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Main Office

2114 I-80 S. Frontage Rd.
Joliet, IL 60436
Ph. 815.725.0278
Fax 815.725.0594
local422@ualocal422.org

Office Hours
8:00 a.m – 4:30 p.m.

Ottawa Office

1301 Canal Street
Ottawa, IL 61350
Ph. 815.431.2628
Fax 815.431.2629

Kankakee Office

1012 North Fifth Ave.
Kankakee, IL 60901
Ph. 815.933.7621
Fax 815.933.3246

 

 




Welcome to the new Plumbers, Pipefitters and Service Technicians, Local 422 Web site.

PDF files on this site require at least version 5.1 of Adobe Acrobat Reader. Get the most recent version of Acrobat Reader here.

Health Reimbursement Arrangement (Special Fund Program)

The Special Fund Program creates a Health Reimbursement Arrangement (HRA) for you to use for healthcare expenses that are not payable by the Plan. This benefit is described in detail in the Health and Welfare Summary Plan Description (SPD) booklet.

Eligible Expenses

Your employer contributes an hourly amount into the HRA account on your behalf (currently $1.50 for each hour you work). These contributions are allocated to you while you maintain eligibility under the Plan. You can use the funds in your HRA account to pay for healthcare expenses not paid by the Plan, including:

  • Calendar year deductibles;
  • Copayments for covered expenses;
  • Amounts in excess of the maximum benefit limits for covered expenses;
  • Expenses for an occupation-related sickness or injury that would otherwise be covered under the Plan and that are not reimbursable from another source, such as Workers’ Compensation;
  • Full payment (not a partial payment) of a Regular Self-Payment or other Self-Payment necessary to maintain eligibility under the Plan; and
  • Medical, dental, vision, and prescription drug expenses that are not covered under the Plan, that the Trustees determine are payable.
Expenses Not Covered
  • Non-prescription drugs, medicines, and vitamins;
  • Expenses that are reimbursable by some other source; and
  • Expenses not specifically listed as covered.
Applying for Reimbursement

    You can request reimbursements, up to the balance in your account. However, the minimum amount that you may request is $50, unless you incur less than $50 in Special Fund Covered Expenses during a calendar year.

To request a reimbursement, complete the form (PDF) and return it to the OBA-Midwest office (listed below), along with a copy of the itemized bill, acceptable proof of payment and the applicable Explanation of Benefits (EOB). The EOB is necessary for any expenses that are also covered under a secondary plan. You must request reimbursement within 24 months of the date you incurred the expense.

OBA-Midwest
333 Pierce Road, Suite 410
Itasca, Illinois 60143

In the Event of Your Death

If you die, the balance in your account will continue to be available to your eligible spouse or children to use as reimbursement for medical expenses incurred by you or your covered dependents.

If you were not married at the time of your death and if you do not have any remaining dependent children, the account balance will revert back to the general assets of the Fund.

 

 

 

The information on this web site presents selected highlights of the Plumbers, Pipefitters and Service Technicians, Local 422 Benefit Funds as of January 1, 2009. The actual Plan provisions of each Plan are in the Plan’s legal document. In the event of a conflict between the wording on the site and the legal documents, the legal documents will govern. The Trustees reserve the right to amend, modify, or discontinue all or part of the Plan at any time.

© 2009 Plumbers, Pipefitters and Service Technicians, Local 422 Benefit Funds. All rights reserved.