IBEW #481 Money Purchase Pension Plan & Trust

Terminated Vested Participant Application

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You will need to provide the following documents:

There will be two separate distributions issued.  The first distribution will be for 80% of your last known account balance.  The remaining balance in your account will be paid to you approximately 60 days after the last day of the quarter in which you make application; after earning have been applied to your account.  The quarters end on March 31st, June 30th, September 30th and December 31st.

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YMCA OF GREATER INDIANAPOLIS
The Greater Indianapolis YMCA provides membership discounts to all IBEW Local Union #481 members and their families.  Simply show your Dues Receipt and Photo Identification to receive:

                    100% off your joining fee
                    15% off your monthly membership fee

If you are already a YMCA member, be sure to take advantage of this discount and get signed up today!!!   http://www.indymca.org/
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EFFECTIVE JANUARY 1, 2010 THE PLAN NO LONGER PROVIDES SUBSTANCE ABUSE BENEFITS.  The Quality Connection's Employee Assistance Program (EAP) will continue to provide confidential counseling services through the Methodist Assistance Program (MAP).  To contact MAP, 24 hours a day / 7 days a week, please call (317) 962-2622 (317) 962-2622 or (800) 745-4838.

Effective January 1, 2008 the Trustees established a Health Reimbursement Account (HRA). To view the HRA policy, please visit the "Summary Plan Description - Benefit Fund Summary of Material Modifications" below.  The current employer contribution rate to your individual HRA account is $0.50 per hour.  These monies can be used for certain expenses, as allowed by law.  Click hereto view IRS Publication 502 for a list of  includible and not includible expenses.  Claims on the HRA account must be filed within 6 months of the date the expense was incurred. Eligible claims must total a minimum of $25.00 per person.

Your pre-certification and managed care provider is ICM (Individualized Care Management). The Trustees request that you contact ICM for all in-patient admissions and for all out-patient services at 1-800-728-0327.  For more information, please visit www.IndCareMgmt.com or click on the ICM link in the menu on the left side of this page.
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ALL ELIGIBLE RETIREMENTS REQUIRE THE FOLLOWING ITEMS:
1.  Your birth certificate
2.  Your spouse's birth certificate (if applicable)
3.  Your marriage certificate (if applicable)
4.  Your divorce decree (if applicable)
5.  Your termination slip 
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Benefits Online Links:

Benefits Login
For your first time login, you will be required to have your Social Security number for the ID (do not use the dashes. ie: 123456789) and use GEN4681 as the password. Follow the on-screen instructions to complete your sign in process.

Money Purchase Plan Earning Rates

Prescription Benefit Manager: SAV-RX Site

 

Summary Plan Descriptions(SPD):

Benefit Fund (revised January 1, 2012)

Pension Fund

Money Purchase Plan

 

Forms and Information:

Designation of Beneficiary Form HIPAA Privacy Notice
 
Participant Data Card Claim Form
 
Claim Appeal Procedure Loss of Time Statement
 
Annual Enrollment Form Subrogation Agreement Form
 
Change of Address Form AFFIDAVIT
 
Loss-of-Time Tax Form Eligibility Requirements Chart
 
Dental Preferred Providers Student Verification Form
 
Anthem Claim Form Direct Deposit Form
   
Health Reimbursement Account (HRA) Claim Form Summary of Death Benefits
 
 H.R.A. Claim Form (PDF version)  Retiree Return to Employment Form
 

  
Suspension of Pension Benefit Application
  
   
Adult Dependent Enrollment Form  C.H.I.P. Notice

 

Additional Links:

Anthem

ICM

Prescription Benefit Manager: SAV-RX Site

ProCare Network

Methodist Assistance Program

E.R.T.S. (Electronic Reciprocity Transfer System)

Health Reimbursement Account (HRA) Publication 502 Regulations

 

 

 

 

 

 

ELECTRICAL WORKERS FRINGE BENEFIT
ADMINISTRATIVE OFFICE

Bob Cadwell, Administrator

1828 N. Meridian Street, Suite 103
Indianapolis, IN  46202

(317) 923-4577
Fax: (317) 923-7633

email: info@ewbtf.org

Office Hours:
M,T,TH, F = 8:00 A.M. to 4:30 P.M.
W = 8:00 A.M. to 6:00 P.M.

 

 

 

 

 

 

© Copyright 2003,2004, International Brotherhood of Electrical Workers Local Union #481, All Rights Reserved.