Health Care Plan and Insurance Information

UFCW Local One Health Care Fund

The name of your health care plan is UFCW Local One Health Care Fund.  Anytime you are asked what your plan name is please refer to UFCW Local One Health Care Fund.

The Fund contracts with Excellus Blue Cross and Blue Shield and uses their National Network of Providers.  You will receive a medical card from Excellus and other correspondence from them, such as Explanation of Benefits (EOB)explaining how a claim has been paid.

If you have a question about a claim, you do not need to call Excellus, you can call our Health Care Fund Medical Claims Service Unit at 1-800-959-9497.

Please Click On The Link Below To Access A Network Provider

www.excellusbcbs.com/ufcwone

Plan Summaries

Below you'll find a listing of all Plan Summaries available to our members. To determine which Summary applies to you, please read your union contract or call the office at 1-800-959-9497.

PLAN R Summary Plan Description

PLAN U Summary Plan Description

PLAN Q Summary Plan Description (Cobra)

PLAN M Summary Plan Description (Mini-Wrap)

 

Additional Health Care Coverage

The Collective Bargaining Agreement between your employer and UFCW District Union Local One may include the option of applying for major medical/hospitalization coverage through Local One once you have completed the appropriate probation period.

We will mail you an application which requires you to list any other possible source of medical coverage which you may haveIf you meet the requirements, you will be entitled to the additional coverage. 

Depending on your date of hire, either your employer will pay for this coverage in full or you may have a small weekly co-pay.

If you have questions regarding this additional health care benefit, please contact Regina Heiland @ 1-800-959-9497, Ext. 2257 or email:  healthcare@ufcwny.com

 

Dependent Coverage

If you are currently covered by the UFCW Local One Health Care Fund and are interested in coverage for your dependents, please contact our UFCW Local One Health Care Accounting Department:  Regina Heiland @ 1-800-959-9497, Ext. 2257 or email:  healthcare@ufcwny.com

 

 

Title Type Description
2020 Health Care SPD (Summary Plan Description)
HC Summary Annual Report
HIPAA PRIVACY NOTICE
Plan M (Miniwrap)
Plan Q Cobra Alternative
Plan R (PPO)
Plan U (PPO)
Summary of Material Modifications - Effective 3/18/2020
Tax Form 1095 B

Form 1095 B

Before 2019, individuals who did not have Minimum Essential Coverage were liable for the Individual Shared Responsibility Payment when filing their Federal Tax Return (with some exceptions.) Beginning in 2019, individuals are no longer responsible for the Individual Shared Responsibility Payment, as the Federal Government (IRS) reduced the payment amount to $0.

Subsequently, the UFCW Local One Benefit Fund has no further obligation to mail Form 1095 B. However, to request a copy, please contact the UFCW Benefit Fund Office at (800) 697-8329 extension 2257 and one will be provided to you.

For additional information about the tax provisions of the Affordable Care Act (ACA), including the Individual Payment Provision, go to www.IRS.gov/ACA or consult your Tax Advisor.