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International Union of Operating Engineers: Local 399
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Summary of Medical Benefits


Effective February 1, 2015

Medical Benefits     

Preferred Provider Network

BlueCross BlueShield Labor Lease Program

Deductible            $300 per person per calendar year
    $1200 per family per calendar year
Major Medical Coinsurance   90% PPO         70% Non-PPO
Plan Maximum (Medical Claims)   Unlimited
Additional Copayment   $100 outpatient emergency room

Adult Wellness

(Age/frequency guidelines apply)







Annual Routine Exam



Gynecological exam with related testing:

PSA with related exam



Pre-Certification Requirement

   Call Med-Care Management








Outpatient surgical procedures performed in a

surgical facility or a hospital

Physical, occupational, speech therapy

IV Therapy

Home care, medical equipment & supplies



Plan Exclusions

(See Summary Plan Description for 

complete list)





Out of network surgical faclities

Speech or other therapy for develpmental delay

Treatment of Infertility


Click here to view the full list of plan exclusions






For additional details, please click below to view/download a copy of the
2015 Summary Plan Description Book


2015 Summary Plan Description Book



Contact Elite Adminstration Customer Service at

(312) 243-1265 for information regarding

your claims payment status



Contact Numbers:


H&W Fund Office

(312) 372-9870

Press Option 3

H&W Dedicated Fax Number:

(312) 842-0291


Click here for H&W staff contact list

For questions or issue on Medical Coverage,

please contact Elite Adminstration at (312) 243-1265


For questions or issue on Dental Coverage,

please call Delta Dental at (800) 323-1743


For questions on Prescriptions,

Please call Caremark at (888) 727-0504


For questions regarding Vision Coverage,

please call VSP at (800) 877-7195


If you are a member needing assistance, please call 

or email the Health & Welfare Fund Office Staff.