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MemberXG Benefit system

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Glossary of  Health Coverage and Medical Terms

Local 1500 – Surprise Billing Public Notice

HIPAA Authorization Form

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Full-Time Medical Plan (FT)

Provider Locator:  Anthem.com  or 1-800-810-BLUE

Provider contact for benefit verification:  1-800-676-BLUE

Member contact:  Associated Administrators, LLC 1-855-266-1500

Pre-certification of services: Healthlink Medical Management:  1-877-284-0102

Mental Health/Substance Abuse pre-certification through LICADD:  1-516-747-2606

(Long Island Council on Abuse and Drug Dependence)

Prescription Plan Information: Express-Scripts.com  or 1-877-861-8145

Download FT Plan Forms

Full-Time Plan – Change of Address Form

Full-Time Plan – Spousal Enrollment Form

Full-Time Plan – Preventive Services Benefit List

Full-Time Plan – Subrogation Agreement

Full-Time Plan – Coordination of Benefits Questionnaire

Full-Time Plan – Third Party Change of Address Form

Hand-outs from Feb 2014 area meetings

Summary of Material Modifications (SMMs)

Coverage for Video and Telephonic Physician Visits for Substance and Alcohol Use

Increase to Dental & Optical Benefits

CHANGES TO YOUR PRESCRIPTION DRUG BENEFIT

Full-Time Plan – Summary of Material Modifications – October 1, 2023

Full-Time Plan – Summary of Material Modifications – November 1, 2022

Full-Time Plan – Summary of Material Modifications – March 1, 2021

Full-Time PlanSummary of Material Modifications – March 1, 2020

Full-Time Plan – Summary of Material Modifications – March 27, 2020

Full-Time Plan –Summary of Material Modifications – November 1, 2019

Full-Time Plan – Summary of Material Modifications – October 17, 2019

Full-Time Plan – Summary of Material Modifications October 31, 2018

Full-Time Plan – Summary of Material Modifications – February 28, 2018

Full-Time Plan – Summary of Material Modifications – February 28, 2018 (Spanish)

Full-Time Plan – Summary of Material Modifications – July 21, 2015

Full-Time Plan – Summary of Material Modifications – February 1, 2015

Full-Time Plan – Summary of Material Modifications – December 29, 2014

Full-Time Plan – Summary of Material Modifications – October 2, 2014

Full-Time Plan – Summary of Material Modifications – December 30, 2013

Summary of Benefits and Coverage (SBC)

Full-Time Plan Coverage Period January 1 – December 31, 2024

Summary Plan Description Booklet

Full Time Employees Group Benefit Plan

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 Special Part-Time Medical Plan (SPT)

Summary Plan Description Booklet

Summary Plan Description Booklet – Special Part-Time

Provider Locator: Anthem.com  or 1-800-810-BLUE

Benefit Information: Associated Administrators, LLC: 1-855-266-1500

Prescription Plan Information: Express-Scripts.com  or 1-877-861-8145

Pre-certification Services: Healthlink Medical Management: 1-877-284-0102

Download SPT Plan Forms

Special Part-Time Plan – Change of Address Form

Special Part-Time Plan – Preventive Services Benefit List

Special Part-Time Plan – Subrogation Agreement

Special Part-Time Plan – Coordination of Benefits Questionnaire

Special Part-Time Plan – Third Party Change of Address Form

Hand-outs from Feb 2014 area meetings

Summary of Material Modifications (SMMs)

Coverage for Video and Telephonic Physician Visits for Substance and Alcohol Use

Increase to Dental & Optical Benefits

CHANGES TO YOUR PRESCRIPTION DRUG BENEFIT

Special Part-Time Plan – Summary of Material Modifications – October 1, 2023

Special Part-Time Plan – Summary of Material Modifications – November 1, 2022

Special Part-Time Plan – Summary of Material Modifications – March 1, 2021

Special Part-Time PlanSummary of Material Modifications – March 1, 2020

Special Part-Time Plan – Summary of Material Modifications – March 27, 2020

Special Part-Time Plan – Summary of Material Modifications – November 1, 2019

Special Part-Time Plan – Summary of Material Modifications October 31, 2018

Special Part-Time Plan – Summary of Material Modifications – July 1, 2015

Special Part-Time Plan – Summary of Material Modifications – April 30, 2015

Special Part-Time Plan – Summary of Material Modifications – February 1, 2015

Special Part-Time Plan – Summary of Material Modifications – December 29, 2014

Special Part-Time Plan – Summary of Material Modifications – September 30, 2014

Special Part-Time Plan – Summary of Material Modifications – December 30, 2013

Summary of Benefits and Coverage (SBC)

