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Welfare

No Surprises Act 

Effective July 1, 2022, Participants and Dependents receiving No Surprises Services will only be responsible for paying their In-Network cost sharing, and cannot be balance billed by the provider or facility for emergency services.

Read Summary of Material Modifications Here

Information For

 

Welfare Documents

Welfare

Medicare and You 2022
Private Health Information Authorization Form
Active City Carpenters Reimbursement Claim Form 2020
Active City Carpenters Reimbursement Claim Form 2021
Active City Carpenters Reimbursement Claim Form 2022
Retired City Carpenters Reimbursement Claim Form 2020
Retired City Carpenters Reimbursement Claim Form 2021
Retired City Carpenters Reimbursement Claim Form 2022
ASO/SIDS Dental Claim Form
Paid Family Leave- Bonding Application
Paid Family Leave- Family Member Application
Paid Family Leave- Self Covid-19 Related Application
Paid Family Leave- Dependent Covid-19 Related Application
Paid Family Leave- Military Application
Health Insurance Claim Form- Empire
Required Documents for Eligible Dependents
Prescription Mail Order Form- English
Prescription Mail Order Form- Spanish
Short-Term Disability Form
Short-Term Disability Form- City Carpenters
SBC Uniform Glossary

Other

NYCDCC Health Enrollment and Beneficiary Designation Form
Change of Address Form
To request any forms or documents that you do not see available on the website, please call the Benefit Funds Call Center at (800) 529-FUND (3863) or (212) 366-7373.

Frequently Asked Questions (“FAQs”):

FAQs

What are my co-payments for coverage offered through Empire BlueCross BlueShield?
Show Answer
Your co-payments are $20 for Primary Care visits, $25 for Specialist visits , and $200 for Emergency Room visits (fee waived if admitted).
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I need a new hearing aid, does the NYCDCC hearing plan cover it?
Show Answer
You and your covered dependents are eligible for a hearing benefit once every four years. When you use participating providers affiliated with Comprehensive Professional Systems (CPS) or General Hearing Services (GHS), you may receive a hearing examination, a new digital hearing aid (with battery), and other services all at little or no cost. Call CPS at (212) 675-5745 or GHS (800) 847-4661 to find a provider near you.
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How do I find covered vision services?
Show Answer
Our network providers are Comprehensive Professional Systems (CPS) and General Vision Services (GVS). To obtain a list of participating providers, you can contact CPS at (212) 675-5745 or GVS at (800) 847-4661 or visit their websites (cpsoptical.com or generalvision.com). The plan number for Welfare participants covered under GVS is 7501.
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When do I become eligible for Welfare Fund coverage as an Active Participant?
Show Answer
In general, you are eligible for Welfare Fund coverage as an Active Participant after you have worked 250 hours in Covered Employment. These 250 hours “buy” you a calendar quarter (three months) of coverage.
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What should I do about unpaid medical bills?
Show Answer
If you are a non-Medicare eligible member, contact Empire BlueCross BlueShield. You can log onto www.empireblue.com and register to view your claims that have been processed. If a claim was denied by Empire Blue Cross Blue Shield, contact Empire for appeal instructions. If you are Medicare-eligible, contact UnitedHealthcare directly at www.UHCretiree.com or by calling (888) 736-7441.
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How do I check my welfare hours and eligibility?
Show Answer
  1. Go to nyccbf.org.
  2. Click the “Member Login” button located on the top right corner of the screen.
  3. Log into the website using your Username (UBC #) and Password. (Please note, if logging in with a temporary password, you will be directed to the Registration Page where you will be prompted to enter your temporary password in the current password field, followed by your new password in the new password field.)
  4. Check the box agreeing to the terms of the website and click “Continue.”
  5. After you agree to the website terms, select the “View Active Welfare Eligibility” option and click “Continue.”
  6. Upon entering the “View Active Welfare Eligibility” page, you will be presented with a chart where you will be able to see your Welfare eligibility status and hours by date
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Who is my dental provider and how do I find a dentist in my plan?
Show Answer
Your dental provider is Administrative Services Only (ASO). To search the list of participating providers, go to www.asonet.com and select “NYCDCC Welfare Fund” from the dropdown menu. Select a dentist from the List of Participating dentists and call for an appointment. When making your appointment, be sure to identify yourself as an eligible member of the New York City District Council of Carpenters Welfare Fund. Please note that identification cards are not required or issued for the dental benefits program.
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When do I become Medicare-eligible?
Show Answer
You become Medicare-Eligible under the following conditions:
  1. When you turn age 65.
  2. Two years after you are awarded Social Security Disability benefits, regardless of your age. You can be awarded Social Security Disability prior to age 65.
  3. You are diagnosed with End Stage Renal Disease (“ESRD”).
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I moved. How can I change my address?
Show Answer
You can change your address by filling out a Change of Address form and following the instructions located on the form. You can find the Change of Address form here: Change of Address Form
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What happens to my Life Insurance money if I die without a Beneficiary?
Show Answer
If you are eligible for Welfare Benefits at the time of your death and do not have a Beneficiary on file, payments will be made in the following order:

• your surviving spouse or, if none

• your children in equal shares, or, if none,

• your parents in equal shares or, if none,

• your brothers and sisters in equal shares, or, if none,

• your estate.

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What are the guidelines to retire with medical benefits?
Show Answer
To be eligible for Welfare coverage as a Retiree, you must satisfy one of the three requirements below:

• You have reached the age of 55 and earned a minimum of 30 Vesting Credits with the New York City District Council of Carpenters Pension Fund (“Pension Fund”).

• You have reached the age of 55, earned at least 20 Vesting Credits under the Pension Fund and, during the 60-month period immediately preceding the effective date of your pension, you are eligible as an Active Employee for at least 24 months; or

• You have reached the age of 55, have 25 years with at least 250 hours worked in Covered Employment, have earned at least 15 Vesting Credits under the Pension Fund and during the 60-month period immediately preceding the effective date of your pension, you are eligible as an Active Employee for at least 24 months.

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How can I add my spouse and/or children to my coverage?
Show Answer
You can add your dependents by filling out a Health Plan Enrollment Form and submitting the required documents.  
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What should I do about unpaid medical bills?
Show Answer
If you are a non-Medicare eligible member, contact Empire Blue Cross Blue Shield. You can log onto www.empireblue.com and register to view your claims that have been processed. If a claim was denied by Empire Blue Cross Blue Shield, contact Empire for appeal instructions. If you are Medicare-eligible, contact UnitedHealthcare directly at www.UHCretiree.com or by calling (888) 736-7441.
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How do I obtain my Empire BlueCross BlueShield or UnitedHealthcare card?
Show Answer
If you are a non-Medicare eligible member, you can request a card by calling Empire directly (800) 553-9603 or via internet @ www.empireblue.com. If you are Medicare-eligible, you can contact UnitedHealthcare by calling (888) 736-7441 or via internet @ www.UHCretiree.com.
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What are the prescription drug copayments?
Show Answer
Express Scripts is your pharmacy benefit manager. Retail co-payments are $15 for generic, $25 for preferred, and $40 for non-preferred prescriptions. Additionally, mail order co-payments are $25 for generic, $45 for preferred, and $75 for non-preferred prescriptions. *Note that mail-order co-payments represent a three month supply.
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*Disclaimer: The Funds have prepared these informal answers to frequently asked questions for the convenience of our participants and contributing employers.  The Funds have made every effort to provide accurate answers, but they are not legally binding and do not address every possible situation.  The Collection Policy, Trust Agreements, and Collective Bargaining Agreements are official legal documents and supersede any inconsistent statements herein.