Benefits Report
June 2007
As I said in previous articles our benefits are
constantly changing, we have to stay informed to receive the maximum
benefits with the least out-of pocket expense. Members can do this by
reading all mailings that is sent by General Motors or the International
Union. If you have questions about material sent to you contact the
appropriate party that sent the mailing or contact your Union Benefit
Representative.
Effective July 1, 2007, Blue Cross Blue Shield
will become the carrier for the Traditional Care Network. Coverage’s
has not changed only the carrier has, routine medical office visits or
office consultations still is not a covered benefit. When using a
participating physician with the carrier under the plan you will owe only
the contracted rate for that visit which in most case should be lower than
what the physician is charging for that visit. If that charge is less than
the contracted rate you will owe the lesser charge. More detailed
communication regarding new ID cards, the process for transition of care
will be forthcoming in the near future. As for prescription drugs the
carrier remains the same Medco Health. Members should continue to use home
delivery on any medications that they are taking 90 days or longer, even
if that medication is not on the Maintenance Drug List, by doing this you
will reduce your out-of-pocket expense. Durable Medical Equipment (glucose
monitors, test strips, wheel chairs etc.) carrier remains Northwood/NPN
members should only use providers that participate with that carrier. When
a Medicare Primary enrollee uses a non-participating provider with
Northwood/NPN the plan does not pay any balances after Medicare patient
will be responsible for those balances. Mental Health and Substance Abuse
is still through the Careline (Value Options and CIGNA). A member residing
in Maryland still has two dental options Delta Dental or Athena DMO of
Maryland. If you change dental carriers you have to stay in that plan for
12 months before you are eligible to make another change. Vision coverage
is still with Cole Managed Vision.
Clinic Fee is a charge a hospital places on a
patient for them to come to the hospital to see a physician or receive
medical treatment. This is not a covered benefit under Traditional Care
Network.
United Healthcare has agreed to pay these fees
even though it is not a covered benefit under the plan. When United
Healthcare took over the contract January 1, 2004 they stated to the
Benefit Representatives at Local 239, plus the members attending the
Retiree’s Meeting that month, that if you use a participating hospital the
patient cannot be billed a clinic fee. Since United Healthcare misquoted
this benefit and our members received services based on that information
they will pay those claims, and only those claims.
Letters went out to members who turned in bills
for these services, if you did not give a copy of the bill to a Union
Benefit Representative and had paid or still receiving a bill from the
provider for "Clinic Fee" please contact your Union Benefit
Representative.
In the future this will not be paid by the
carrier and will be the responsibility of the patient. Please be aware if
you are seeing a physician in a hospital that physician will charge a fee
for an outpatient office visit or office consultation, plus the hospital
will charge a clinic fee which neither is covered under the plan.
Dependent Verification Project for hourly
employees and retirees has ended. Members who did not call GM Benefit and
Services Center (1-800-489-4646) had their dependents dropped from their
health care effective May 1, 2007. You have till June 30, 2007 to contact
the Health and Insurance department at GM Benefit and Services Center to
reinstate any dependents that was dropped. Since Fidelity Investments took
over administrating our benefits from Metropolitan Life the employee,
retiree or surviving spouse has to call to make changes or verify
dependents, through a recorded voice system. After June 30, 2007 members
will have to supply documentation that supports that the dependent meets
all requirements under the plan to be covered under the health care plan.
To reinstate a spouse you will need to send in a copy of your marriage
certificate and copy of spouse’s Social Security Card. To reinstate a
dependent child you will need to send in a copy of the birth certificate
showing you as the mother or father of that child, copy of child’s Social
Security Card, proof of residency such as a letter from the school the
child is attending stating that address on record is the same as yours, or
a copy of a valid drivers license. You will also need to send in a copy of
your Federal 1040 Form showing that you claimed that child as a dependent.
The waiver of contributions for Optional Life
Insurance and Dependent Life Insurance is coming to an end. Active members
will have contributions reinstated in their June paycheck (2nd
complete week of the month). Retirees will see the contributions
reinstated in their July Pension Benefit.
Effective immediately after the close of business
(4:00 p.m. Eastern Time) on June 29, 2007 the following changes will be
made to the Personal Savings Plan (PSP). The Plan’s Investment Options
(Fund Line-Up) will be changed. Certain Funds that are currently available
in the Plan will be removed from the Investment Options Fund Line-Up. New
Investment Options will be added to the Plan. The Investment Options that
are being removed from the Plan will no longer be available for
participant’s contributions, loan repayments or exchanges. Participant
Account Balances (as well as contributions and loan repayments) that are
in the Investment Options that are being removed from the Plan will be
mapped (transferred) to other available Investment Options, subject to the
next sentence. Participants Account Balances that are in Investment
Options that are being removed from the Plan that asses short-term trading
fees or redemption fees will be mapped(transferred) to other available
Investment Options after the relevant holding period expires. The Pyramis
Strategic Balanced Investment option will become the default option for
certain contributions and loan repayments for participants who have not
designated other available Investment Options for these amounts. You
should be aware and reminded that applicable short-term trading fees or
redemption fees and excessive trading rules will continue to apply with
respect to the available Investment Options under the Plan, both prior to
and after the effective date of June 29, 2007. If you have any questions
please contact GM Benefit and Services Center (1-800-489-4646) "Savings
and Retirement" department.
During the Summer Shut Down GM Benefit and
Services Center will be open Monday through Friday both weeks except for
July 4th. Members who have to go Sick Leave during that time
should call GM Benefit and Services Center during the down time to report
illness or accidental injury. When applying for disability benefits during
this period applicable waiting period will apply. Personal Illness has a
seven calendar day waiting period. Outpatient Surgery has a one calendar
day waiting period. Accidental Injury or Inpatient Hospital stay waiting
periods are waived and benefit starts day of the accident or when you
become registered to a hospital bed.
Union Benefit Representative
GM Powertrain-Baltimore
Jim Streets
Eric Jackson (alternate)
10301 Philadelphia Road
White Marsh, MD 21162
Phone# (443) 425-1584
FAX# (443) 425-1468
With school coming to a close and
members planning vacations can bring stress on the family. To help plan
your vacation or check to see what activities are available for your
children this summer you can contact Child Care/ Elder Care Resource and
Referral Service at 1-888-733-3702 or by accessing their website
www.workfamilyprogram.com (Company Name: uawgm, Password: helpnow). This
program is only available to active members.
Fraternally,
Jim Streets