CEMENT MASONS & PLASTERERS' LOCAL 518 FRINGE FUNDS

CEMENT MASONS AND PLASTERERS' LOCAL 518
HEALTH CARE FUND

FORMS & IMPORTANT DOCUMENTS

Check the links below to download forms & important documents.
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Address Change Icon

Change of Address Form

To change your address, fill out this form and send it to the Fund Office.
Change of Name Icon

Change of Name Form

To change your name, fill out this form and send it to the Fund Office.
Spousal Icon

Beneficiary Designation Form

Click here to view/download a Beneficiary Designation Form.
Disability Icon

Application for Disability Hours

If applying for disability hours, fill out this form and send it to the Fund Office.
Spousal Icon

Spousal Coverage Program Verification Form

Click here to view/download the Spousal Coverage Program Verification Form.
Spousal Icon

Enrollment Form

Click here to view/download an Enrollment Form.
Spousal Icon

Paternity Affidavit

Click here to view/download a Paternity Affidavit.
SPD Icon

Summary Plan Description

The SPD summarizes the key provisions of the Plan and includes important information about your benefits from the Plan.
Spousal Icon

Summary of Benefits and Coverage

This document provides you with a quick reference to covered expenses, deductibles and out-of-pocket costs.

FREQUENTLY ASKED QUESTIONS

Click on the frequently asked question below to expand it so you can view the answer underneath.

~ How do I change my address?
Complete a Change of Address Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.
~ How do I change my name?
Complete a Name Change Form. You may print and complete the form, or you may contact the Fund Office and a form will be mailed to you.
~ How do I order a new Welfare ID Card?
Contact the Fund Office and ask to speak with an Accounts Receivable Specialist. They will verify eligibility and request a new Welfare ID card. Your new ID card will arrive within 7-10 business days from the date you notify the Fund Office that you need a new card, or you can visit BlueCross BlueShield of Kansas City to order a new card.
~ When do I receive my Welfare ID card?
Once you become eligible for benefits, you will receive your Welfare ID card within 7-10 business days.
~ How do I locate a network provider?
The Service Providers section below provides links to the Welfare service providers BlueCross BlueShield of Kansas City, Connection Dental, Sav-Rx, and VSP. Once you have selected the desired provider site, you may login to your account if applicable and search for in-network providers.
~ How do I view my Explanation of Benefits (EOB)?
If you would like to view your Medical EOBs, please visit the BlueCross BlueShield of Kansas City website. Once you are on the BCBS website, you will need to login to your account to access your EOBs.
~ How do I read my Explanation of Benefits (EOB)?
How to Read Your BCBS EOB thoroughly explains the layout of your Medical EOB and how to easily read the information provided.
How to Read Your RedCard EOB thoroughly explains the layout of your Dental and Vision EOBs and how to easily read the information provided.
~ How do I file an out-of-network health claim?
If you receive services from a non-participating provider and they are unable to submit the claim on your behalf, then you may have to submit the itemized receipt(s) to the Fund Office.
~ How do I designate a beneficiary?
Complete a Beneficiary Designation Form and mail to the Fund Office.
~ How do I add a dependent to my health insurance?
To enroll your spouse for coverage under the Plan, submit a completed Enrollment Form along with a copy of the marriage certificate and the Spousal Coverage Program Verification Form to the Fund Office.

To enroll your dependent child for coverage under the Plan, submit a completed Enrollment Form along with a copy of the birth certificate or adoption papers to the Fund Office. If you are not married to your child’s birth mother/father, then you would also need to complete a Dependent Affidavit Form and submit it to the Fund Office with any supporting documents.
~ How do I file for an extension of my health coverage if I am unable to work due to a disability?
Submit an Application for Disability Hours Form to the Fund Office. If you are disabled on Workers Compensation, you must submit Proof of Compensation and be unable to engage in any occupation or employment for wage or profit.
~ How can I find more information about the health benefits offered through my health plan?
The Summary Plan Description is the document that details the benefits of the health plan. The SPD will provide information about the health plan such as the applicable co-insurance amounts, deductible amounts, and out of pocket maximums.
~ How do I notify you if I become eligible for other insurance?
To update your other insurance information, submit a completed Enrollment Form. Make sure to list all eligible dependents, whether they are covered under the other insurance or not, or it will not be accepted.
~ How do I let you know if my other coverage has terminated?
If your other coverage has terminated, we will need a copy of the Certificate of Creditable Coverage (COCC) sent to you by the other insurance company. You can mail or email the Certificate to the Fund Office.
~ If I get divorced, what happens with my former spouse’s coverage?
You or your spouse must notify the Plan and mail a fully executed copy of your divorce decree to the Fund Office. Once the Plan receives the divorce decree, your former spouse’s coverage will be terminated as of the end of the month of your divorce. You may also want to submit an updated Beneficiary Designation Form.
~ When I retire, what are my options for continuing health coverage?
If you meet certain criteria defined in the Welfare Summary Plan Description you and your family may be eligible to participate in the regular retiree plan or retiree Medicare supplement plan. Please contact the Fund Office for your retiree options for continuing health coverage.
~ Who do I contact with questions?
If you have any questions about your eligibility, benefits or claims, contact the Fund Office at (816) 393-7060 or Toll Free: (877) 518-0518.

SERVICE PROVIDERS

Click on the logos below to visit a service provider's website.

BlueCross BlueShield of Kansas City Logo.

My Blue KC

Link to SAV-RX Logo.

SAV-RX

PHPKC Logo.

Dental Provider Search

VSP Logo.

VSP Vision Care