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COVID-19 Advisory Notice

Please read the latest Advisory Notice on the continuation of Teamsters 170 Health and Welfare Fund Business.
COVID-19 Advisory Notice – March 2020 (PDF Document Format)

Summary Plan Description (SPD)

The Teamsters Local 170 Health and Welfare Plan offers you and your family a large measure of financial security. The Plan offers you a choice of plan options. Choose the one to enroll in that best serves the needs of you and your family.

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Early Retiree Plan

Our Early Retiree Plan offers a comprehensive benefits plan with a choice of Blue Cross Blue Shield of MA. This section of our site describes the benefits, the eligibility rules and the procedure you should follow in order to obtain benefits through the Plan.

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Member Portal

Our online member portal is the perfect way to keep in touch with us! Members can log in and check for plan updates and other Fund information.

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Summary of Material Modifications

Summary of Material Modifications (October 30, 2023)
Notification of updates, clarifications, and/or changes in the medical and prescription drug benefits and the dental benefits offered to members enrolled in the BCBSMA plans and to the Vision Benefits administered by Davis Vision.
Benefit Information (PDF Document Format)

Summary of Material Modifications (April 28, 2023)
Notification of updates, clarifications, and/or changes in the medical and prescription drug benefits offered to members enrolled in the BCBSMA plans.
Benefit Information (PDF Document Format)

Summary of Material Modifications (August 11, 2023)
Notification of temporary changes, effective March 31, 2023, which will expire July 31, 2024 to extend the period for special enrollment for individuals losing Medicaid and CHIP coverage.
Benefit Information (PDF Document Format)

Summary of Material Modifications (March 31, 2022)
Notification of important benefit information regarding Life Insurance and AD&D Benefits effective June 1, 2022.
Benefit Information (PDF Document Format)

Summary of Material Modifications (February 18, 2022)
Notification of important benefit enhancements information for members enrolled in the BCMSMA medical plans effective February 10, 2022.
Benefit Enhancement Information (PDF Document Format)

Bulletin Board

Steps Challenge – January 2024
The Teamsters Local 170 Health & Welfare Fund Board of Trustees is excited to announce another new wellness program for 2024! This year, we are using a new platform to host the challenge! The challenge will run from April 24th, 2024 – May 21st, 2024. Registration begins on Wednesday, April 10th, 2024 and ends on April 23rd.
Steps Challenge – January 2024 (PDF Document Format)

For registration information, please see our registration guide:
Steps Challenge Registration Guide – January 2024 (PDF Document Format)

 

Blue Cross Blue Shield of MA Expands Options for Mental Health – November 2022
On May 4th, 2022 BCBS of MA announced the expansion of its mental health provider network as part of its commitment to ensuring its members have access to high quality, affordable mental health care.
VIEW ANNOUNCEMENT (PDF Document Format)

Balance Billing Notification – July 2022
Please see the latest notice and information about your rights and protection against surprise medical bills.
Balance Billing Notice – July 2022 (PDF Document Format)

New BCBS Update – July 2022
Please see the new BCBS “Transparency in Coverage Rules and Machine-Readable File requirements” update. This information will be available to you as of July 1, 2022.
BCBS Coverage Rules Update (links to external site)

Steps Challenge – May 2021
The Teamsters Local 170 Health and Welfare Fund Board of Trustees is excited to announce another new wellness program for 2021! The challenge will run from May 10, 2021 to June 21, 2021
Steps Challenge – May 2021 (PDF Document Format)

Steps Challenge – May 2020
On January 30, 2020 the Fund furnished a notice regarding the Steps Challenge for the wellness program for 2020. The challenge will run from May 11, 2020 to June 22, 2020
Steps Challenge – May 2020 (PDF Document Format)

Fitbit Announcement – January 2020
The Teamsters Local 170 Health & Welfare Fund Board of Trustees is excited to announce another new wellness program for 2020!
Fitbit Announcement – January 2020 (PDF Document Format)

