Benefits
Teamsters Local 995 is extremely proud of the quality benefits we negotiate and manage for our members with benefits provided through the Teamsters Security Fund for Southern Nevada, Locals 995 and 14. When health issues or emergencies arise, our members know there are quality services available at an affordable cost.
The Trust Fund offers a choice of two medical benefit plans; an Indemnity Medical Plan, and an HMO for those who live in the HMO service area. The Indemnity Plan and HMO Plan are described in separate booklets provided to participants at the time of active enrollment.
Choose from the following list to locate the specific information you are interested in or start here to read all available information.
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AFLAC
Aflac's accident and cancer insurance policies are available to Teamsters Local 995 members. For more information, contact David M. Coughlin, Aflac District Sales Coordinator at (702) 884-7650 or enroll online by following the Aflac for Teamsters 995 referral link.
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Dental & Orthodontic Benefits
For Participants and Covered Dependents
Effective November 2002
Good dental care is an important part of staying healthy. The Trust Fund provides this comprehensive dental benefit to all employees, retirees and dependents enrolled in the Trust Fund.
- Annual Maximum
PPO: $2,500 per individual
Non-PPO: $2,500 per individual - Calendar Year DeductiblePPO: No deductible
Non-PPO: No deductible
- Coinsurance RatePPO: Plan pays 80% of UCR for diagnostic, preventive services, restorative services, prosthodontic services, oral surgery, periodontic and endodontic services.
Non-PPO: Plan pays 80% of UCR for diagnostic, preventive services, restorative services, prosthodontic services, oral surgery, periodontic and endodontic services. - Dentists Accepting Insurance as Payment in Full*
*See bottom of this page for rules regarding this benefit.
