Please click on this link For Important Information Regarding the Extension of Certain Plan Deadlines for those affected by Hurricanes Milton or Helene and Tropical Storm Helene.

TRANSPARENCY IN COVERAGE

The Fund is required to post certain information on a public website pursuant to the Federal Transparency in Coverage Final Rule published in the Federal Register on November 12, 2020.

The Transparency Rule is intended to make information about the prices charged for health care available to the general public, particularly researchers. These experts can use pricing information from the Fund and other health plans to better understand the health care system and its costs and, hopefully, create new policies that improve competition and lower health care spending.

The Transparency Rule requires that the Fund post links to machine-readable files that contain information about the price of health care services. A machine-readable file is written in computer code and is an extremely large file. It is not intended to be downloaded or read by participants but to be used in research studies. The files do not contain Protected Health Information (PHI) about you or your family. Below is a link to the required machine-readable files.

https://Health1.Aetna.com/app/public/#/one/insurerCode=AETNACVS_I&brandCode=ALICSI/machine-readable-transparency-in-coverage?searchTerm=276125&lock=true

Links on this website provide machine-readable files for the Fund’s in-network negotiated rate and historical allowed amounts for out-of-network charges. The files attached to the links are maintained by the Fund’s third party claims administrator, Aetna. Aetna will update the file attached to the links automatically each month.

If you have any questions about the Transparency Rule, you can read more information at https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-final-rule-fact-sheet-cms-9915-f

Please click on the link for a directory of Health Care Professionals who are participating in the Aetna network under the Welfare Fund.

Please click on the link for information about the prescription drugs covered under the Welfare Fund prescription drug plan.

Please Click On This Link For Important Information Effective January 1, 2022 Regarding Your Rights and Protections Against Surprise Medical Bills.

NY PAID FAMILY LEAVE BENEFITS PROVIDED BY THE FUND

As a reminder, the Mason Tenders’ District Council Welfare Fund (the “Fund”) has been providing New York Paid Family Leave (PFL) benefits to eligible members covered under the Fund since January 1, 2018 (the effective date of the NYPFL requirement). Accordingly, contributing employers do not need to collect, nor should they collect, PFL premiums from collectively-bargained employees who are participants in the Fund. Note that an employee who has contributions reciprocated from the Fund to another welfare fund pursuant to a reciprocal agreement is not a participant in the Fund and, therefore, is not eligible for PFL coverage from the Fund.