IATSE 667/669 GROUP BENEFIT PLAN
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WELCOME MEMBERS OF
IATSE LOCAL 667 & 669

Where can I get a claim form?

There are 4 ways you can obtain health & dental claim forms:

1. You can click on the 'Forms' tab on the main menu at the top of the homepage.

2. You can click here to download a dynamic PDF version of a health claim form.

3. You can register with Great-West Life’s GroupNet for Plan Members, here not only can you download a personalized claim form but you can register for direct deposit and see your past claims history and benefit coverage. Please click here to enroll. Registration is easy and you can also file your claims online and have your funds direct deposited into your account.

4. You can e-mail either:

Leta Kennedy, Plan Administrator
leta@iatse667-669healthplan.com or

Mary Miskic, Benefit Co-ordinator
mary@iatse667.com

both of whom can e-mail you a form.

What is my ID number?

Your Plan Member ID number is a unique nine digit number that has been given to you by the Plan Office. You will require this number when you file claims and contact Great-West Life. It can be located on your drug card beginning with 667 or 669.

If you have forgotten your Plan Member ID number, you can e-mail:

Leta Kennedy, Plan Administrator
leta@iatse667-669healthplan.com or

Mary Miskic, Benefit Co-ordinator
mary@iatse667.com

both of whom will be able to tell you your number.

What is our plan/policy number?

The plan/policy number is specific to the I.A.T.S.E. Local 667/669 Health & Welfare Plan. You will require this number when you file claims and contact Great-West Life.

Our plan/policy number is 164609. All members will use the same plan/policy number.

How can I add/remove dependents from my plan?

To add/remove dependents from you plan you will be required to fill out a new health & welfare enrollment form. After completing the form, please mail the original to the Health & Welfare Fund office care of the Plan Administrator, you will see the address at the bottom of the 2nd page. If you are adding a common-law spouse to the plan, you must be cohabitating for a period of at least 1 year.

You can obtain an enrollment form 2 ways:

1. You can click here to download an enrollment form.

2. You can e-mail:

Leta Kennedy, Plan Administrator
leta@iatse667-669healthplan.com or

Mary Miskic, Benefit Co-ordinator
mary@iatse667.com

both of whom can e-mail you a form.

Do I have travel insurance coverage and what is it?

Out of country medical travel insurance coverage is available to all members, and eligible dependents, who have benefit level 02, 03 & 04 coverage.

Click here to download a Global Medical travel insurance brochure.

If you or any of your dependents would like to have a wallet card with the Global Medical telephone numbers, you can e-mail:

Leta Kennedy, Plan Administrator
leta@iatse667-669healthplan.com or

Mary Miskic, Benefit Co-ordinator
mary@iatse667.com

both of whom can mail you one.

Click here for more detailed travel insurance information

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