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2023 - NAS METAL TRADES WELFARE FUND BENEFIT ANNOUNCEMENT - (12/16/2022)

December 2022

To All Participants in the NAS Metal Trades Welfare Fund
From the Board of Trustees

The Fund Remains Financially Stable

There are three Plans of Benefits provided by the National Automatic Sprinkler (“NAS”) Metal Trades Welfare Fund. The contribution rate for each of these Plans of Benefits was set effective September 1, 2014, and has not increased since that time. The current contribution rates are as follows:

• Plan A $5.10 per hour
• Plan B $4.80 per hour
• Plan C $4.25 per hour

These contribution levels continue to support the benefits of each plan., although investment returns on Fund reserves have been negative so far this year, and the hours worked for which contributions are made to the Fund have not increased over previous recent years.

While there is no expectation that the Fund will need to increase these contribution levels in the near future, the Trustees evaluate the Fund’s financial condition on an annual basis and determine the appropriate contribution rates.

REMINDERS

Flu shots and other Immunizations
Remember to get your seasonal flu shot from your Blue Cross Blue Shield participating physician or at your local pharmacy that participates with Express Scripts. Most immunizations, including flu shots, are covered at 100% by the NAS Metal Trades Welfare Fund when using an In-Network provider.

Better Medical Benefits for Medicare Retirees
Effective January 1, 2023, the NAS Metal Trades Welfare Fund is enrolling all Medicare-eligible retirees and dependents into a comprehensive Medicare Advantage Prescription Drug (MAPD) plan offered by Aetna®. Eligible medical benefits will now be covered at 100%, with no out-of-pocket expense, and coverage for prescription drugs will require a reasonable copay and may have a different formulary. Importantly, the Fund has retained Labor First, a company that specializes in the ongoing member service of MAPD plans. If you have any issues with your physician, your prescriptions, or your coverage, or if you have any questions about the new Aetna® MAPD plan, please contact Labor First at 800-716-0774 or members@laborfirst.com. More importantly, you are still covered by the NAS Metal Trades Welfare Fund. Aetna® may now be responsible for administering your health and pharmacy benefits. However, the Fund Office will remain responsible for eligibility issues, retiree premiums, and all other benefits such as dental and vision.

Annual Reminder regarding Women’s Health and Cancer Rights Act of 1998
The NASMT Welfare Plan, as required by the Women’s Health and Cancer Rights Act of 1998, provides benefits for mastectomy-related services, including all stages of reconstruction and surgery to achieve symmetry between the breasts, prostheses, and complications resulting from a mastectomy, including lymphedema.

Notification Requirement upon Divorce
Notice of your divorce must be provided to the Fund office within 60 days of your divorce.
If notice of your divorce is not provided to the Fund Office in this time frame, and as a result, benefits are paid to an ineligible dependent, the Fund can recover benefits by treating such benefits as an advance to you and deducting such amounts from benefits which become due to you until the entire amount of benefits erroneously paid is recovered.

Blue Distinction Centers
Remember to take advantage of Blue Distinction Centers. The Blue Cross Blue Shield (“BCBS”) Association has identified specific hospitals across the nation that have demonstrated expertise in delivering specialty care. Some of these facilities are close to where you live. The BCBS evaluation process involves reviewing the expertise of the medical team, the number of times the facility has performed the procedure, and the facility’s track-record for procedure results. Facilities identified as “Blue Distinction Centers” have a proven track- record for delivering better results such as fewer complications and fewer readmissions than facilities not recognized as Blue Distinction Centers.

Blue Distinction Centers delivering the following types of specialty care have been identified:
• Bariatric Surgery
• Cardiac Care
• Knee and Hip Replacement
• Maternity Care
• Spine Surgery
• Transplants

If you or someone in your family is contemplating a procedure (e.g., surgery, delivery) in one of the above medical categories, the Board of Trustees encourages you to consider doing so at a facility that specializes in that care. Finding the right facility can lead to better medical outcomes, fewer complications, less readmissions for the same condition, lower hospital acquired infection rates, and lower mortality rates. Better care is better for you and will likely result in lower medical costs to you and the Fund.

Some of the facilities identified as Blue Distinction Centers also have lower costs associated with their high-quality care. Facilities that are considerably more efficient at providing expert specialty care have been further classified as “Blue Distinction Centers +”.

Blue Distinction Center Finder
Use the “Blue Distinction Center Finder” link on the Welfare Fund’s website, www.nasifund.org. You can search for the particular specialty you need (e.g. cardiac care), and you can limit your search to the state or states you are willing to go to in order to receive the best care available.

Call the Fund Office at 1-800-638-2603 for more information.

Summary of Benefits and Coverage

A List of Preventive Services required by the Affordable Care Act effective January 1, 2023, can be found on the Fund’s website at www.nasifund.org

This notice is intended to address and summarize certain features of the NAS Metal Trades Welfare Fund. In the event there is any discrepancy between this notice and the official plan documents, the official plan documents shall apply. The Trustees reserve the right to amend the official plan documents at any time.

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