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Carpenters Health & Welfare Trust Fund for California Plan A & R Comparison


Information Needed: Eligibility, Benefits, COBRA, Disability, or

Contact the Following:

Fund Office

(510) 633-0333 or

Life and Accidental Death and Dismemberment Claims (AD&D) Toll Free

(888) 547-2054

Claims: Indemnity Medical Plan Orthodontic Benefit (Indemnity & Kaiser) Indemnity Hearing Aid Benefit

Fund Office

(510) 633-0333 or

Toll Free

(888) 547-2054


Contract Provider Program – In California (Indemnity Medical Plan)

Fund Office

(510) 633-0333 or

Toll Free

(888) 547-2054


Contract Provider Program – Outside California (Indemnity Medical Plan)

BlueCard (800) 810-2583 www.bluecares.com

Review Organization for Required Pre-Authorizations – In or Outside California (Indemnity Medical Plan)

Anthem Blue Cross (800) 274-7767

Prescription Drug Benefits (Indemnity Medical Plan)


(800) 939-7093


Fund Office

(888) 547-2054

Vision Service Plan (Indemnity Medical Plan)

(800) 877-7195 www.vsp.com

Kaiser Permanente

(800) 464-4000 http://my.kp.org/ca/carpenterfunds/index.html

Delta Dental (Delta Preferred Option)

(800) 765-6003 www.deltadentalca.org

PacifiCare Behavioral Health Mental Health (Indemnity only) Alcohol & Chemical Dependency (Indemnity & Kaiser) Member Assistance Program (Indemnity & Kaiser)

(877) 225-2267 www.liveandworkwell.com

Healthcare Reform: Carpenters Health and Welfare Trust Fund for California believes this Plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your Plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for exam- ple, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits.

Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the Plan Administrator at 265 Hegenberger Rd., Suite 100, Oakland, CA 94621. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at 1-866-444- 3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

Effective July 1, 2010

opeiu 3 afl-cio (125) 7/2010

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