Other Benefits

The Trust provides for some additional benefits in the case of accidents, smoking cessation, other chemical dependency services, and hearing care.

Term Life Insurance & Accidental Death, Dismemberment, Loss of Sight

For Active and Category 2 Employees

Life Insurance reduction benefit level for non-bargaining unit employees over age 65:
65-69	50%
70-74	25%
75-79	15%
80-84	10%
84+	5%
Term Life Benefits
Active Employees	$22,000
Active Employees with 5 or more years of service	additional $28,000
Accidental Death Benefit
Full Amount	$22,000
In the event of Loss of:
Life	Full Amount
Both Hands or Both Feet	Full Amount
Sight of Both Eyes	Full Amount
One Hand and One Foot	Full Amount
One Hand and Sight of One Eye	Full Amount
One Foot and Sight of One Eye	Full Amount
One Hand	One-Half the Full Amount
One Foot	One-Half the Full Amount
Sight of One Eye	One-Half the Full Amount
Thumb and Index FInger of Either Hand	One-Half the Full Amount

 

Short-Term Disability Benefit

For Active Employees Only

ACCIDENT & SICKNESS (Weekly Benefit)
1st 13 weeks: $100
2nd 13 weeks: $150

Benefits begin on e the first day for an accident or hospital confinement and on the eighth day in case of non-hospital illness. The benefit covers both occupational and non-occupational accidents or illnesses.

Smoking Cessation

The Plan will reimburse up to a maximum of $300 for nicotine transdermal patches when prescribed by your physician as part of a three-month program to stop smoking and after the following conditions are satisfied:

• You attend a smoking cessation class, such as the one the American Cancer Society offers, and submit a certificate of completion. The name of their stop smoking program is "Fresh Start' and the local chapter telephone number is (408) 287-5973.
  
• You obtain a statement from your physician that you are tobacco-free.
  
• Submit the prescription for the nicotine transdermal patches, along with the certificate of completion from a smoking cessation class and your physician's statement that you are tobacco-free, to the Plan Administrator's Office for reimbursement of up to $300 for the nicotine transdermal patches.
  
• The Plan will reimburse up to $300 for the nicotine transdermal patches only once per eligible participant or Dependent in a lifetime.
  

Hearing Care Benefits

Hearing care, which is provided by or ordered by a physician or certified audiologist, is subject to the following limits:

1. $30 for one hearing examination in a 24-month period.
2. The first $500 for each hearing device paid in full and 50% of any additional up to a maximum of $1,000 Plan payment.
3. Limit of two hearing devices in a two-year period.
   

Chemical Dependency Services

Beat It! is a specialty program for the treatment of problems with alcohol and drug abuse. This program is available to all qualified participants and their eligible Dependents, including members who have chosen the Kaiser, Health Net or PacifiCare plan for medical coverage.

The benefits include twenty-eight (28) day inpatient treatment in a pre-approved facility or an
outpatient counseling program with a pre-approved counselor. These benefits are paid at 100% for first- time use of the program, inpatient or outpatient. Second-time use of the program will be paid at 80%.   Alcohol and drug treatment benefits are subject to a lifetime maximum of $25,000.

Inpatient modalities are flexible and depend on the need of the client. These facilities may not be the same as the contract facilities for the medical inpatient program. All inpatient programs include six months to one year of aftercare and family involvement.

Outpatient counseling with approved counselors includes forty (40) hours of one-on-one therapy
sessions.

The phone number should be used for direct connection to the alcohol and drug abuse treatment counselors. They will assist you with pre-treatment counseling and making arrangements for care. Please call (408) 436-2392 or 1-800-828-3939.
Pre-admission/pre-treatment approval is mandatory.
All calls and information are confidential.

 

Forms & Links

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