Ncilhwf.com

North Central Illinois Laborers' Health & Welfare Fund

WebWelcome! Welcome to the North Central Illinois Laborers' Health & Welfare Fund website. By using the Fund's website, you can: read the Latest News concerning your benefits. access claim, enrollment, and other forms. see an online version of the Summary Plan Description, 2016 edition. find out how to contact the Fund Office and Fund Trustees.

Actived: 9 days ago

URL: http://ncilhwf.com/

North Central Illinois Laborers' Health & Welfare Fund

WebOak Brook, IL 60522-4687. Ph: (800) 435-5694 or (630) 655-3755. Fax: (630) 877-7001. for preauthorization of inpatient hospitalization, outpatient surgeries, rehabilitation services and transplant benefits, contact: Medical Cost Management Toll …

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North Central Illinois Laborers’ Health and Welfare Fund

Webi North Central Illinois Laborers’ Health and Welfare Fund 6714 N. Frostwood Parkway Peoria, IL 61615 Telephone: 309-692-0860 Toll free: 866-692-0860

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North Central Illinois Laborers’ Health and Welfare Fund …

Web1 SECTION 1: ELIGIBILITY AND HEALTH REIMBURSEMENT ACCOUNT SUBSIDY 1.01 General Provisions and Eligibility. A. Eligibility You are eligible for an HRA subsidy if:

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North Central Illinois Laborers' Health & Welfare Fund

WebJuly 26, 2005. Dear Welfare Fund Participant: Please be advised that the Summary Plan Description (2002 Edition) of the North Central Illinois Laborers’ Health & Wealth Fund was amended effective March 1, 2005: Effective March 1, 2005, the Out-of-Area Benefit Section of the Summary Plan Description that was added to the Plan by Amendment No

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North Central Illinois Laborers’ Health and Welfare Fund

WebB LUE C ROSS B LUE S HIELD OF I LLINOIS P REFERRED P ROVIDER O RGANIZATION (PPO) P LAN – E FF ECTIVE 07/01/2020 North Central Illinois Laborers’ Health and Welfare Fund Schedule of Benefits July 1, 2020 BlueCross BlueShield of Illinois Preferred Provider Organization (PPO) Plan

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Summary of Benefits and Coverage: What this Plan Covers

Web2 of 8 Do you need a referral to see a specialist ? No. You can see the specialist you choose without a referral . All copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies.

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SUMMARY PLAN DESCRIPTION & PLAN DOCUMENT

WebNorth Central Illinois Laborers’ Health and Welfare Fund 2016 Summary Plan Description i. North Central Illinois Laborers’ Health and Welfare Fund. 4208 W. Partridge Way, Unit 3 Peoria, Illinois 61615-2467 866-692-0860 [toll-free] 309-692-0860 [phone] 309-692-0862 [fax] [email protected] [e-mail] www.ncilhwf.com [web site]

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North Central Illinois Laborers' Health & Welfare Fund

WebNorth Central Illinois Laborers' Health & Welfare Fund 4208 W. Partridge Way Unit 3 Peoria, IL 61615 Telephone: 309.692-0860 Toll Free: 866.692-0860

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Let Us Welcome You to Our Community

WebOffice Visits and Referrals When a member uses one of the thousands of CIGNA preferred providers, he or she will only have to pay a $20 co-payment for a primary care physician and $50 for a specialist.

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Medical Claim Form

WebMedical Claim Form Send all bills to: Professional Benefit Administrators, Inc. P.O. box 4687, Oak Brook, IL 60522 (800) 435-5694 Pbaclaims.com

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4208 W. Partridge Way, Unit 3 • Peoria, IL 61615

Web4208 W. Partridge Way, Unit 3 • Peoria, IL 61615. Toll Free: 1-866-692-0860 • Phone: 309-692-0860 Fax: 309-692-0862 • Email: [email protected]. Instructions for Completing an Authorized Personal Representative Designation Form. Review the attached Policy for Recognition of an Authorized Personal Representative Statement.

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Y our Rights and Protections Against Surprise Medical Bills

Web4208 W. Partridge Way, Unit 3 Peoria, IL 61615 Toll Free: 1-866-692-0860 Phone: 309-692-0860 Fax: 309-692-0862 Y our Rights and Protections Against Surprise Medical Bills

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NORTH CENTRAL ILLINOIS LABORERS' HEALTH & WELFARE …

WebThe undersigned, _____, being first duly sworn on oath, deposes and states: 1. That the undersigned desires to add _____ as a dependent step-child eligible for

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NORTH CENTRAL ILLINOIS LABORERS’ HEALTH & WELFARE …

Webnorth central illinois laborers’ health & welfare fund. 4208 west partridge way, unit #3 . peoria, il 61615 . spouse insurance coverage information

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