OUTSTATE MICHIGAN TROWEL TRADES FRINGE BENEFIT FUNDS
June 2000
TO: ALL
ELIGIBLE PARTICIPANTS OF THE HEALTH AND WELFARE FUND
RE: SUMMARY
OF MATERIAL MODIFICATIONS
Initial Eligibility
Physical
Examination Benefits
Dear Participant:
The Board of Trustees is
pleased to announce that effective July 1, 2000 the initial eligibility rules
have been modified to reduce the eligibility requirement from five hundred
(500) hours to three hundred thirty (330) hours within three (3) months. For example 330 hours of work in the months
of March, April and May will make the participant eligible effective July,
August and September.
Effective July 1, 2000 the
Trustees have approved a physical examination benefit. This examination, for preventive medical
evaluation and to manage the health of the individual, includes a comprehensive
history.
Blue Cross Blue Shield of
Michigan (BCBSM) will pay the approved amount for the following services no more
often than once every twelve (12) months per covered individual:
A physical or GYN examination
provided in your physician’s office and;
The following screening procedures:
·
Chemical Profile
·
Complete Blood Count
·
Fecal Occult Blood Screening
·
Urinalysis
If you have any questions regarding the above, please
do not hesitate to contact the Fund Office.
Sincerely,
OUTSTATE MICHIGAN TROWEL TRADES HEALTH & WELFARE
FUND
BOARD OF TRUSTEES
March 2001
TO: ALL
ELIGIBLE PARTICIPANTS OF THE HEALTH AND WELFARE FUND
RE: SUMMARY
OF MATERIAL MODIFICATIONS
Prescription
Drug Coverage
Self-Payment
Rates
Dear Participant:
As you may know, the Board
of Trustees continually reviews the benefits provided by the Plan as well as
the cost associated with maintaining these benefits. Based upon the escalating cost of health care the Board of
Trustees has approved the following modifications to the Plan:
§
Effective March 1, 2001 the
Prescription Drug Benefit has been modified to provide a $5.00 co-payment for
Generic prescriptions and a $10.00 co-payment for Brand Name or Dispense as
Written Prescriptions. If there is no Generic available, you will be required
to pay the Brand Name Co-payment.
§
The Plan will now provide
coverage for contraceptives.
§
The self-payment rates will be
adjusted annually based upon the increase in the Blue Cross Blue Shield of
Michigan costs. The Self-Payment Rate
will therefore be increased to $250 per month effective April 1, 2001.
If you have any questions regarding the above, please
do not hesitate to contact the Fund Office.
Sincerely,
OUTSTATE MICHIGAN TROWEL TRADES HEALTH & WELFARE
FUND
BOARD OF TRUSTEES