DC-37
Benefits Information
DC-37 Health and Security Plan Benefits
125 Barclay Street
New York, NY 10007
Phone number -212-815-1234
Benefits available to
members:
A.
Eligibility
– members of a collective
bargaining unit represented by DC37.
Children covered to
age 19, if attending school full-time to age 23.
A totally disable child covered regardless of age as long as disability
began before age 19 or 23 if attending college. Part time employees must
work a minimum of 17.5 hours per week for white collar and 20 hours for
blue collar employees for the last 90 days.
B. Benefits
(1)
Dental Plan – Yearly maximum $1500
a)
Non –participating provider- use any licensed dentist.
Reimbursement based on fee schedule amount for covered services. Employee responsible for the difference between
the Plan’s fee schedule and the dentist charges. Employee fills out claim
form.
b)
Participating Providers- list from DC 37. Participating dentist accepts the Plan’s fee
schedule
c)
obtain treatment at any of the two dental centers.
(2)
Vision Care Benefit – Once every two years
a)
Voucher –
request a voucher – accepted by participating optometrists, opticians or
DC37 Vision Center. Must use voucher
within 90 days of issuance.
b)
Direct Reimbursement – obtain Optical Benefit Reimbursement form from Plan
Office. The Plan will reimbursement
employee for expenses as per schedule in benefit booklet. The following services can only be filed for
via direct reimbursement:
1)
contact lenses
2)
cataract
3)
single vision lenses
4)
cataract bifocal lenses
5)
cataract contact lenses
c)
Supplemental Optical Benefit – available at the Vision Center only – once every
12 months for eye exam and change of lenses.
(3)
Prescription Drug Benefit – annual Limit $50,000 per cardholder per year.
Plan will only be responsible for paying for covered
prescription medications at the generic rate except in the following situations:
a)
no generic available
b)
brand name deemed medically necessary
Direct
Reimbursement – If not using
a participating pharmacy, have pharmacist complete a reimbursement form. The Plan will reimburse for an amount that
is equal to the cost of the generic drug minus the $5.00 co-pay.
Direct
Mail Service Program – obtain
up to a 3-month supply. For info and a drug mailer (212) 815-1531
Managed
Care Program – members and dependents
who together utilize more than $1000 will be in this program described in
benefit booklet.
(4)
Disability Income Benefit
66 2/3% of weekly pay
– not more than $200 per week. Maximum
benefit 26 weeks. Must file for disability benefit within 15
days.
(5)
Catastrophic Medical Benefit
Supplement to GHI/CBP
– annual catastrophic deductible is reduced to $1000.
(6)
Second Surgical Consultation
Available regardless
of what health insurance option selected.
Free second opinion prior to elective surgery.
Must be obtained through the DC 37 Health and Security second surgical
consultation unit for NYC Healthline.
For info (212) 815-1350.
$10,000 paid to beneficiary
(ies) when employee dies.
a)
Extended Death Benefit - available to employees
under 55 who leave employment due to total disability.
b)
Expanded Death Benefit – available to employees 55 or older who leave employment
due to total disability.
(8)
Accidental Death, Dismemberment and Loss of Sight Benefit
–
Amount - $10,000 -
$5,000 for each lost limb or eye In order to be covered, the death must
occur within 90 days form date of accident and be a result of injuries
sustained in that accident.
(9)
Podiatry Benefit – maximum of 6 visits per year
Available to members
only at the plan’s two podiatry centers. Includes;
a)
podiatry exam
b)
routine foot care
c)
orthopedic care
d)
general podiatric medical care
(10)
Audiology Benefits
Available
to members only at audiology center – benefits include;
a)
audiological evaluation
b)
hearing aid evaluation and dispensing of hearing aid
if necessary
(11)
Personal Services Unit
A confidential service which provides unit
counselors to assist with short term counseling, information regarding
private or public social service and referral to community agencies.
a)
referrals
b)
community resource information
c)
individual and group counseling
d)
wellness support group
e)
workshops and conferences
f)
outreach programs
g)
health insurance and pension assistance
(12)
MELS – Municipal Employee Legal Services
Benefit – advice, counseling and representation including court
appearance when necessary. Assist
with the following services:
a)
wills
b)
debit problems
c)
purchase of goods and services
d)
evictions
e)
divorce, separation and annulment
f)
document review
g)
\credit rating
h)
public utilities
i)
government agency issues
j)
defending lawsuits
k)
referral service
l)
real estate transactions
m)
family court matter
n)
adoption
o)
guardianship
p)
change of name
(13)
Education Fund – New employees after working in a covered job title become eligible for
this benefit on the first day of the month after completing 90 days of employment.
For info (212) 815-1650
(14)
Tuition Reimbursement – undergraduate, graduate and post-graduate. $175 per
term – maximum of 3 terms per academic year
a)
full-time employee employed 90 days prior to the first day of
classes
c)
receiving credit towards a degree
d)
grade C or better
e)
complete application process within 120 days after the
last day of class
Members are also eligible
for reimbursement for non-accredited or career or job related courses.
For info. (212) 815-1663, 1664
For all other Welfare Funds contact individual funds
for benefit eligibility and coverage
