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Teamsters Local 631
Security Fund
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To : All Plan
Participants
From : Board of Trustees
Date :
May 15, 2002
Important Notice
The Board of Trustees announces the following important
changes to the Teamsters Local 631 Security Fund for Southern Nevada plan,
Effective August 15, 2002
Medical Plan Exclusion
The Plan Exclusion for intentional self-inflicted injury
has been deleted.
Dental Plan Changes
Certain aspects of the dental plan are changed:
Periodontal scaling Limited to a depth of 4mm or
more and payment allowed for each quadrant once per year only. Allow 1/2
benefit when 4 or less teeth are in a quadrant.
Periodontal Maintenance Limited to one treatment
per calendar quarter if the patient has a history of prior scaling and root
planing.
Periodontal Chemo Chips Allow charges up to a
maximum of $300 per calendar year and eliminates the current limit of two (2)
sites per case.
Debridement Limited to new patients only.
Direct and Indirect Pulp Caps Limited to teeth
where decay radiographically encroaches on the pulp of the tooth.
Bone and tissue grafting - Now covered under the
plan only in conjunction with placing implants.
Mayo Clinic
The Mayo Clinic facilities are not included in the
Beech Street PPO network. Due to increased fees that Mayo intends to charge the
member and the Fund, and the availability of other equally qualified facilities,
the Trustees chose to eliminate the Mayo Clinics from the network. This
includes the Mayo facilities in Scottsdale, AZ, Rochester, MN and Jacksonville,
FL. Claims for charges incurred at any Mayo Clinic on or after August 15, 2002
will be handled as Non-PPO claims. Contact Beech Street or the Administrative
Office for Centers of Excellence in the PPO network.
Please note that
Walgreens is back as a part of the Funds nationwide pharmacy network with
Express Scripts effective July 1, 2002
Reminder: Update Your Mailing Address
As always, the Trustees want to be certain all plan
participants receive updates to their health and welfare plan;
therefore, make it a priority to keep the Administrative Office informed of your
current mailing address. You need only stop by the Administrative Office and
complete a new enrollment card or your Union Office and fill out a change of
address form.
Should you have any
questions or need additional information regarding the changes outlined above
please call the Fund Administrative Office at
(702) 252-7001
You may also visit our website at
www.swadmin.com