What’s New
Reinstatement of Telehealth Services
Telehealth services have been restored retroactively to May 12, 2023.
Claims that were denied between May 12, 2023 & today shall be reprocessed.
Important Changes in COVID 19 Related Benefits
End of National Emergency & Public Health Emergency
Special rules in effect during the emergency will terminate.
Changes & Enhancements
We are pleased to inform you of the addition of Coverage for ABA Therapy,
enhancement of Speech Therapy and changes to Delta Care & Delta Dental
PPO Plan benefits.
Medicare Eligible Retirees
Effective March 1, 2023, the Indemnity Medical Plan is being replaced with the
Anthem Medicare Preferred PPO with Senior Rx Plus (MAPD) Plan
Labor First Retiree Member Advocacy
Welcome to CarelonRx
Effective January 1, 2023, our new pharmacy benefit manager is Ingenio/CarelonRx.
We’re Changing Our Prescription Drug Provider
Effective January 1, 2023, our new pharmacy benefit manager will switch from WellDyne to Ingenio/CarelonRx.
Compare Your Plan Options
Healthcare benefits vary by plan. Compare the benefits each plan offers.
Smart Choices Program
Smart Choices/Healthy Rewards is a health promotion program designed to bring high quality care to Participants and, at the same time, make care more affordable for everyone. All employees and their spouse and domestic partner are eligible to sign up for the Smart Choices Healthy Rewards program. The program includes a commitment, a pledge that you adopt in order to participate in the program.
When you make the Smart Choices Promise, you commit to take certain actions to learn about and improve your health. When you do, you become eligible to earn Healthy Rewards, including an increased hour bank for Bargained Employees and the ability to earn additional funding for health care expenses.
For complete details regarding the Smart Choices wellness program, refer to Smart Choices/Healthy Rewards Program in the District Council 16 Northern California Health and Welfare Trust Fund Summary Plan Description (SPD)/Plan Document and contact the Trust Fund Office if you have questions.
Free Language Assistance and Notice of Nondiscrimination
The District Council 16 Health and Welfare Trust Fund’s health care plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability, or sex. The Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. The Trust Fund provides free language assistance services to people whose primary language is not English, such as qualified interpreters and information in other languages.
Please see the Notice of Nondiscrimination for more information about your rights, as well as the phone numbers to call for language assistance.