INSURANCE - MEDICAL - DENTAL - PRESCRIPTION DRUG
FUND OFFICE/ BOARD OF TRUSTEES
NECA/IBEW Family Med. Care Plan
5837 Hwy. 41 North
Ringgold, GA 30736
P: 1- 877-937-9602
(Office Hours 8:00 am-12:00 and 1:00 p.m. - 5:00EST)
>>The Fund Office Handles eligibility, Weekly Disability, and Life/AD&D Insurance Claims
>>Send all self-payments to the Fund Office.
>>Contact the Fund Office for address changes, for family/dependent status changes, if anyone in your family acquires other coverage, or if you retire or enter active military service.
MEDICAL CLAIMS AND PPO NETWORK
Blue Cross Blue Shield of Georgia
P.O. Box 9907
Columbus, GA 31908-7368
1-866-304-1881 for customer service
1-800-810-2583 to find PPO provider
>>If you use a Blue Card PPO provider, covered services will be paid at the
higher in-network benefit level. Additionally, the preferred provider will file claims for you.
>>BCBSGA handles all medical (hospital/physician) and vision claims.
>>Your group identification number is on your I.D. card.
>>Call BCBSGA if you need a medical I.D.card.
PRE-CERTIFICATION - Blue Cross Blue Shield of Georgia
1-800-722-6614 for pre-certification
1-800-292-2879 for mental health/substance abuse
Dental Claims and Dental PPO Network (Metlife)
Metlife Dental Claims 1-800-942-0854 for customer service
P.O. Box 981282 1-800-942-0854 to find a PPO provider
>>Metlife handles all dental claims. Your group account number is 304133.
>>Pre-certification is required for all inpatient hospital admissions
Prescription Drug Program (Sav-RX)
1-866-233-4239 for customer service
>>Call Sav-Rx if you need a prescription drug card or have questions about your prescripton drug program.
Effective Date of Benefits
Your benefit coverage will start on your initial eligibility date. For example, if your employer makes contributions for you for at least 130 credited hours for work performed in January, your coverage will start on March 1.
If you have dependents on the date your coverage starts, their coverage will start on that same date. If you later acquire a dependent while you are eligible, coverage will start on the date the person became your dependent. Your dependent's eligibility is contingent upon your eligibility.
The minimum credited hour requirement for continuing eligibility is 130 hours per eligibility month. The following table shows how eligibility months correspond to benefit months:
Eligibility Month >>Benefit Month
EMPLOYEE AND RETIREE LIFE INSURANCE
$10,000 in employee Life Insurance is provided for active eligible employees. $7,500 in Life Insurance is provided for eligible retirees.
Enabling the transfer of members pension and health and welfare contributions back to their home funds no matter where they may be working.
REMINDER for all employees who have dependent children in college. You must get a signed letter from the Registars office each semester (fall and spring) verifying that they are registered as full time students. They will not accept a copy of their schedules, it must be a letter and it must come from the Registar's office. If the Insurance Company does not have this letter at the beginning of each semester your child will be dropped from the insurance.