In addition to the earnings requirements for coverage, to be eligible for Welfare Fund coverage, you are required to submit self-pay premium payments to the Fund Office. The rate for your self-pay depends on the coverage type you have elected (Participant, Participant + 1, or Family). Follow this link for a chart showing the current Self-Pay Premium Chart.

You will receive an invoice from the Fund Office in advance of the first day of each quarterly period. If it is more convenient, please note that you have the option to pay your self-pay premium up front for the full year, or every 6 months, instead of every quarter. You can remit payment to the Fund Office 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 not accepted.

Late Fees and Coverage Termination

The deadline for making your quarterly self-pay premium payment for Welfare Fund provided health insurance is Jan 1st, April 1st, July 1st, and Oct 1st, respectively. Although you will continue to be able to make your payment after due date until the last day of the month that it is due, your coverage will be terminated in our system until such time your payment is processed

Please note that a late payment may cause an interruption to your medical and pharmacy coverages until your payment is received and processed. In other words, if your payment is not received and processed by the Fund Office by the due date, your coverage will be terminated in our system effective until such time your payment is processed. (Remember that payments received after 1/31, 4/30, 7/31 and 10/31 will be returned and you will no longer be eligible for coverage for the coverage period.

Changes to Coverage Elections
There are certain circumstances that may allow you to change your coverage election (Participant, Participant +1, and Family). These include situations where a dependent loses eligibility for other insurance, or you have changes in your immediate family like marriage, divorce, birth or adoption, and death. If you experience such a qualifying change, you must request a change in coverage in writing and provide valid documentation within 60 days of the event. If you do not request the change within the 60-day window, you will have to wait until the next open enrollment to make the change. For additional information, see the “Mid-Year Coverage Changes” section on the Eligibility and Enrollment page, or contact the Fund Office.

Disability Waivers
If you become disabled, you may be eligible to have self-pay payments waived. For more information, please follow the link to the Disability Crediting & Waivers page.

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