h1
navnavnavnavnavnavnavnavnavnavnavnavnav
ban
title
mid
title
   
 

Fund Office Hours: Monday-Friday 8:00am-4:30pm

 

Fund Office Holiday Schedule

Month Event
January 1 New Year’s Day (office closed)
January (the 3rd Monday) Martin Luther King Jr. Day (office closed)
February (the 3rd Monday) Presidents’ Day (office closed)
May (The Last Monday) Memorial Day (office closed)
July 4 Independence Day (office closed)
September (The First Monday) Labor Day (office closed)
November 11 Veteran’s Day (office closed)
November (The Last Thursday) Thanksgiving Day (office closed)
November (The Last Friday) Black Friday (office closed)
December 24 Christmas Eve (office closed)
December 25 Christmas Day (office closed)

 

HEALTH INSURANCE RELATED INFORMATION / FORMS:


Summary Plan Description:

IBEW Local 236 Health & Benefit Summary Plan Description

Local 236 Pension Plan SPD 2011

IBEW Local 236 Annuity SPD 2011

 

Rates:

2020 Monthly Premium Rates

Contribution Rate Chart – January 2020

2020 Monthly Premium Rates – Active

2020 Monthly Premium Rates – Pensioner

 

Enrollment & Opt Out Forms:

Opt Out (Attestation) Form – Once Per Year

Enrollment Form and Attestation Form – For New Opt Outs

Enrollment Form

Enrollment Form (CE or CW)

Pensioners – Please contact the IBEW Local 236 Benefit Fund office for appropriate Enrollment Forms


 

Summaries of Benefits:

Summary of Benefits – CDPHP Copay Plan 2020

Summary of Benefits – CDPHP High Deductible 2020

Summary of Benefits – BlueShield of NorthEastern NY Medical 2020

Summary of Benefits – BlueShield of NorthEastern NY Dental 2020

Summary of Benefits – CDPHP – for the CE or CW Class 2020


 

STATE & FEDERAL NOTICES:

CMS Disclosure Notice

Federal and NY State Health Plan Required Notices with SBCs

CECW Federal and NY State Health Plan Required Notices with SBC


 

ANNUITY RELATED INFORMATION / FORMS:


Annuity Guidelines

Annuity – Termination (Unemployment)

Annuity – In-Service (Once Per Year)

Annuity – Disability

Annuity – Education

Annuity – Normal (Retirement)

Annuity – Lump Sum Termination


BENEFICIARY INFORMATION: Beneficiary Forms are only acceptable in their original / unaltered state.  Copies of Beneficiary Forms are not acceptable. Please contact the IBEW Local 236 Benefit Fund office to be mailed a form.