Tag Archives: Health & Welfare

H&W: Have You Lost Coverage Under an Employer Provided Group Health Plan Other Than the Local 47 Health & Welfare Fund?

Professional Musicians, Local 47 and Employers’ Health & Welfare Fund:

Have You Lost Coverage Under an Employer Provided Group Health Plan Other Than the Local 47 Health & Welfare Fund?

Special Enrollment Rights

Federal law – namely the Health Insurance Portability and Accountability Act (HIPAA) — requires the Fund to permit individuals who declined health coverage under the plan, because they had other group health plan or health insurance coverage, to enroll in the plan through special enrollment upon any loss of eligibility for the other coverage or if employer contributions toward the other coverage cease. Continue reading →

H&W: Safeguarding Member Information is a Top Priority at Blue Shield of CA

blue shield Professional Musicians, Local 47 and Employers’ Health & Welfare Fund

As an eligible* Blue Shield medical plan member who has enrolled in Blue Shield as a benefit option through the Professional Musicians, Local 47 and Employers’ Health & Welfare Fund (the “Fund”), you may now have available to you identity protection services such as identity repair assistance, identity theft insurance and credit monitoring. It makes good sense, and it is offered at no charge. You can access and enroll in these services by calling (855) 904-5733, 6 a.m. to 6 p.m., Monday through Saturday or 24/7 at blueshieldca.allclearid.com. Continue reading →

H&W: The Website Pacfed-Musicians.com

The Professional Musicians, Local 47 and Employers’ Health & Welfare Fund ‘s website, pacfed-musicians.com, contains information, documents and forms that maybe helpful to Fund participants throughout the benefit year. Most of the information is provided in PDF format to allow for easy download, to save or print. Continue reading →

H&W: Women’s Health and Cancer Rights Act of 1988 (WHCRA) & Newborn and Mothers Health Protection Act of 1996 (NMHPA)

Reconstructive Surgery Fully Covered After Mastectomy
WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998

The Professional Musicians Local 47 and Employers Health and Welfare Fund (“the Fund”) purchases health insurance benefits through Health Net of California and provides you with this notice as required by the Women’s Health and Cancer Rights Act of 1988 (WHCRA).

In compliance with WHCRA, Health Net provides benefits for mastectomy-related services, including all stages of reconstruction and surgery to achieve symmetry between the breasts, prostheses, and for complications resulting from a mastectomy, including lymph edemas.
Although reconstructive surgery after a mastectomy is generally a covered procedure, some procedures are, of course, classified as cosmetic and, therefore, not covered. Continue reading →

H&W: Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)

H&W If you or your children are eligible for Medicaid or CHIP and even if you are eligible for health coverage from your employer – in our case, the Professional Musicians, Local 47, and Employers’ Health & Welfare Fund (the “Fund”) – your state may have a premium assistance program that can help pay for your children’s coverage, using funds from the that State’s Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but, nonetheless, you may be able to buy them (and yourself, if you have not qualified for coverage through the Fund) individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov. Continue reading →

H&W Trusted Sources Provide Important Information Regarding the Zika Virus

H&W One of the Fund’s carriers — Blue Shield — has circulated a notice to the Fund, as well as many other Union benefit plans, regarding the Zika Virus. The Notice provides important information from the Centers for Disease Control (CDC) to those thinking about traveling to certain countries. As many of you travel outside of the United States for work, the Fund believes your access to this information is vital.

Below is that very important notice from Blue Shield: Continue reading →

H&W: Six Great Reasons to Have Your Teeth Cleaned

A message from the Professional Musicians, Local 47 and Employers’ Health & Welfare Fund

Brought to you by Delta Dental

Need some motivation to visit the dentist for a teeth cleaning? Well, we have six great reasons for you to contact your dentist today to make an appointment for your next cleaning. Continue reading →