SUP Welfare Plan

Dear Participant: We are pleased to present SUP Welfare Plan's Summary Plan Description describing the benefits provided by the SUP Welfare Plan. The Plan was established in accordance with Collective Bargaining Agreements between the Sailors' Union of the Pacific and participating employers.

The Plan Description furnishes a brief description of the benefits to which you and your family are entitled, the rules governing these benefits, and the procedures that should be followed when making a claim. This booklet includes certain information concerning the administration of the Plan as required by the Employee Retirement Income Security Act of 1974. We urge you and your family to read this booklet thoroughly so that you will be familiar with the benefits of the Plan. We are pleased to present this booklet describing the benefits provided by the SUP Welfare Plan.

May, 2018

Reimbursement for Active Member Co-payments
Co-payments that are charged to active members for services from their medical and dental plans can be submitted to the SUP Welfare Plan for reimbursement. Reimbursement is allowed only for services to the member as the patient. Co-payments required for services to dependents are not reimbursable.
Reimbursement requests must be received in the Plan office within 90 days of the treatment date. Co-payments for prescription drugs must include the name of the drug on the information presented to the Plan office. 
Vision Care
The vision care benefit for active participants is allowed once in a 24-month period. The $200.00 maximum includes the exam and glasses. The cost of tints is not included in the reimbursable amount. The vision benefit is for members only and does not include dependents. An itemized bill must be submitted to the Plan office within 90 days of the service. The bill must indicate the provider name and address, patient’s name, date of service, and an itemization of the charges. 
The vision care allowance for pensioners is included in the $1,000.00 maximum of the Pensioners Annual Allowance for medical, dental, and vision co-payments. Glasses are an allowable expense once in a fiscal year. 
Foreign Dental Services for Active Participants
Dental services for active participants performed in foreign countries are not covered by the SUP Welfare Plan. Your Dental plans cover limited emergency services out of area. Claims must be submitted to your Dental Plan for out of area emergency services.