New Employer Letter - All other active employee Plans -
I, I-A, III, III-A, III-NEWS,  IV, V, V-A and V-A-NEWS /Back

August 12, 1999 (Updated)

 

To: New Participating Employer

Re: New Employer Information
Plans I, I-A, III, III-A, III-NEWS, IV, V, V-A or V-A-NEWS

Dear Employer:

Welcome to the Teamsters Benefit Trust.

TBT Plan and Effective Date:

Benefits for eligible employees under TBT Plan __ are effective _______ 1, ____at the monthly contribution rate specified in your Collective Bargaining Agreement (CBA).

Eligibility For Future Hires:

Eligibility for employees hired after the Company begins participation in the Fund is explained on page two of the Guide To Your Benefits.

Contributions:

  • The first contribution payable to TBT is due in ____ (based on hours worked in ____). The month in which contributions are due and the coverage month are the same. Eligibility is earned in the preceding month, by working the hours stipulated in the CBA. Therefore, if an employee worked the required hours in ____, the Company would submit contributions on his/her behalf in ____, for ____ coverage. The Company is required to make contributions on all employees who work the hours stipulated in the CBA.
  • Checks are to be made payable to "Teamsters Benefit Trust" and mailed (in the pre-addressed envelope provided) to:

Teamsters Benefit Trust
(ID# TBT-EMP)
P.O. Box 7616
San Francisco, CA 94120-7616

 

Invoices:

  • An invoice for ____ coverage (based on ____ hours) is enclosed. If an employee terminates, simply line through the name and give the reason for termination using the codes listed on the invoice. (Remember to submit a COBRA "Notice of Qualifying Event.") For new employees, type in the name, Social Security number and contribution. Please include the employee’s address (either on the contribution statement or on a separate sheet so that a "new employee packet" containing enrollment material can be mailed to them).
  • Monthly invoices will list employees for whom you submitted contributions in the previous month. If the next to the last column contains "EN FORM?," the individual must submit a TBT Enrollment Form. Please encourage the employee to do so. The importance of this Form is addressed later in this letter.

Contributions Due Date:

Contributions are due on the first and become delinquent if not received, or postmarked, by the 20th of the month in which due (even if the 20th falls on a weekend or holiday). TBT cannot provide current month eligibility until contributions are paid. It is in your employees’ best interests for contributions to be paid as early as possible each month.

Late Payment - Liquidated Damages:

If contributions are received during the first two weeks immediately following the 20th, liquidated damages will be assessed at 6% of total contributions due or $25, whichever is greater. When contributions are received after the first two weeks immediately following the date on which payments become delinquent, liquidated damages will be assessed at 12%.

Employee Benefit and Enrollment Packets:

  • A Benefit Packet is enclosed for your information and records.
  • New employee packets were mailed to current employees on ________. A packet will be mailed to new employees after your first contribution is paid on their behalf.
  • Every employee must complete and return a TBT Enrollment Form.
  • New employee packets consist of two parts:
  1. Envelope entitled " Inside: Important Information about your Benefits" contains the following:
    • "Dear Employee" letter.
    • Guide To Your Benefits.
    • Summary of Coverage - Plan __.
    • Comparison of Medical Benefits - Plan __.
    • Comparison of Dental Benefits - Plan __.
    • Enrollment Materials.
    • Forms.
  1. Additional Information:
    • Bright Now! Dental and PacificDental Benefits brochures.
    • HMO information.
    • Preferred provider hospital list.
    • Preferred provider physicians directory.

Medical and Dental Options:

Medical and dental options and enrollment requirements are explained under Enrollment Materials located in the "Your Benefits Package" folder. Current employees and newly hired employees (when eligible) may elect any of the available medical options; however, new employees may elect dental coverage under Bright Now! Dental or PacificDental Benefits (PDB) only. The Indemnity Dental Plan (Delta Dental) is not available until the second Open Enrollment following the employee’s initial hire date (unless the employee qualifies for Delta Dental coverage under one of the "exceptions" listed on the back of the Dental Option Form). Note: Employees have no dental coverage until an option is elected! Options elected will apply to all family members.

Administration of the Fund - Agreement and Declaration of Trust:

  • The Fund is administered by the Board of Trustees who have contracted with Lipman Insurance Administrators, Inc. (LIA) to conduct the day-to-day affairs of the Fund, including accounting, service and claims payment functions.
  • A copy of the Agreement and Declaration of Trust, with amendments, is enclosed. This is the basic document governing the operation of the Fund.

Application and Subscriber’s Agreement:

An "Application and Subscriber’s Agreement" is required. The Local Union will be sending the Agreement to you for signature. Following acceptance of the Agreement by the TBT Board of Trustees, a copy will be returned for your records.

COBRA Compliance:

COBRA compliance information is explained in the Guide To Your Benefits.

Questions:

If you have any questions please call the TBT Plan Administration Office.

  • GENERAL QUESTIONS and CLAIMS STATUS – a TBT service representative.
  • BILLING, ACCOUNTING and REPORTING MATTERS – Connie Gordon or Cynthia Trujillo.
  • DENTAL ENROLLMENT and RxAMERICA – Phyllis Dallas or
    Wendy Gonzales.
  • RETIREE COVERAGE – John Holloman or Lynne Carter.
  • HMO MATTERS – Mercy Bautista or Carol Chmielewski.
  • CLAIMS – Sylvia Sanchez or Rose Cruz (for status on a current claim, ask for a TBT service representative).

Phone:
(510) 796-4676 or (800) 533-0119

FAX:
(510) 795-0680

Claims:

  • Please submit claims incurred AFTER ______ 1, to:

TEAMSTERS BENEFIT TRUST
P.O. Box 5820
Fremont, CA 94537
  • Claims incurred PRIOR to ______ 1 should be sent to your prior administrator or insurance company.

Again, welcome to TBT!

Sincerely,

Martin R, Lowy

Martin R. Lowy
Fund Manager

MRL/mr

Enclosures:

Agreement and Declaration of Trust (with Amendments)
COBRA Information
Domestic Partner Coverage Notice
New Employee Packet

Copyright © 2000 Teamsters Benefits Trust, All rights reserved.