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ewtrusts.comewtrusts.com
ewtrusts.comewtrusts.com
ELECTRICAL WORKERS HEALTH & WELFARE PLAN
FOR NORTHERN NEVADA and ELECTRICAL WORKERS PENSION TRUST
FUND FOR NORTHERN NEVADA

(775) 826-7200
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Consolidated Appropriation ACT (CAA)

Price Comparison Tool
If you seek price comparison guidance to compare the amount of cost-sharing you will be responsible for paying for a specific item or service provided by a preferred provider to the plan, please click the link below, read the disclaimer, submit the questionnaire and we will contact you.  You can also contact us directly at 775-826-7200.

CLICK HERE

HEALTH DOWNLOADS

Forms
Summary Plan Description & Plan Documents
Summary of Benefits & Coverage - All Employees (Except Sound & Communication Workers)
Summary of Benefits & Coverage - Sound & Communication Workers
HIPAA Notice of Privacy Practices/ANNUAL NOTICE

PENSION DOWNLOADS

Electric Workers Defined Contribution Summary Plan Description April 2015
Electric Workers Pension Summary Plan Description November 2021

No Surprises Act

Your Rights
Rights and Protections Against Surprise Medical Bills Effective 1/1/2022CLICK HERE
Optum Rx
Helping You To Search, Compare,  Manage Your Prescriptions & Stay Up to DateCLICK HERE

This website provides access to the Preferred Provider Directory, Summary Plan Description, Claim Forms, and Enrollment Form.  It also provides access to the Pension Summary Plan Description.

Because preferred providers save you and your Trust Fund money, the Electrical Workers Health & Welfare Plan for Northern Nevada has created this Web Site for your ease and convenience in finding the provider you need.   Just click on Download Provider Directory and follow the instructions.

PREFERRED PROVIDER DIRECTORY

REMEMBER – After you have selected your provider, check the exact location at which the provider is listed.  Physicians may practice at several different locations, but may NOT be a PPO at all locations.  This means that they are PPO providers ONLY in the area or areas in which they are listed in the Preferred Provider Directory.

Just because a specialist is listed in your Directory does not mean that all services provided are covered benefits.  Read your Summary Plan Description (SPD) book carefully.  If you do not understand the benefits or if you are uncertain if a service is a covered benefit you may call the Trust Fund Office for assistance at (775) 826-7200.

All services and all providers listed in this directory may not be covered under your health care plan.  You must consult your health care plan description to determine what providers and services are covered.  Failure to do so before incurring medical expenses may result in you not being reimbursed for certain medical expenses.  This is a directory of preferred providers participating as independent contractors to the Trust Fund.  This list is subject to change without notice.  Every effort has been made to obtain and print correct information in this directory; however, the Trust Fund will not be responsible for inadvertent errors or omissions.

GRANDFATHERED HEALTH PLAN REMINDER

The Board of Trustees believes that the Electrical Workers Health and Welfare Plan for Northern Nevada Plan is a “Grandfathered health plan” under the Affordable Care Act (“ACA”). As permitted by the ACA, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that ACA was enacted. Being a grandfathered health plan means that your Plan is not required to include certain consumer protections of the ACA that apply to other plans (known as a Non-Grandfathered plan), for example, requiring the provision of preventive health services without any cost sharing. Grandfathered health plans must comply, however, with certain other consumer protections in the Act, such as the elimination of annual and lifetime dollar limits on essential health benefits. (For a definition of what constitutes as Essential Health Benefits, please visit www.healthcare.gov/glossary/essential-health-benefits.)

Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the Plan Office at (775) 826-7200. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor (DOL) at 1–866–444–3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

TRUST FUND OFFICE

  • 445 APPLE STREET, SUITE 109, RENO, NEVADA 89502
  • 775-826-7200

CONTACTS

MAIL HEALTH AND WELFARE CLAIMS TO

  • ELECTRIC WORKERS HEALTH & WELFARE
  • POST OFFICE BOX 11337, RENO, NEVADA 89510

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