Brown Dental Office PC, dba
Comfort Care Dental Group**
803 S. 7th Street
Las Vegas, NV 89101
(702) 384-4721Katy Barin, DDS
Nea Dentistry
2085 Village Center Circle, #140
Las Vegas, Nevada 89134
(702) 256-6001**All-union dental offices listed above
Mark J. Escoto, DDS
A Beautiful Smile
2471 Professional Court
Las Vegas, Nevada 89128
(702) 256-5353Dr. Ben Yaghmai
A Great Smile Dental
8420 W. Lake Mead, #100
Las Vegas, Nevada 89128
(702) 804-5154
Michael Alterman, DDS
Absolute Dental
8380 W. Cheyenne, #103
Las Vegas, Nevada 89129
(702) 388-8989Absolute Dental
6110 W. Lake Mead, #150
Las Vegas, Nevada 89108
(702) 565-4040Absolute Dental
8430 W. Farm Rd., #120
Las Vegas, Nevada 89131
(702) 732-1010Absolute Dental
5892 N. Losee Road, #135
Las Vegas, Nevada
(702) 399-8700Absolute Dental
Absolute Kids
9400 S. Eastern, #101
Las Vegas, Nevada 89123
(702) 456-0009Absolute Dental
3945 S. Maryland Pkwy., #A
Las Vegas, Nevada
(702) 732-1010Absolute Dental
860 South Rancho Dr., #3
Las Vegas, Nevada 89106
(702) 878-0808Absolute Dental
4035 S. Durango Dr., #103
Las Vegas, Nevada 89147
(702) 804-8888Absolute Dental
3830 E. Flamingo Rd., #E-2
Las Vegas, Nevada 89121
(702) 435-3888Absolute Dental
2425 E. Tropicana Ave.
Las Vegas, Nevada
(702) 240-9200Absolute Dental
556 N. Eastern Ave., #1
Las Vegas, Nevada 89101
(702) 365-6800Absolute Dental
169 N. Nellis Blvd.
Las Vegas, Nevada 89110
(702) 384-1010Absolute Dental
Absolute Kids
2301 E. Lake Mead Blvd.
N. Las Vegas, NV 89030
(702) 641-5888Absolute Kids
3040 W. Ann Rd., #101
N. Las Vegas, Nevada 89031
(702) 839-2244Absolute Dental
150 S. Highway 160
Pahrump, Nevada
(775) 727-8818
Ben Nhan Truong, DDS
AC Dental
1520 N. Eastern Ave., #105
Las Vegas, Nevada 89101
(702) 633-6339Ben Nhan Truong, DDS
AC Dental
6775 E. Lake Mead, #9
Las Vegas, Nevada 89156
(702) 452-7200
Ben Truong, DDS
Acclaim Dental
7260 W Lake Mead Blvd., #5
Las Vegas, Nevada 89128
(702) 562-8852
Advent Dental
2764 Lake Sahara Drive, #107
Las Vegas, Nevada 89117
(702) 804-0153Affordable Dental
3880 W. Lake Mead Blvd., #100
N. Las Vegas, Nevada 89032
(702) 399-8888
Aliante Dental
6885 Aliante Pkwy., #111
N. Las Vegas, Nevada 89084
(702) 515-1888
Dr. Afshin Arian
6600 W. Charleston, #103
Las Vegas, Nevada 89146
(702) 880-4474Dr. Sayed K. Raiyn
All Teeth R Us Family Dentistry
5868 S. Pecos Road, #100-F
Las Vegas, Nevada 89120
(702) 796-0009Dr. Sayed K. Raiyn
Aloha Dental Care
3955 S. Durango, Suite B-3
Las Vegas, Nevada 89147
(702) 242-6777Dan C. Paik, DDS
Apple Dental
1321 W. Sunset Road, #100
Henderson, Nevada 89014(702) 558-4488
Michael Alterman, DDS
Art Dental, Inc.
4035 S. Durango, #103
Las Vegas, Nevada 89147
(702) 804-8888
Charles W. Ashman, DDS
General & Family Dentistry
208 South Rainbow Blvd.
Las Vegas, Nevada 89145
(702) 363-4136Ghassan Khalaf, DDS
Aura Dental
3774 E. Desert Inn Road
Las Vegas, Nevada 89121
(702) 257-2872Vashira Tan, DMD
Axis Dental
10010 W. Cheyenne Ave., #140
Las Vegas, Nevada 89129
(702) 227-4392Lee R. Turner, DDS
Boca Park Dental
1000 S. Rampart Blvd., #13
Las Vegas, NV 89145
(702) 285-6380David Ting, DMD
Boston Dental
9484 W. Lake Mead Blvd., #2
Las Vegas, Nevada 89134
(702) 304-8338Brighton Dental
5075 E. Bonanza Road
Las Vegas, Nevada 89110
(702) 871-8888
Ilya Benjamin, DMD
City Dental
1264 S. Nellis Boulevard
Las Vegas, Nevada 89104
(702) 234-2489Julia Le, DDS
Creative Dental
2585 S. Nellis Boulevard, #6
Las Vegas, Nevada 89121
(702) 641-0481Philip M. Paleracio, DDS
The Dental Center of Nevada
601 S. Rancho, #B-15
Las Vegas, Nevada 89106
(702) 385-1166Vilas Balakrishna, DDS
Dental Wellness Centers
8929 West Sahara Avenue
Las Vegas, Nevada 89117
(702) 242-5251Ilya Benjamin, DMD
Desert Dental
55 S. Valle Verde Dr., #250
Henderson, Nevada 89012
(702) 260-1890Discount Dental
60 N. 25th Street, #110
Las Vegas, Nevada 89101
(702) 386-8811Ilya Benjamin, DMD
Dream Dental
7260 W. Lake Mead, #5
Las Vegas, Nevada 89128
(702) 234-7326Joel Dashut, DDS
Elan Dental Cosmetics
2931 N. Tenaya Way, #206
Las Vegas, NV 89128
(702) 228-7575Fenway Dental
4180 S. Sandhill Road, B1
Las Vegas, Nevada 89121
(702) 898-9200Friendly Dental
914 E. Sahara Avenue
Las Vegas, Nevada 89104
(702) 794-0304Bryson Lemone, DDS
Lee R. Turner, DDS
Travis Perkins, DDS
Galleria Dental
1399 Galleria Drive, #200
Henderson, NV 89014
(702) 433-0007Stephen Hahn, DDS
Galleria Family Dental
715 Mall Ring Circle, #200
Henderson, Nevada 89014
(702) 433-9200
Happy Dental
6707 W. Charleston Blvd., #1A
Las Vegas, Nevada 89146
(702) 438-0888
John H. Hasings, DDS
Dr. John Hastings, DDS
4660 S. Eastern Ave., #209
Las Vegas, Nevada 89119
(702) 671-0001John H. Hasings, DDS
Dr. John Hastings, DDS
3965 E. Owens Ave., #190
Las Vegas, Nevada 89110
(702) 366-0007Hola Dental
2175 E. Cheyene Ave., #100
N. Las Vegas, Nevada 89030
(702) 363-8889
Adrian Ruiz, DDS
Horizon Dental
4510 S. Eastern Ave., #2
Las Vegas, Nevada 89119
(702) 734-7839Adrian Ruiz, DDS
Horizon Park Dental
2633 W. Horizon Ridge, #130
Henderson, Nevada 89052
(702) 897-7001Anthony Q. Ngo, DMD
Kelly S. Jin, DMD
Image Dental, Inc.
