H&W: Eligibility and Enrollment Reminders

Professional Musicians, Local 47 and Employers’ Health & Welfare Fund

Fund must receive your completed application prior to Dec. 8

The Professional Musicians Local 47 and Employers’ Health & Welfare Fund (“Fund”) has determined eligibility for benefit coverage effective January 1, 2016. Important enrollment information has been mailed out by the Fund to all eligible members. If you don’t complete and return this information on a timely basis it could negatively affect your ability to enroll or qualify for coverage with the Fund. A delay in the submission of your enrollment form and co-premium may affect your coverage and benefits.

Participants eligible to enroll in Blue Shield: you must complete an enrollment form selecting a Blue Shield participating provider. The Fund’s website at pacfed.com/musicians has a link to select a Blue Shield participating provider: simply go to the “Provider Page” and click the link to blueshieldca.com/networkhmo. It is important that you complete and return your enrollment form as soon as possible. In order to have your Blue Shield ID card prior to January 1st, your completed application must be received by the Fund Administrative Office prior to December 8th.

If you are enrolling in Blue Shield and do not have your enrollment form submitted prior to December 8th, you will not receive your ID Card by January 1st ; however, you may be able to view your ID card by using Blue Shield’s mobile app. The Blue Shield mobile app not only allows you to view your ID, but also, claims information, benefit information, as well as find an urgent care facility, and much more. You will find instructions on how to download the mobile app on the Fund’s website – pacfed.com/musicians.

Is Your Address Current with The Fund?

There are some eligible participants for whom the Fund does not have an address. If you have moved within the past year or you are new to the Health and Welfare enrollment process, PLEASE verify your address with the Fund’s administrative office.

To verify your address you may call (818) 243-0222 and ask to speak to one of the Fund’s member service representatives. However, and in order to ensure accuracy, we do request that change of addresses be in writing. You may send your change of address request to:

Professional Musicians Local 47 and Employers’
Health & Welfare Trust Fund,
c/o PacFed Benefit Administrators
1000 North Central Avenue, Suite 400
Glendale, California 91202.

Please include your name, new address, telephone number and the last four digits of your Social Security number to allow us to properly identify you in our system.

Although you may have notified the Union of an address change, that information is not routinely passed on to the Fund, so please make sure that you also update your mailing address information with the Fund’s Administrative Office.

If you have not received an enrollment package, and you believe you should have become eligible for coverage through employer contributions remitted on your behalf during the Qualify Year (October 3 through October 2 of the next year), please contact the Fund’s Administrative Office immediately. In the event you believe you have qualified for coverage and the Fund does not deem you qualified for enrollment, please consult the Fund’s Summary Plan Description on their website for information on appeal an adverse qualification determination (pacfed.com/musicians).