Diabetes Benefit
Health Plan Improvements – December 2013
Prescription Drug Program Mandatory Mail Order Removed, Sleep Apnea Studies, Notice Regarding Grandfathered Status
Health Plan Improvements – May 2013
Mental Health / Substance Abuse, Preventive Services, Special Health Plan Continuation Rules, Sleep Apnea, Annual limit, Loss of Time Benefit Health Coverage, Notice Regarding Grandfathered Status
Summary of Material Modifications – June 2010
Lifetime Limit for Sleep Apnea, Retiree Coverage rules, Offsetting Plan Benefits, Notification Responsibilities Upon Divorce, Imaging Network Change
Summary of Material Modifications – Hinge Health – July 2023
Summary of Material Modifications – COVID Change – May 2023
Summary of Material Modifications – Out of Pocket Wellness Reminder – December 2022
2022 Fall Wellness Event – Announcement – October 2022
2022 Fall Wellness Event – Stroke Screening Flyer – October 2022
Summary of Material Modifications – OTC Covid Tests – January 2022
2022 Wellness Program Announcement – January 2022
Summary of Material Modifications – Rx Copay Changes – January 2022
Summary of Material Modifications – OOP Wellness Reminder – December 2021
Summary of Material Modifications – Wellness Program – September 2022
Summary of Material Modifications – September 2021
Summary of Material Modifications – May 2021
Illinois COVID-19 Vaccine Update – January 2021
Summary of Material Modifications – December 2020
Flu Shot Notice – October 2020
Viveka Mobile App Announcement – July 2020
COVID-19 Coverage Announcement – May 2020
Health Plan Improvement – December 2019
Summary of Material Modifications – December 2019
“Building Bridges to Health” Health Fair – August 2019
Summary of Material Modifications – December 2018
Vision, Bariatric Surgery, Prescription Drug – Specialty, Prescription Drug – Formulary
Summary of Material Modifications – October 2018
Health Plan Merger, Prescription Out-of-Pocket Maximum, Oral Surgery, Eligibility for Retiree Health Care, Weight Loss
Summary of Material Modifications – September 2017
Hearing Benefit Improved, Correction to Summary Plan Description – Mental Health and Chemical Dependency, Substance Abuse Facilities, Kovak Dermatology and Laser Institute no longer serving dermatology, Wellness Program Incentive
Summary of Material Modifications – August 2017
Kovak Dermatology and Laser Institute, Substance Abuse Facilities, Prescription Drug Out-of-Pocket Maximums, Smoking Deterrent, Genetic Testing, Wellness Program Incentive
Health Plan Improvements – November 2015
Dental Benefit Increase, Loss of Time Benefit Increase, Hearing Benefit, Prescription Druf Program at Retail, Specialty Prescription Drugs, Wellness Program Incentive
Health Plan Improvements – July 2014
Diabetes Benefit
Health Plan Improvements – December 2013
Prescription Drug Program Mandatory Mail Order Removed, Sleep Apnea Studies, Notice Regarding Grandfathered Status
Health Plan Improvements – May 2013
Mental Health / Substance Abuse, Preventive Services, Special Health Plan Continuation Rules, Sleep Apnea, Annual limit, Loss of Time Benefit Health Coverage, Notice Regarding Grandfathered Status
Summary of Material Modifications – June 2010
Lifetime Limit for Sleep Apnea, Retiree Coverage rules, Offsetting Plan Benefits, Notification Responsibilities Upon Divorce, Imaging Network Change
ACA Reporting Information for Employers
Affordable Care Act Requirement – Social Security Numbers Needed – July 2015
ACA Notice to Members – September 2013
ACA Notice to Employers – December 2022
Marketplace Form – Excavating, Grading and Asphalt Welfare – September 2013
Marketplace Form – Garage Attendants, Linen & Laundry Welfare – September 2013
Marketplace Form – Private Scavengers Welfare – September 2013
At-Home COVID Test Reimbursement Form – January 2022
Over-the-Counter COVID Test Information – January 2022
EmpiRx Direct Member Reimbursement Form – January 2022
New Prescription Drug Provider Effective October 1, 2020 – October 2020
EmpiRx Processing Information – October 2020
EmpiRx Brochure – October 2020
EmpiRx Personal Representative Form – October 2020
EmpiRx Mail Order Form – October 2020
EmpiRx FAQs – October 2020
Epic Hearing Benefit Summary – January 2024
Future Diagnostics Flyer – October 2021
Absolute Solutions Member Flyer – July 2020
Sleep Apnea Equipment & Supplies – January 2015
Davis Vision Announcement – September 2021
Davis Vision Flyer – September 2021
2024 Scholarship Awards Announcement
2023 Scholarship Awards Announcement
2022 Scholarship Awards Announcement
2021 Scholarship Awards Announcement
2020 Scholarship Awards Announcement
2019 Scholarship Awards Announcement
2018 Scholarship Awards Announcement
2017 Scholarship Awards Announcement
2016 Scholarship Awards Announcement
2015 Scholarship Awards Announcement
In order to protect the privacy of our members, this address change form must be completed, signed by the member, and returned to the Fund Office before an address can be changed in our system.