Security Benefits Fund
Body Scan
Active and Retired Members and their eligible spouses/domestic partners (court approved) who are between ages 40 and 77 are entitled to a full body screening by Inner Imaging once every five years.
Electron Beam Tomography Scan: Inner Imaging provides confidential screening consisting of four radiological tests of the heart, lungs, abdomen, and pelvis. These screenings are designed to detect and may determine your risk of future heart attack, lung disease, and many types of cancer in the early stages and potentially long before any symptoms occur.
How to arrange for a test:
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Call Inner Imaging at 212.777.8900
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Identify yourself as a member of the CWA Local 1181 Security Benefit Fund and schedule an examination
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Bring a copy of the claim form to your visit
Further information is available at innerimagingpc.com
Dental Benefits
Deductible | Annual Maximum | Orthodontic |
|---|---|---|
No Annual Deductible | $2,500 per covered individual per calendar year for services other than orthodontic | Maximum payable amount from the Fund is $2,500 per lifetime per covered member and eligible dependent. |
To locate a participating provider, visit asonet.com
Hearing Benefit
The hearing aid plan covers otologic hearing examinations performed by a physician, surgeon, or audiologist; and hearing aid appliances prescribed by a qualified physician or audiologist if not covered under the health plan.
Effective Jan. 1, 2022, Active and Retired Members, their spouse/domestic partner, and eligible dependent children are eligible to be reimbursed up to a maximum of $1,000 once every three calendar years if same services have not been reimbursed via your health insurance plan.
Exclusions
No benefit will be paid for:
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expenses not recommended or approved by a physician, otologist, or audiologist;
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non-durable equipment, such as batteries;
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special procedures or training, such as lip-reading courses, schooling, or institutional expenses;
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medical or surgical treatment of the ear(s); or
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expenses for which benefits are payable under any other plan or coverage.
How to File a Claim
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Complete the CWA Local 1181 Security Benefit Fund Hearing Aid Claim Form
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Attach all supporting documentation, receipts, and explanation of benefit vouchers from all other carriers, if applicable
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Claims must be submitted within six (6) months of date of service
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Sign and submit it to: Administrative Services Only, Inc.
PO Box 9005, Dept 47, Lynbrook, NY 11563-9005
Fagenson and Puglisi
450 Seventh Ave.
Suite 704
New York, NY 10123
212.268.2128
Legal Services
Active Members are provided with non-work-related personal legal services. CWA Local 1181 pays all legal fees and members pay court filing fees.
Here are some of the personal legal services covered by the benefit:
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Criminal defense
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Housing Court (tenant representation)
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Child support
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Custody
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Visitation
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Divorces
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Defense of Consumer collection cases
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Real Estate
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Bankruptcy
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Last Will and Testament
Retired Members are entitled to limited legal services available at no cost.
Life & Accidental Death & Dismemberment Benefit
Title | Active | Retiree |
|---|---|---|
Life Benefits | $20,000 | $10,000 |
Accidental Death & Dismemberment | $20,000 | N|A |
Express Scripts
800.451.6245
express-scripts.com
Prescription Drug Benefit — Retail and Mail Order
Active Member Total Cap | Coinsurance* |
|---|---|
$0- $2,500 | 20% |
$2,500.01 - $12,700.00 | 100% |
$12,700.01 and over | 20% |
Retired Member Total Cap | Coinsurance* |
|---|---|
$0- $2,500 | 20% |
$2,501 and over | 100% |
*Mail Order Minimum Co-Insurance — Generic $10, Preferred Brand $30
Supplemental Welfare Program
Effective Jan. 1, 2021, the Fund will provide all Active and Retired members and their eligible dependents covered under a group health insurance plan a Supplemental Welfare Fund Benefit that may be used for unreimbursed medical, dental, optical, and prescription drug costs.
The annual maximum reimbursement is $300 per member/family.
To be eligible for reimbursement, claims must be incurred during the calendar year (Jan. 1 - Dec. 31), and submitted no later than April 30 of the following year.
Covered expenses include unreimbursed:
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Medical, Hospital, Dental, Optical, and Prescription Drug Deductibles, Co-Payments, and Co-Insurance under your group health plan;
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Prescription drug costs;
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Non-covered dental and optical expenses;
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Over-the-counter drugs and medicines purchased without a prescription, such as aspirin and allergy medicines. Such drugs and medicines must be for the treatment of illness or injury and not merely to advance general good health; and
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Menstrual care products.
Davis Vision
877.923.2847
davisvision.com
Select the member option
and enter client code 2198.
Vision Benefits
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In-Network Provider — Every 12 months, comprehensive examination, one pair of spectacle lenses and frames or an initial supply of contact lenses
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Out-of-Network Provider — there is an out-of-network option with a max of $125.
EYE EXAMINATIONS
Every 12 months, including dilation as professionally indicated.
Dependents up to the age of 26 — Unlimited if medically necessary
In-Network Copayment— $0
Out-of-Network— Reimbursed up to $25
EYEGLASSES
Frame . . . . . . . . . . . . . . . . . . . . . . . . . . Every 12 months
Spectacle Lenses . . . . . . . . . . . . . . . . . Every 12 months
In-Network Copayment. . . . . . . . . . . . . .$0
You may choose any Fashion or Designer or Premier level frame from Davis Vision’s Frame Collection, covered in full. Or, if you select another frame in a network provider’s office, a $200 credit, plus a 20% discount off any overage will be applied. This credit would also apply at retail locations that do not carry the Frame Collection. Participants are responsible for the amount over $200 (less the applicable discount). For more information on lenses, please see “What lenses/coatings are included?” in the Benefit Booklet.
Out-of-Network . . . . . . . . . . . . Reimbursed up to $100 for materials.
CONTACT LENSES . . . . . . . . . . . . . . . Every 12 months
In-Network Copayment . . . . . . . . . . . . . . . . . . . . . . .$0
Benefit Forms
These are fillable PDFs on a desktop computer. If you open the forms on a cell phone, you must open in Acrobat or download them and print them out.