1780 N. Buffalo Dr., #109
Las Vegas, Nevada 89128
(702) 796-0808
Anthony Q. Ngo, DMD
Kelly S. Jin, DMD
Image Dental, Inc.
4300 E. Sunset Road, #B-2
Henderson, Nevada 89014
(702) 968-0707
Ellen Piyevsky, DDS
Lake Mead Dental
7481 W. Lake Mead Blvd.
Las Vegas, Nevada 89128
(702) 304-1234Las Vegas Oral Surgery
7670 W. Lake Mead Blvd., #130
Las Vegas, Nevada 89128
(702) 312-2273Dr. Afshin Arian
Las Vegas Smile Center
6600 W. Charleston Boulevard, #103
Las Vegas, Nevada 89149
(702) 433-6825
Dr. Brendan Johnson
Dr, John Holtzen
Dr. Steven Paul
Nevada Oral & Facial Surgery
6950 Smoke Ranch Rd., #200
Las Vegas, Nevada 89128
(702) 360-8918Dr. Brendan Johnson
Dr, John Holtzen
Dr. Steven Paul
Nevada Oral & Facial Surgery
1525 Warm Springs Rd., #125
Henderson, Nevada 89014
(702) 360-8918Dr. Brendan Johnson
Dr, John Holtzen
Dr. Steven Paul
Nevada Oral & Facial Surgery
6460 Medical Center St., #300
Las Vegas, Nevada 89148
(702) 360-8918Dr. Carol-Ann Rowe
New Image Dental
3885 S. Decatur Blvd., #1100
Las Vegas, Nevada 89103
(702) 838-3311
Raymond Kim, DDS
North Pointe Dental
4690 Ann Road, Suite 4
N. Las Vegas, Nevada 89131
(702) 515-7737Dr. Dawn McClellan, Pediatric
Dr. Tiffany Jackson, DDS
Paradise Dental Clinic
1750 Wheeler Peak Drive
Las Vegas, Nevada 89106
(702) 272-1100
Paradise Village Dental Ctr.
