Summary of Benefits & Co-Payments

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Union Members and Labor Organization Members

• Allied Building Inspectors Operating Engineers Local 211
• Correction Captains Association Dental Plan Frequently Asked Questions
• Correction Captains Association Security Benefit Fund Active Group #131 with Out of Network Fee Schedule
• Correction Captains Association Retiree Security Benefit Fund Group #132 with Out of Network Fee Schedule
• CWA Local 1183 Benefit Fund Group- 116 & 216
• CWA Local 1182 Security Benefit Fund - Group 118
• Hauppauge UPSE Group-410
• District 1199J New Jersey Benefit & Pension Fund Group- 119
• Local One IATSE NYC Stagehands- Group 201, 202, 203, 204
• Teamsters Local No. 282 Group-283
• Teamsters Local No. 282 Group-284 W/ Co-Pay Sheet
• Teamsters Local 803 Health & Welfare Fund Group-803
• Teamsters Local No. 812 Health and Welfare Fund Group-812 W/ Co-Pay Sheet
• Operating Engineers Local 94 Welfare Fund -Group 193 & 194
• Sheet Metal Workers Local 28 Welfare Fund Group-028 Plan 1 W/ Co-Pay Sheet
• Sheet Metal Workers Local 28 Welfare Fund Group-029 Plan 2 W/ Co-Pay Sheet
• Sheet Metal Workers Local No.38 Group-138
• Special and Superior Officers Benevolent Association Welfare Fund/SSOBA Group-541 W/ Co-Pays
• United Crafts and Industrial Workers Union Local 91 Group-191
• Special and Superior Officers Benevolent Association Welfare Fund/SSOBA-Group 542 W/ Co-Pays
• Town of Islip Blue Collar UPSE Benefit Fund Group-411
• Town of Islip White Collar UPSE Benefit Fund Group-412
• Local 99 Health & Welfare Fund -089, 091, 092, 097, 099, 199
• Local 381 Group Insurance Fund Group #107
• Teamsters Local 272 With Co-Pays
• Oceanside Sanitation #553 with Copay Sheet
• CGS/JOFAZ
• CGS/ Y&M
• Local 1181 Group #860
• SureCare Group #861 W/Vision Benefits

School District Employees and Faculty Benefit Trust Members

• Hauppauge Union Free School District Group-120 W/ Co-Pay Sheet
• Eastern Suffolk BOCES Group-115
• Eastport/South Manor Teachers' Benefit Trust Fund-Group-135

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