Fitbit Announcement – January 2019
The Teamsters Local 170 Health & Welfare Fund Board of Trustees is excited to announce another new wellness program for 2019!
Fitbit Announcement – January 2019 (PDF Document Format)

BCBS Pharmacy Program – 2019
This guide provides an overview of the pharmacy program and information about your pharmacy coverage.
BCBS Pharmacy Program – 2019 (PDF Document Format)

Medicare Pard D Notice for September 2018
Important notice about your prescription drug coverage and Medicare.
Medicare Pard D Notice for September 2018 (PDF Document Format)

CHIP Notice for July 2018
Latest information for premium assistance under Medicaid and the Children’s Health Insurance Program (CHIP).
CHIP Notice for July 2018 (PDF Document Format)

Women’s Health and Cancer Rights Act (WHCRA) Notice
The Women’s Health and Cancer Rights Act of 1998 requires group health plans to make certain benefits available to participants. Please see the notice for detailed information.
Women’s Health and Cancer Rights Act (WHCRA) Notice (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 1, 2019)
Changes in the benefits offered to Active and Retiree members through Blue Cross Blue Shield of Massachusetts (BCBSMA) plans
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (September 28, 2018)
Changes in the benefits offered to Active and Retiree members through Blue Cross Blue Shield of Massachusetts (BCBSMA) plans
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (July, 2018)
Blue Cross Blue Shield of Massachusetts (BCBSMA) – Navigating Substance Use Disorder
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (July, 2018)
Fallon Health – Navigating Substance Use Disorder
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 27, 2018)
Changes in the benefits offered to Active and Retiree members through Blue Cross Blue Shield of Massachusetts (BCBSMA) plans
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (March 29, 2018)
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (October 30, 2017)
Changes in the benefits offered to Active and Retiree members through Blue Cross Blue Shield of Massachusetts (BCBSMA) plans
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (October 20, 2017)
Coverage enhancements effective January 1, 2018 for dental benefits offered to all Active members through Blue Cross Blue Shield of Massachusetts (BCBSMA)
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (June 21, 2017)
Changes in the benefits offered to Active and Retiree members through Blue Cross BlueShield of Massachusetts (BCBSMA)
Coverage Changes Notice (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (October 31, 2016)
Changes to Plan benefits notice.
Coverage Changes Notice (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 8, 2016)
Changes to Plan benefits notice.
Coverage Changes Notice (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (September 30, 2015)
Coverage enhancements effective January 1, 2016 for the fitness benefits offered to all Active and Retiree members through the BCBSMA and Fallon health plans, the dental benefits offered to all Active members through Blue Cross Blue Shield of Massachusetts (BCBSMA) and the vision benefits offered to all Active and Retiree members through Davis Vision.
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 30, 2015)
Changes to coverage through BCBSMA medical and pharmacy benefit that become effective July 1, 2015.
Coverage Changes to BCBSMA Medical and Pharmacy Benefit (PDF Document Format)
BCBS Pharmacy Benefit Handbook (April 23, 2015) (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 8, 2016)
Changes to Plan of benefits notice.
Coverage Changes Notice (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (September 30, 2015)
Coverage enhancements effective January 1, 2016 for the fitness benefits offered to all Active and Retiree members through the BCBSMA and Fallon health plans, the dental benefits offered to all Active members through Blue Cross Blue Shield of Massachusetts (BCBSMA) and the vision benefits offered to all Active and Retiree members through Davis Vision.
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (April 30, 2015)
Changes to coverage through BCBSMA medical and pharmacy benefit that become effective July 1, 2015.
Coverage Changes to BCBSMA Medical and Pharmacy Benefit (PDF Document Format)
BCBS Pharmacy Benefit Handbook (April 23, 2015) (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (October 30, 2014)
Changes made to the Plan of Benefits of the Teamsters Local 170 Health and Welfare Fund that become effective January 1, 2015.
Summary of Material Modifications (PDF Document Format)
BCBS Pharmacy Benefit Handbook (January 1, 2015) (PDF Document Format)