518 E. St. Louis Ave.
Las Vegas, Nevada 89104
(702) 735-1096Simon Shih, DMD
Peccole Family Dental
9580 W. Sahara Ave., #190
Las Vegas, Nevada 89117
(702) 242-4680Dr. Inri T. Hsu
Pecos Dental
62 N. Pecos Road, Suite A
Henderson, Nevada 89074
(702) 990-6926Pointe North Dental
7312 W. Cheyenne, #3
Las Vegas, Nevada 89129
(702) 396-9924
Christopher Trinh, DDS
Precious Dental
4210 W. Craig Rd., #104
N. Las Vegas, NV 89032
(702) 436-5222Mont Ringer, DDS, MS
Oral Surgeon
2625 S. Rainbow, #106-B
Las Vegas, NV 89146
(702) 876-2988
W.M. Robinson, DDS, PC
1111 N. Decatur Blvd.
Las Vegas, Nevada 89108
(702) 646-2030Kuan Y. Cho, DDS
Sahara Rain Family Dentistry
2243 S. Rainbow Boulevard
Las Vegas, Nevada 89146
(702) 365-0100Man V. Chau, DDS
Skyline Dental
6430 W. Lake Mead Blvd., #140
Las Vegas, Nevada 89108
(702) 647-3377
Liem Vu, DDS
Smile Brite Dental
4975 S Fort Apache, #107
Las Vegas, Nevada 89148
(702) 248-2748Dr. Kohsiu Ku
Smile Haven
4045 S. Eastern Ave.
Las Vegas, Nevada 89119
(702) 892-9878Cheng Zhu, DMD
Smile Solutions Dental
500 N. Rainbow Blvd., #315
Las Vegas, Nevada 89107
(702) 877-1055Hai Xa, DDS
Star-Brite Dental
560 Marks St., #B
Henderson, Nevada 89014
(702) 456-5100
Trung Xa, DDS
Diana Xa, DDS
Star Brite Dental
6720 N. Durango, #260
Las Vegas, Nevada 89149
(702) 893-2288
Hai Xa, DDS
Star-Brite Dental
893 S. Rainbow Blvd.
Las Vegas, Nevada 89145
(702) 456-0034Danny Truong, DDS
Sunbrite Dental
560 N. Nellis Blvd.,#E-8
Las Vegas, Nevada 89110
(702) 459-0303Tender Dental
5230 Boulder Highway, #130
Las Vegas, Nevada 89122
(702) 851-6724Tender Dental
5001 E. Bonanza Road, #160
Las Vegas, Nevada 89110
(702) 307-2273Today's Dental
1471 N. Jones Blvd.
Las Vegas, Nevada 89108
(702) 851-6722Phung Nguyen, DDS
Vista Dental
3315 W. Craig Road, #108
N. Las Vegas, Nevada 89032
(702) 464-3000Ellen Piyevsky, DDS
Wigwam Dental Care
2649 Wigwam Parkway
Henderson, Nevada 89074
(702) 617-3333
Accepting Insurance as Payment In Full
Teamsters Local 995 has made arrangements with several dental care providers who have agreed to accept Teamsters insurance as payment in full for services rendered. (Cancellation fees for missed appointments are not covered by this agreement.) Local 995 members eligible for Teamsters Local 995 dental coverage will not have to pay co-pays or deductibles for plan-covered services through these providers. Before using any of these providers you should take the following steps:
1. Identify yourself to the provider as a Teamster Local 995 member covered by the Teamsters Security Fund for Southern Nevada dental plan.
2. Before any work begins, ask if the provider is still waiving the co-pays and deductibles for covered services rendered under the Teamsters Security Fund for Southern Nevada. If they are not, you may wish to contact another provider on the list for service and contact our offices with this information as soon as possible.
This list is in no way intended to indicate this office's endorsement for any of the following providers, nor is it intended to imply anything other than the fact that these providers have all agreed to waive the deductibles and co-pays on covered services. Should you or any member of your family encounter any difficulties with any of these providers, please advise our office at your earliest convenience. - Diversified Dental Services, Inc.Diversified Dental Services, Inc., is an independent Preferred Provider Organization (PPO) serving Nevada since 1995. Diversified Dental Services, Inc. contracts with dentists to provide their services at a discount from their normal fees. Clients receive dental services at discounted rates when they seek dental care from a PPO dentist.
Visit this website for a complete list of providers and services. - How the Dental Benefit Plan WorksThe dental benefit plan is a network plan. You may see any dentist you prefer, whether of on Diversified Dental Services providers list or not. This means the trust will pay only 80% of the rates contracted with Diversified Dental Services, Inc., any cost a dentist outside the Diversified Dental Services providers list may charge above these contracted rates you will be responsible for. When you see the dentist, you pay the dentist for the service (or make arrangements with the dentist for payment), and once you have paid the dentist, submit the receipt to the Fund Administrative Office with a claim form for reimbursement.
- Orthodontia Lifetime Maximum BenefitPPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)
Non-PPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)
The Calendar Year and Lifetime Maximum Orthodontic Benefit that will be paid for a covered dependent child under age 19 for orthodontic treatment is shown in the Schedule of Benefits. (A covered dependent must have accumulated 9 full months of coverage prior to the commencement of orthodontic work.) The amount of benefits for Orthodontic Charges will be paid as follows:
- $300 – banding
- $300 – first six months of adjustments
- $300 – second six months adjustments
- $300 – third six months of adjustments
- Annual Maximum
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Disability Income Benefits
This benefit is available to Teamsters Security Fund - Local 995 participants.
Please contact Zenith American Solutions at (702) 734-8601 for specific information and required form.
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Insurance Administrator
Zenith American Solutions is the Program Administrator for Teamsters Local 995 members & retirees enrolled in the Teamsters Security Fund for Southern Nevada - Local 995 Plan.
Zenith American Solutions
2250 S. Rancho, Suite 295
Las Vegas Nevada 89102
(702) 734-8601
(702) 734-8619 (fax)
You can now view your eligibility, work history and claims information on-line, as well as update information.
Visit the Zenith Administrators website.
Click on "Participant Login."
At the first login, the entry required is:
User Name: (Member's Last Name)
Password: (Member's Social Security Number)
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Life & Accidental Death & Dismemberment
The Trust Fund provides life and accidental death and dismemberment insurance to all active employees, and retirees who are not yet eligible for Medicare. Dependents of active employees (but not retirees) are covered by the life insurance policy. This benefit is underwritten and fully insured by a commercial insurance carrier.
