Effective Retroactive to January 1, 2011
For all “single” participants enrolled in the following prescription drug plans, the amount of out-of-pocket expense (“100% co-pay Amount“) has been reduced to equal the family amount.
$7.50/$20 copay plan
100% co-pay Amount 100% co-pay Amount
Before After
Single $8,500 $7,000
Family $7,000 $7,000
$10/$30 copay plan
100% co-pay Amount 100% co-pay Amount
Before After
Single $7,000 $4,000
Family $4,000 $4,000
As always, if you have any questions concerning the above plan changes we encourage you to contact the NOITU Insurance Trust Fund’s Member Services Department at (718) 291-3434.
Effective November 1, 2011
Your “Summary Plan Description” (SPD) under the heading Emergency Care has been clarified by including the wording “allowed eligible” charges. This sentence will now read as follows.
After you pay a $50 Co-pay for the facility charges, you are entitled to 100% coverage for the attending physician’s allowed eligible charges during your visit to the emergency-room, provided your condition meets the above criteria.
To further clarify, the following definition will be included in the Definitions section of your “General and Administrative” SPD.
Allowed Amount means the amount of the provider’s actual bill that the Fund has determined (based on industry standards) to be an eligible charge to be used to determine payment.
Effective January 1, 2012
The Board of Trustees of the NOITU Insurance Trust fund will consider legally married, same-sex couples and their eligible dependent children to be entitled to enroll in the Fund’s Health Benefit Plans. In order to enroll, all rules and regulations outlined in your Summary Plan Description (SPD) must be met in the same manner and detail as legally married couples of the opposite sex. These rules and regulations can be found in the General and Administrative section of your SPD and throughout the other sections as well.
All enrollment applications must be submitted with a legal marriage certificate issued by the State in which you were legally married.
