LOCAL UNION 812'S BENEFIT PROGRAM

• Family Health Care Coverage: Blue Cross & Blue Shield of Northeastern Pennsylvania, UCR 100, or Access Care II PPO. (List of Access Care II PPO Providers)
• Retirees: Security 65 Health Care Coverage & NPA Drug Prescription Plan.
• Weekly Disability: (26 Week Maximum, @ $500.00/ week) (When hurt off the jobsite or need to be off work for medical reasons other than Workmen’s Compensation.)(Participant must be off work at least seven days to qualify.)
• Life Insurance Coverage ($50,000.00) on all active members, Retirees optional.
• National Electrical Benefit Fund (NEBF) Pension Program.
• International Brotherhood of Electrical Workers Pension Program.
• Local Union 812 Tax Deferred Retirement Annuity Fund, participant directed.
• Social Security Retirement Benefits.
• Medicare Benefits.
• Prescription Drug Plan (NPA) (20% co-pay over the counter, 10% co-pay by mail) for active & retired members and their dependents. (NPA Drug Plan & Mail Claim Info)
• Savings Plan Fund for each member at local bank.

Our Health & Welfare and Annuity Fund Administrator for those funds described above is listed below:

S.V.S Associates

248 Parrish Street

Wilkes-Barre, PA 18702

1-888-829-4828

FAX#--570-829-4634

Contact—Terri Schatzel

Health & Welfare and Annuity Trustees

Michael J. Lecce, (Lecce Electric, Inc.)

Joseph M. Lecce, (Lecce Electric, Inc.)

Thomas J. Burke, (NECA)

James E. Beamer (IBEW)

James D. Carpenter, (IBEW)

Matthew J. Peck, (IBEW)

Funds Investment Manager:

Prudential Financial Retirement & Investment Services

Funds Accountant:

Christman & Company, Terry Christman, C. P. A.

Funds Attorneys:

Willig, Williams, & Davidson, Irwin Aronson, Esq.

Fox, Rothschild, O’Brian & Frankel, James Matthews, Esq.

Useful Local 812 Forms Listed Below:

Annuity Fund Beneficiary Form

Health & Welfare Beneficiary Form

IBEW Pension Beneficiary Form

NPA Prescription Drug Form

Prescription Drug Mail Order Form

Dependent Student Certification Form