Please contact Zenith American Solutions
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Managed Mental Health and Substance Abuse Program
- Harmony Healthcare
Teamsters Security Fund for Southern Nevada (Local 995 Plan)
Harmony Healthcare can help you and your family with a broad range of personal and work related problems. All services are confidential. Please contact Harmony Healthcare for specific information.
Harmony Healthcare
1701 W. Charleston Blvd., Suite 300
Las Vegas, Nevada 89102(702) 251-8000
- Harmony Healthcare
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Medical Plan Benefits
Teamsters 14-995 Security Fund
Please contact Zenith American Solutions at (702) 734-8601 for specific information.
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PLUS Credit Union
"Serving Members Since 1952"
- Additional Products
- Direct Deposit
- Payroll Deposit
- ATM/Point of Sale Cards
- Check Guarantee/Point of Sale Cards
- Credit Life Insurance on Loans
- Credit Disability Insurance on Loans
- MemberCONNECT Supplemental Insurance
- Health Insurance
- Life Insurance
- Accidental Death and Dismemberment
- Additional Services
- Plus Phone Audio System
- Notary Service
- Wire Transfer (Incoming and Outgoing)
- Quick File Tax Return Service
- Travelers Checks
- Corporate Checks
- Money Orders
- Blue Books
- Federal Tax Deposits (TT&L)
- Credit Union Advantages
- Member Owned
- Low Minimum Deposit Required
- High Competitive Savings Yields
- Low Competitive Loan Rates
- Worldwide ATM Access
- Free Personalized Service
- Each Account Insured up to $500,000
- Full Service Financial Savings and Loan Programs
- Locations & Hours
Jones Branch
1900 South Jones Blvd.
Las Vegas, NV 89146Winterwood Branch
5105 E. Sahara Ave.
Las Vegas, NV 89142
Sunset Branch
1090 West Sunset Rd.
Henderson, NV 89014
Member Service Center
(702) 871-4746
Outside Las Vegas
Toll-Free: (877) 871-4746
Fax: (702) 871-3974
Plus Phone: (702) 438-6831
Lobby Mon - Fri: 9:00 am - 5:00 pm
Drive Thru/Call Center Mon - Fri: 8:00 am - 6:00 pm
Lobby Saturday: 9:00 am - 1:00 pm
Drive Thru/Call Center Saturday: 8:00 am - 2:00 pm
Closed Sundays and for posted Holidays.
VISIT YOUR CREDIT UNION AT THEIR WEBSITE
- Additional Products
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Prescription Drug Benefits
- Costco Mail Order/Online Pharmacy
Costco Mail Order/Online Pharmacy is the new mail order service provider.
- EnvisionRxOptions
For Participants and Covered Dependents
Effective November 1, 2011 your prescription drug benefit is administered by EnvisionRxOptions - (800) 361-4542.
Welcome to Envision Rx Options letter: TSN995FormularyWelcomeLetter.pdf (305k)
- Costco Mail Order/Online Pharmacy
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Teamsters Security Fund
- Teamsters Security Fund Board of Trustees
Union Trustees:
Mike Magnani
Larry Griffith
Al Ghilarducci
Steve Harney
Employer Trustees:
Fred Horvath - Chairman
Doug Coon - Co-Chairman
Joyce Lira
Fund Administrative Office:
Zenith Administrators
2250 S. Rancho, #295
Las Vegas, NV 89102
Phone: 702-734-8601
Fax: 702-734-8619
Legal Counsel:
Andrew S. Brignone, Esq.
Brownstein Hyatt Farber Schreck, LLP
100 N. City Parkway, #1600
Las Vegas, NV 89106
Plan Consultant:
Milliman
650 California Street, 17th Floor
San Francisco, California 94108
Auditor:
Stewart, Archibald & Barney
7881 W. Charleston Blvd., #250
Las Vegas, NV 89117 - Zenith American Solutions
Zenith American Solutions is the Program Administrator for Teamsters Local 995 members & retirees enrolled in the Teamsters Security Fund for Southern Nevada - Local 995 Plan.
American Solutions
2250 S. Rancho, Suite 295
Las Vegas Nevada 89102
(702) 734-8601
(702) 734-8619 (fax)
You can now view your eligibility, work history and claims information on-line, as well as update information.
Visit the Zenith American Solutions website.
Click on "Participant Login."
At the first login, the entry required is:
User Name: (Member's Last Name)
Password: (Member's Social Security Number)
- Teamsters Security Fund Board of Trustees
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United Labor Agency of Nevada (U.L.A.N.)