Special Part-Time Plan Coverage Period January 1 – December 31, 2024

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Part-Time ACA Medical Plan (A)

Summary Plan Description Booklet

Part Time ACA Employees Group Benefit Plan

Useful Numbers

Provider Locator:  Anthem.com  or 1-800-810-BLUE

Provider contact for benefit verification:  1-800-676-BLUE

Member contact:  Associated Administrators, LLC 1-855-266-1500

Pre-certification of services: HealthLink Medical Management:  1-877-284-0102

Mental Health/Substance Abuse services through LICADD:  1-516-747-2606

(Long Island Council on Abuse and Drug Dependence)

Prescription Plan Information: Express-Scripts.com  or 1-877-861-8145

 

Download  PT ACA Plan Forms

Part-Time ACA Plan – Change of Address Form

Part-Time ACA Plan – Third Party Change of Address Form

Part-Time ACA Plan Preventive Services Benefit List

Part-Time ACA Plan – Subrogation Agreement

Part-Time ACA Plan – Outline of Benefits

Summary of Material Modifications (SMMs)

Coverage for Video and Telephonic Physician Visits for Substance and Alcohol Use

Increase to Dental & Optical Benefits

CHANGES TO YOUR PRESCRIPTION DRUG BENEFIT

Part-Time ACA Plan – Summary of Material Modifications – October 1, 2023

Part-Time ACA Plan – Summary of Material Modifications – November 1, 2022

Part-Time ACA Plan – Summary of Material Modifications – March 1, 2021

Part-Time ACA PlanSummary of Material Modifications – March 1, 2020

Part-Time ACA Plan – Summary of Material Modifications – March 27, 2020

Part-Time ACA Plan – Summary of Material Modifications – November 1, 2019

Part-Time ACA Plan – Summary of Material Modifications October 31, 2018

Part-Time ACA Plan – Summary of Material Modifications – July 21, 2015

Part-Time ACA Plan – Summary of Material Modifications – December 29, 2014

Summary of Benefits and Coverage (SBC)

Part-Time ACA Plan Coverage Period January 1 – December 31, 2024

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Download Basic Part-Time Forms

Part-Time Plan – Change of Address

Part-Time Plan – Third Party Change of Address Form

Summary Plan Description Booklet

Part-Time Plan – Part Time Employees Group Benefit Plan

Summary of Material Modifications (SMMs)

Increase to Dental & Optical Benefits

Full-Time Plan – Summary of Material Modifications – March 1, 2021

Part-Time PlanSummary of Material Modifications – March 1, 2020

Part-Time Plan – Summary of Material Modifications October 31, 2018

Part-Time Plan – Summary of Material Modifications

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Useful Links

New York State – The Official Health Plan Marketplace

UFCW 1500 Union website

WorldDiabetesMonthToolkit CS version

Local 1500 Welfare Fund ESI Covid-19 Test Kits Information

Dental Providers

Local 1500 SMM for Dental, Ortho, and Optical

Integrated Dental Administrators, Inc.
1-855-UFCW-1500

Integrated Dental Brochure

DDS, Inc
1-800-255-5681

DDS, Inc

 Vision Providers

CPS Eyeglass Promotion

Vision Fee Schedule Effective 03.01.21

CPS Optical Website

CPS Optical Brochure

General Vision Services Website

 General Vision Benefits & Provider Locations

Vision Screening Inc. Website

Vision Screening Inc. Brochure

 

Transparency in Coverage: Machine Readable Files

The links below lead to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators and application developers to more easily access and analyze data.

In-Network Machine Readable File

UFCW Local 1500 Allowed Amounts Machine Readable File

 

These forms are published on this page by Associated Administrators, LLC on behalf of the Client Fund and are meant solely for the use of their participants.


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