Notice of Non-Discrimination

SECTION 1557 OF THE AFFORDABLE CARE ACT REQUIRED NOTICE TO PARTICIPANTS

This notice is to inform you that New England Health Care Employees Welfare Fund (“The Fund”) complies with applicable Federal civil rights laws and does not discriminate on basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics) in covered health programs.

The Fund does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

The Fund provides people with disabilities reasonable modification and free appropriate services to communicate effectively with us. The customer service line specifically provides free language assistance services to people whose primary language is not English.
If written information is required in other languages or any other reasonable and necessary modification is requested to effectively communicate with the Fund office, the participant can contact Melissa Greaves by calling 860-549-8896.

If you believe that The Fund has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Melissa.

The grievance can be mailed to:

New England Health Care Employees Welfare Fund
77 Huyshope Avenue, 2nd Floor
Hartford, CT. 06106
Attention Melissa Greaves, Civil Rights Coordinator.

You can also fax it to 860-947-8080 or email it to claims@1199nefunds.org.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by phone at 1-800-368-1019, 800-537-7697(TDD) or by mail at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 202011

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

If you have any questions, please call the Fund Office Local at 860-728-1100 or Toll Free at 1-800-227-4744.

Silvana Stankus
Executive Director
New England Health Care Employees Welfare Fund

Hinge Health

The Board of Trustees, Fund Administrators and Consultants for the New England Health Care Employees Welfare Fund (“the Fund”) are always looking for potential programs that benefit our participants and their eligible family members. We are excited to share with you that we are adding a new benefit at zero cost to you to support back, muscle and joint health.

The services are provided by Hinge Health, a digital clinic for joint and muscle pain. Hinge Health is made up of a complete clinical care team of physical therapists, physicians, and qualified health coaches to help you move beyond pain and reduce the need for surgeries and opioid painkiller use. They also provide their services to you on a schedule that best fits your needs.

Whether you or your eligible beneficiaries are hoping to overcome nagging pain, recover from recent injuries, prepare for surgery, address pelvic health issues, or find new strategies to stay healthy and pain free, HingeHealth will assess your condition and match you to a care team to help provide personalized treatment.

You may receive additional communications directly from Hinge Health with more details about this program and how to sign up in the coming weeks. Meanwhile, we encourage you to learn more about the program by visiting hinge.health/1199nefunds or by calling 1-855-902-2777 or scan the QR code below.

To learn more or begin using Hinge Health, turn
the camera on your cell phone and scan the QR
code to the left and follow the steps.

You can also reach out to the Fund Office by calling Local 1-860-728-1100 or Toll free 1-800-227-4744.

Transparency & Coverage Rules

Anthem – Machine Readable Files

Effective July 1, 2022, based on the U.S. Departments of Health and Human Services, Labor, and Treasury” rule on Transparency in Coverage rules we are mandated to publish machine readable files (MRFs) related to health plan coverage so that consumers/members can see negotiated rates between service providers and third-party payors including out of network allowed amounts. 

Below is the link to access the files reflecting standard format and information related to the Anthem ESO plan.  Please enter the New England Healthcare Employee Fund EIN number 06-1188411 to access the files.

Any questions, feel free to call the fund office at 860-728-1100 or Toll Free at 800-227-4744.

Anthem Machine Readable File Search

Pension Fund Highlights

Overview

What is the New England Health Care Employees Pension Fund?

The New England Health Care Employees Pension Fund is a Taft-Hartley defined benefit plan. The plan is administered by an equal number of management and union trustees who make up the Board of Trustees. Your benefit is defined by a formula which is based on your years of credited service and earnings during a specified period of time before you retire.

Participation in the Plan

How do I become a participant?

There are two requirements to become a participant of the Pension Plan

  1. You are in a covered job class with a contributing employer under an 1199 Collective Bargaining Agreement (CBA)
  2. Your employer is required to contribute to the Fund on your behalf under the terms of the CBA.

Vesting

  • Vesting Service – You earn one year of vesting credit if you work at least 1,000 hours in a calendar year for a contributing employer

Earning and Calculating Your Pension Benefit

Your pension benefit is determined by a formula that takes the sum of your earned Credited Future Service and your average earnings.