AFL-CIO Community Services
ULAN, a non-profit agency, is a joint venture of the Nevada AFL-CIO and the United Way.
- AFL-CIO & United WayULAN is the only labor sponsored United Way funded community services agency in Nevada with special emphasis on assisting union members and their families.
ULAN provides various programs to assist union members and their families who have been victims of an accident, illness, layoff, disaster or any situation that has caused a hardship. These include information and referral to access existing community services such as counseling, education and training, food, shelter, clothing, financial, medical and legal aid. ULAN also provides emergency assistance, food baskets, clothing and household items and citizenship assistance. To receive assistance from ULAN, union members must be referred by their union. - Citizenship AssistanceThrough donations and fund-raising, ULAN is able to provide on-site emergency assistance to prevent homelessness, hunger, utility turn-offs, and to aid in obtaining health care needs, clothing, household items and employment fees.
- Contact UsUnited Labor Agency of Nevada (U.L.A.N.)
1201 N. Decatur Suite 106
Las Vegas, Nevada 89108
Phone: (702) 648-3500
Fax: (702) 648-3509 - Direct AssistanceThrough donations and fund-raising, ULAN is able to provide on-site emergency assistance to prevent homelessness, hunger, utility turn-offs, and to aid in obtaining health care needs, clothing, household items and employment fees.
- Holiday Food BasketsDuring the Thanksgiving and Christmas Holidays, ULAN provides special holiday foods to needy union members so they can prepare a nice holiday dinner for their families.
- How does ULAN work?When members of local unions and their families are referred to ULAN, they are interviewed by ULAN staff who will assess their needs. These needs are met by referrals to appropriate off-site agencies or through the direct assistance programs provided on-site by ULAN. All discussions held with the ULAN staff remain confidential. There is no fee for ULAN's assistance.
- ULAN ProgramsULAN locates available resources, prescreens for eligibility and makes referrals to appropriate human and health services. ULAN works with other non-profit, government and private agencies to facilitate potential solutions.
- AFL-CIO & United Way
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Vision Benefits
The Trust Fund provides vision benefits through Vision Service Plan (VSP). Vision Service Plan (VSP) provides eye exams, and, if your vision needs to be corrected, lenses and frames or contact lenses through their network of VSP Doctors who include licensed ophthalmologists, opticians and optometrists. The Trust Fund provides this vision benefit plan to all employees, retirees and dependents who are enrolled under the Trust Fund.
- Contact LensesMedically Necessary Contact Lenses
One pair every 12 months if necessary instead of frames and lenses
Elective Contact Lenses
$105 allowance for one pair every 12 months, if necessary instead of frames and lenses - Cost of Vision BenefitsWhen you or your enrolled dependents select a doctor from the VSP list, the vision benefit covers examination, professional services, lenses, and a wide selection of frames at no expense to you, except a $5 deductible. Copayments are to be paid to the VSP Doctor at the time of examination. Any additional care, services and/or materials not covered by the vision benefit may be arranged between you and your doctor.
- Deductible - Vision PlanPPO: $5 co-payment
Non-PPO: $5 co-payment - FramesPPO: 1 set every 24 months, if necessary.
Non-PPO: Up to $45 - How the Vision Plan WorksVSP has a network of vision care providers (ophthalmologists, optician and optometrists) from which you can choose. Follow these steps:
1. Obtain a list of VSP Doctors in the area from the Fund Administrative Office.
2. Select a VSP doctor from the list.
3. When you call to make an appointment inform the VSP Doctor that you are a VSP participant.
4. The VSP Doctor will contact Vision Service Plan for your eligibility status and a benefit form.
5. Pay the $5 copayment to the VSP Doctor when you receive the service.
6. Payment for any additional (non-covered) services can be arranged between you and your doctor.
- LensesSingle Vision, Bifocals, Trifocals, Lenticular
PPO: 1 pair every 24 months, if necessary.
Non-PPO: Up to $40 - Seeing Non-VSP ProvidersYou or your eligible dependents may obtain services from a non member optometrist, ophthalmologist or dispensing optician. You and your enrolled dependents that follow this course must still obtain a benefit form, which you can obtain from the Fund Administrative Office. You should pay the doctor his or her full fee. You will then be reimbursed by VSP according to the reimbursement schedule for non-providers provided in the full Summary Plan Description.
- Vision ExamPPO: 1 exam every 12 months by VSP provider
Non-PPO: Up to $40
- Contact Lenses
