Self Pay Premium Due By

April 1, 2021

Your self-pay insurance premiums are due in advance and must be received no later than the first day of each quarterly period (July 1st, October 1st, January 1st, and April 1st). If your payment is made after the due date, you will be charged a $25 late fee. If we do not receive your self-pay premium and $25 late fee by the end of the month in which it was due, your coverage will be terminated retroactive to the first day of the quarter for which you failed to timely pay, and you will not have another opportunity to enroll for the remainder of the Plan year. Please note that no claim will be considered for benefit payment if timely payment of the premium has not been received for the quarterly period during which the claim arose (i.e., the three-month period in which the medical service was rendered).

You have the option to pay your self-pay premium upfront for the full year, every 6 months or quarterly. You can remit payment via:

• Credit card on our website fundoneiatse.com or by calling (212)247-5225 .

• Check made payable to “The Welfare Fund of Local No. One, I.A.T.S.E." There will be a $15.00 charge for any check returned from the bank.  Post-dated checks are not accepted.