Summary of Material Modifications – Health and Welfare Fund (October 18, 2013)
Changes made to the Plan of Benefits of the Teamsters Local 170 Health and Welfare Fund that become effective January 1, 2014.
Summary of Material Modifications (PDF Document Format)

SUMMARY ANNUAL REPORT
The Summary Annual Report is available now for the period January 1, 2014 to December 31, 2014.
Summary Annual Report – 2014 ER Alternatives – Announcements for 2017
Please see the latest information on our 2017 ER alternatives.
ER Alternatives – Blue Cross Blue Shield (PDF Document Format)
ER Alternatives – Fallon (PDF Document Format)

Wellness Program for 2018
Please see the latest information on our 2018 Wellness Program.
Wellness Program 2018 (PDF Document Format)

Notices of Non-Discrimination (October 14, 2016)
BCBS Notice of Non Discrimination (PDF Document Format)
Fallon Notice of Non Discrimination (PDF Document Format)

Nondiscrimination and Accessibility Requirements and Nondiscrimination Grievance Procedure (PDF Document Format)
Affordable Care Act Grievance Procedure (PDF Document Format)

HIPAA Notice of Privacy Practice (April, 2016)
This notice describes how medical information about you may be used and disclosed and how you get access to this information.
HIPAA Notice of Privacy Practice (PDF Document Format)

Benefit Enhancement Information (October, 2015)
This notice is to inform you of coverage enhancements and/or changes for the benefits to Active and Retiree members through Blue Cross Blue Shield of Massachusetts and Fallon Health plans.
Benefit Enhancement Information (PDF Document Format)(PDF Document Format)

PRESCRIPTION DRUG AND MEDICARE NOTICE
Information about current prescription drug coverage and options under Medicare’s prescription drug coverage.
Prescription Drug Notice – 2015 (PDF Document Format)

CHILDREN’S HEALTH INSURANCE PROGRAM
Please review the latest inform for CHIP Premium Assistance programs. This notice is effective September 2015.
CHIP Notice – 2015 (PDF Document Format)

Summary of Material Modifications (October 29, 2021)
Notification of changes in the medical and prescription drug benefits for members enrolled in the BCMSMA plans effective January 1, 2022.
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications (September 30, 2021)
Notification of changes in the benefits offered to members enrolled in the Fallon Select Supreme Plan effective January 1, 2022.
infused or injectable medications for BCBSMA Active and Retiree Plans effective September 1, 2021
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications (July 1, 2021)
Notification of changes for the infused or injectable medications for BCBSMA Active and Retiree Plans effective September 1, 2021
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications (April 23, 2021)
Notification of changes in the prescription drug benefits for BCBSMA Active and Retiree Plans effective July 1, 2021
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications (October 30, 2020)
Notification of changes in the benefits offered to members enrolled in the BCBSMA and Fallon Health Plans effective January 1, 2021
Benefit Enhancement Information (PDF Document Format)

Summary of Material Modifications (June 29, 2020)
NOVEL CORONAVIRUS (COVID-19) QUESTIONS AND ANSWERS AND OTHER IMPORTANT BENEFIT INFORMATION
CORONAVIRUS (COVID-19) BENEFIT INFORMATION (PDF Document Format)

Summary of Material Modifications (April 1, 2020)
NOVEL CORONAVIRUS (COVID-19) QUESTIONS AND ANSWERS AND OTHER IMPORTANT BENEFIT INFORMATION
CORONAVIRUS (COVID-19) BENEFIT INFORMATION (PDF Document Format)

Summary of Material Modifications (January 24, 2020)
Notification of changes in the benefits offered to members enrolled in Fallon Health Plans effective April 1, 2020 and in BCBSMA Plans effective May 1, 2020.
Benefit Enhancement Information (PDF Document Format)