SBF Summary Plan Handbook - CWA Local 1180

SBF Summary Plan Description 06-11-12
‣ He or she is incapable of self-support because of mental illness,
mental retardation or developmental disability as defined in the New
York Mental Hygiene Law, or because of physical disability
and
‣ You submit proof of your child’s disability within 31 days of attaining
the age at which coverage would otherwise be terminated.
The Trustees of the CWA Local 1180 Security Benefits Fund have the sole and absolute
discretion to decide all issues of eligibility for benefits of your child with a disability. You will
be requested by the Fund Office to submit proof of continued disability and to re-certify the
disabling condition from time to time.
How Do You Enroll
When you become eligible for coverage, you must enroll with the Fund Office before
benefits become payable. To enroll, follow these simple steps:
‣ Complete and sign the Security Benefits Fund Enrollment card and the Designation
of Beneficiary card. Make sure you answer every question carefully, accurately and
legibly;
‣ Submit the Enrollment card and the Designation of Beneficiary card to the Fund
Office;
‣ Submit birth certificates for dependent children and copy of marriage certificate
when enrolling your dependents, or such other documentation as requested by the
Fund.
When any change occurs in your status, such as marriage, divorce, separation, change of
work location, change of address, birth or adoption of a child, or death of an eligible
dependent:
‣ Obtain another Enrollment card from the Fund Office or from your Local 1180 Shop
Steward and make the proper revisions;
‣ Submit your revised Enrollment card to the Fund Office.
If you wish to change your beneficiary designation:
‣ Obtain a new Designation of Beneficiary card from the Fund Office;
‣ Submit your revised Designation of Beneficiary card to the Fund Office.
When Does Coverage Begin
Under this Fund, coverage for you and your eligible dependents begin on the day you
are placed on the payroll in a covered job title which is represented by CWA Local
1180, AFL-CIO and a contribution is made by your employer to this Fund on your
behalf.
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