For IPF:
dstupar@ipfweb.org
Phone: 1-888-880-8222
Fax: 202-347-7339

For IHF:
rdonovick@bacweb.org
Phone: 1-888-880-8222
Fax: 202-383-3905

620 F Street, NW
Washington, DC 20004
202.783.3788

About Us

 

Canada Summary of Benefits

For information about these plan benefits or help enrolling, please call the plan office at 1-877-635-0914. For dental forms please contact the Fund office.

LIFE DENTAL SUPPLEMENTAL HEALTH VISION WEEKLY INDEMNITY

Active: $20,000

AD&D: $10,000

Dependent: $ 1,500

Retiree: $3,000

Deductible:
$25.00 Individual
$50.00 Family

Max: $1,500/person/year reimbursed at 80% after the deductible

$1,500 (basic) services/member/year reimbursed at 100% after the deductible

Benefits paid in accordance with the 2003 fee schedule

Deductible:
$25.00 Individual
$50.00 Family

Max:
$1,000,000

Hospital call:
All expenses for semi-private room

Private nursing

Prescription Drugs:
Payable after deductible is paid

$400 per person every 24 months for materials; eye exam subject to deductible and coinsurance

$150 per week

Max: 26 Weeks

Note: The IHF "Look-Back" rules are used for eligibility purposes