  • Credited Future Service – Each month that you work the required number of hours per the CBA your Employer will make a contribution on your behalf. Each contribution will earn you a credit for that month (.0833 of credited service per monthly contribution)
  • Average Earnings – The average of your highest five consecutive years of wages within a ten-year time frame in which you received a future service credit.  The plan takes your highest five consecutive years of wages, divides them by the number of months that a contribution was received, and multiplies them by 12
    • i.e., Total Wages in a five-year period = $171,593.27; total number months that a contribution was received = 59 months.
      •  $171,593.27 / 59 = $2,908.36 x 12 = $34,900.32 (your average earnings)
  • Pension Benefit Percentage Rate – A percentage that is determined by the Board of Trustees 

Below is the formula that is used to determine your pension benefit:

Average Earnings x Total Credited Future Service x Pension Benefit Percentage Rate / 12= Your monthly pension benefit

Becoming 100% Vested in the Plan

  • You become entitled to your pension benefit when you become 100% vested. You must meet one of the following requirements (plus have one additional month of credited future service) to become vested:
  • 5 Years of Vesting Service (five years of 1000 hours or more) or
  • 5 Years of Credited Future Service (60 future service credits) or
  • Any combination of 5 calendar Years of Credited Service and Years of Vesting Service (the same period shall never be counted twice)

Pension Fund Questions and Answers

Pension Fund Questions and Answers

How do I enroll in the Pension Fund?

You need to complete an enrollment form. Mail the completed form to:

1199 New England Health Care Employees Pension Fund
77 Huyshope Avenue, 2nd Floor
Hartford, CT 06106-7001

What is a covered job class?

Any position listed in your Collective Bargaining Agreement (CBA), Recognition section (usually listed in Article 1 or the Preface of the CBA).

Who makes contributions to the pension plan?

Contributions are paid entirely by your Employer on your behalf on a monthly basis based on overall employee payroll. Your Union dues do NOT go toward your pension, nor are any deductions taken from your paychecks for pension contributions. Your employer is required to contribute on your behalf when you work the required number of hours in a month as outlined in your CBA.

How do I become vested?

You earn one year of vesting service if you work 1,000 or more hours in a calendar year. You need 5 vesting credits plus at least one (1) additional employer contribution to be 100% vested in the Plan.

Please refer to the Summary Plan Description (SPD) for additional ways to fully vest in the plan.

Do I need to name a beneficiary?

If you are married your spouse is automatically your beneficiary.

If you are single, you do not automatically have a beneficiary for your pension. When you apply for your pension benefit you can elect an option to name a beneficiary.

What if I die before I retire?

  • If you are married; your spouse is automatically entitled to a 50% Joint & Survivor (J&S) benefit (unless you have chosen a different option with the written consent of your spouse).
  • Under the J&S benefit, if you die after age 55 your spouse can collect immediately or delay to when you would have reached age 65.
  • Under the J&S benefit, if you die before age 55 the earliest your spouse can begin collecting a benefit is when you would have reached age 55. Your spouse will receive these payments for life.

What happens if I transfer to or from a bargaining position to a non-bargaining position?

  • If you are vested in the Plan before you transfer, you are entitled to your vested benefit at retirement.
  • If you are not vested in the Plan before you transfer, you may still be entitled to (1) vesting credit if you work at least 1,000 hours in that calendar year.
  • You will not receive any benefit credits while in a non-bargaining position.
  • You may not collect your pension while in a non-bargaining position with a contributing employer.

Are loans or hardship withdrawals allowed?

No, there are no provisions for loans or withdrawals.

Can I take a lump sum distribution?

No, the pension benefit is only payable as a monthly benefit.

When can I retire?

If you are 100% vested, you can:

  • Early retire any time after age 55. If you early retire your pension is subject to a 6% reduction per year (i.e.: 60% reduction at age 55; 30% reduction at age 60; 6% reduction at age 64)
  • Normal retirement age is 65 with no reduction.

What is an Unreduced Early Retirement?

You must complete 10 years of credited future service and must work in a covered job class for the 10 years immediately preceding your Early Retirement Date and

You must also meet one of the following requirements:

  • You are age 55 and the sum of your age and years of credited service, vesting service, or combination of both equals at least 90
  • You are age 62 and have completed 25 years of credited service, vesting service or any combination of the two

Is my pension benefit taxable?

Yes, your pension benefit is considered a taxable source of income. You will receive tax forms to complete when you apply for your benefit.

Can pension benefits or eligibility criteria change?

Yes, in accordance with applicable federal law, the Pension Fund Trustees are allowed, and under certain circumstances are required, to make changes to benefits and qualifying criteria in their capacity as fiduciaries to the Pension Fund. If you are potentially effected by any changes adopted by the Trustees, you will receive notice of any benefit reductions prior to the implementation of these changes by the Pension Fund.

Please note the purpose of this Q and A is to provide informal guidance only and that all elements  of the Pension Fund are controlled by the terms of the Fund Plan Document and SPD

Who should I contact if I have additional questions?

77 Huyshope Avenue, 2nd Floor Hartford, CT 06106

Where can I get additional information about the Pension Plan?

Please visit our website www.1199nefunds.org and click the Pension Fund link. Under Pension Fund Forms click on the Pension Fund Summary Plan