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Wednesday, May 18, 2022

UPDATED INFORMATION REGARDING COVERAGE FOR AT-HOME COVID-19 TESTS THROUGH THE WELFARE FUND

As previously announced, group health plans are required to cover over-the-counter (OTC) at-home COVID-19 tests purchased by participants on or after January 15, 2022, limited to 8 tests per 30-day period per covered individual, without participant cost-sharing, preauthorization, or medical management.

Aetna Rx is providing this benefit for Fund participants. Under the AetnaRx program, there are currently two options for you to obtain tests from CVS Pharmacy with no up-front costs -- you can order tests online for pick-up at your local CVS, or you can visit a CVS pharmacy in-person. (See the CVS flyer for details). Other pharmacies in the Aetna National Pharmacy network also offer tests with no up-front costs. Ask your local pharmacy if they offer this option. In addition, AetnaRx is working on a direct shipping option - please check back here for updates on that option.

You also can be reimbursed for the cost of tests that you buy from established retailers (not for tests you buy from a private individual via an in-person or online sale, or from a seller that uses an online auction or resale marketplace). Go to coverage benefit for information about how to submit a claim for reimbursement. Once direct shipping is available from AetnaRx, reimbursements for tests that you purchase will be limited to the cost of the test or $12, whichever is less.

Note that at-home COVID-19 tests used for return to work or school, or recreational purposes, are not covered unless required by state law. Lab-based PCR home collection kits also are not covered.

Also, as a reminder, the federal government will give each household two sets of 4 free at-home COVID-19 tests. You can order them now at https://www.covidtests.gov/

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.

IMPORTANT INFORMATION REGARDING THE FUND OFFICE

Good news! Members can now drop off benefit applications and other documents at the Fund Office without an appointment. Documents may be given to the receptionist. If you would like to meet with one of the Fund’s employees, please make an appointment. You can request an appointment by sending an email to:

pensionannuity@mtdctrustfunds.org - for an appointment with the Pension/Annuity Department
eligibility@mtdctrustfunds.org - for an appointment with the Eligibility Department
contributions@mtdctrustfunds.org - for an appointment with the Contribution Department
accounting@mtdctrustfunds.org - for an appointment with the Accounting Department
memberadvocate@mtdctrustfunds.org - for an appointment with the Member Advocate

Please include the following information in your appointment request email:

Name and Book Number
Date and Time you would like your appointment (please provide a few possible dates)
Phone number
Reason for appointment

We will try to accommodate your requested appointment date and time as best as we can.

After we receive your email request, we will send you an email letting you know the date and time of your appointment. Please do not arrive at the Fund Office more than 5 minutes prior to your appointment. Members are required to wear masks and, to the greatest extent possible, maintain a distance of at least six feet from others at all times while in the office and while entering/exiting. No individuals may visit the Fund Office if they are experiencing symptoms consistent with COVID-19, such as fever, cough, difficulty breathing, or congestion/runny nose. A Visitor Health Screening Questionnaire will be sent to you with your appointment confirmation email. You will need to complete the Questionnaire immediately prior to coming to your appointment and give it to the Fund employee you are meeting with. The Questionnaire can also be obtained by clicking this link.

Please Click On This Link Link For Important Information Regarding Plan Deadlines (For COBRA Election, Payment and Notice of Qualifying Events, Special Enrollment, and Filing of Claims and Appeals).

Please Click On This Link For Important Information Regarding Behavioral Health Televideo Counseling Services.

INFORMATION FOR NEW JERSEY RESIDENT WELFARE FUND PARTICIPANTS

New Jersey residents who participate in the Welfare Fund will soon be receiving new Identification Cards from Aetna. The new card (which you should start using July 1) includes a note showing that the Fund is enrolled in a program that is provided in accordance with a New Jersey law, which protects New Jersey residents from being balance billed by out-of-network health care providers in New Jersey for covered healthcare services under certain circumstances. You will receive a notice from the Fund Office with more information about the program and the types of claims it applies to. If you have questions about balance billing or the program, please contact Aetna at the number on the back of your Identification Card.

IMPORTANT MESSAGE ABOUT CORONAVIRUS (COVID-19)

The Funds' Board of Trustees understands that you and your family may have questions about your health, pension and annuity benefits during this uncertain time. As you know, the situation and the public health response is continuing to evolve and change on a daily basis. Please be aware that the Board of Trustees and the Funds' Office is taking steps to ensure that the Funds' operations continue without interruption as best as possible during this difficult time for all. Please continue to check the Funds' website periodically for new information and updates.

Please also be advised that the Welfare Fund is waiving participant out-of-pocket costs/cost-sharing for COVID-19 diagnostic testing. In addition, Aetna has introduced Healing Better care packages for members diagnosed with COVID-19, supporting our participants and helping to keep others in the home protected from potential exposure. Aetna also is offering resources to help address any associated anxiety and stress related to COVID-19, including opening Crisis Response Lines and expanding access 24/7 to the Aetna Nurse Medical Line, among others. You can find more information about these resources on Aetna's website aetna.com or contact Aetna at:

  • Aetna Crisis Resource line Number: (833) 327-2386
  • Aetna Informed Health Line (Nurse Line) number is: (800) 556-1555
As a reminder, follow your local government advice and the CDC guidelines for keeping yourself and your family healthy during this time.

Contact Us **** WELCOME! **** To the Mason Tenders' District Council Trust Funds Inquiry At this site you are able to view and print the data the Trust Funds have recorded on your behalf. This includes your Pension and Annuity accounts, your Health & Welfare status and work reports received from your employers. Although the information contained within this site is continuously updated, no guarantee is given that the information provided is correct, complete, and up to date. Contact the Fund office for your official record.
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EFFECTIVE JULY 1, 2019 THE NEW FUNDS' DIRECTOR IS MS. ANNA GUTSIN, AS MR. VIRGA HAS RETIRED. THE FUNDS ADDRESS IS: 520 EIGHTH AVENUE, SUITE 600 NEW YORK, NY 10018-4196 TELEPHONE: (212) 452-9700 FAX: (212) 452-9729 PLEASE NOTE THAT IF YOU ARE HAVING TROUBLE ACCESSING THE WEBSITE USE THE "CONTACT US" LINK ON THE UPPER LEFT HAND UNDER THE LOGO TO LET US KNOW WHAT PROBLEMS YOU MAY BE HAVING. MAKE SURE TO INCLUDE YOUR NAME, DOB AND BOOK NUMBER