SBF Summary Plan Handbook - CWA Local 1180

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SBF Summary Plan Description 06-11-12 without limitation, the authority to determine the eligibility for, and the amount of, benefits payable under the Plans. These decisions shall be final and binding on all parties affected by such decisions. The next section, “Eligibility,” contains the general eligibility rules you must meet to receive benefits provided by the CWA Local 1180 Security Benefits Fund, the CWA Local 1180 Education Benefits Fund, the Legal Benefits Fund and the Member’s Annuity Benefits Fund. Variations in the general eligibility rules for specific benefits are described separately under the sections explaining the benefits provided by each Fund. This Summary Plan Description and the Funds’ staff are your sources of information on the Plans. If you have questions about the benefits described in this Handbook or your eligibility for a benefit, the Funds’ staff will gladly assist you. How to Contact the Fund Office To reach the Funds’ staff for any questions you may have, visit or call the Fund Office at: CWA Local 1180 Security Benefits, Education Benefits and Legal Benefits Funds 6 Harrison Street New York, New York 10013-2898 1-212-966-5353 1-888-966-5353 (out-of-area) CWA Local 1180 Member’s Annuity Benefits Fund Administrative Services Only, Inc. 303 Merrick Road, Suite 300 Lynbrook, NY 11563-9010 1-718-204-7172 Ext. 5520 1-516-396-5520 1-877-999-3555 (Toll Free) - 2 -
SBF Summary Plan Description 06-11-12 B ENEFITS FUNDS OVERVIEW _____________ SECURITY BENEFITS FUND _____________ Life & Disability Benefits: ‣ Life Insurance $5,000 ($1,000 for part-time) ‣ Accidental Death & Dismemberment $5,000 ($1,000 for part-time) ‣ Weekly Accident and Sickness Benefit $250 weekly for up to 13 weeks ____________ Supplemental Health Benefits: Dental Benefits (Choose one of the following plans) ‣ Schedule Dentcare Dental Plan: • Use a participating dentist or any dentist of your choice • Use Dentcare panel dentist • Most services covered at no charge • No annual or lifetime maximum • No out-of-pocket expenses if you use a participating dentist • Maximum benefit of $2,000 per person, per calendar year Prescription Drug Cost Reimbursement Benefit ‣ Benefit of up to $5,000 per family, each calendar year towards your prescription drug costs administered by EnvisionRxOptions General Medical Reimbursement Benefit ‣ Benefit of up to $150 per family per calendar year for covered medical expenses. - 3 -
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SBF Summary Plan Handbook - CWA Local 1180

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