District Council 37, Local 95
Head Start Employees
Welfare Fund
2022 Open Enrollment
Dear Plan Participant:
Open Enrollment will begin on July 1st and continue thru July 15th, 2022.
It is only during the Fund’s Open Enrollment period that you have the opportunity to make changes to your medical coverage provided through the District Council 37 Head Start Employee’s Welfare Fund. If you are currently enrolled in the Plan no action needs to be taken, your coverage will continue as is.
However, if you wish to enroll from another plan’s coverage or make any changes to your current coverage, you must complete the Fund’s Enrollment Change Form and return it to the Fund office before the July 15, 2022 deadline. If you have not previously enrolled in the Fund, this is your only opportunity to enroll for the new benefit period beginning on August 1, 2022.
Changes for 2022 Benefit Period
For the new benefit period, the employees shared premium cost share will remain $104.30 single / $271.17 family per month.
The Plan has made certain benefit modifications as described in the Summary of Material Modifications previously sent to all enrolled participants. A copy of this notice frequently asked questions, and all Open enrollment forms are available on the Funds Website at www.dc1707l95wf.net
To search for a network provider or to confirm if your physician participates in the Anthem network, call Empire BlueCross Member Services at 1-844-241-7089 or search their website at www.empireblue.com
You may also request that a copy of these materials be mailed to you by contacting the Fund office at telephone (212) 343-1660. Please remember that all changes or new enrollments must be received by the Fund office before the July 15th deadline. All changes will become effective on August 1, 2022, the first day of the new coverage period.
Sincerely yours,
THE BOARD OF TRUSTEES
