FAQ Welfare

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How much is my self-pay premium?

Self-pay premiums are shown on the Self-Pay Premium Chart on the "Self-Pay Premiums" page.

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How do I pay my self-pay premium?

You will receive an invoice from the Fund Office in advance of the first day of each quarterly period. You have the option to pay your self-pay premium upfront for the full year, every 6 months or quarterly. The Fund Office accepts the following forms of payment:

  • Credit card on our website fundoneiatse.com, by calling (212)247-5225 or in person at the Fund Office.
  • 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.
  • Cash in person at the Fund Office located at 320 W. 46th St., 6th Floor.

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When are self-pay premiums due, and what happens if I don't pay my self-pay premium by the due date?

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.

 

If your payment is received late but on or before the last day of the month that the payment is due, your coverage will be retroactively reinstated.  Please note that in the meantime, your prescriptions will be interrupted, and medical providers will be unable to verify that you have current coverage.

 

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If I lose my coverage for not paying my self-pay premium on time, when can I re-enroll for coverage?

If your coverage is terminated for not paying your self-pay premium on time, you will not be able to enroll for coverage until the next open enrollment, assuming that you are eligible at that time.

 

 

     

    Please note that nothing on this
    website is intended to interpret, extend or change in any way the provisions expressed in the Summary Plan Description and any other Plan documents. If you have any questions regarding your particular situation, please contact the Fund Office.

 
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