These Frequently Asked Questions (FAQ’s) are provided for your convenience.
This website provides an overview of benefits for Active Employees and non-Medicare Retirees. We encourage you to refer to the official Plan documents for details. If there is a conflict between the benefits or information described on this website and the information contained in the official Plan documents, the official Plan documents will govern:
If you are a Medicare-eligible Retiree who is enrolled in the Trust’s fully-insured Plan through Regence, please click here to learn more about your Plan benefits.
To see your enrollment information, create or log in to your account on the Trust Administrative Office website at nwadmin.com.
You can also create accounts on your benefit carriers’ websites to see what’s covered, find in-network providers, get cost estimates, review past claims, track your annual deductible and out-of-pocket maximum amounts and more. Click here for quick links to the Trust’s benefit carriers.
Create or log in to your account on your benefit carriers’ websites, then search for a provider in your network. Click here for quick links to the Trust’s benefit carriers. If you need assistance, please call the carrier’s customer service team.
Pre-authorization means getting approval for certain services or supplies before they are provided to ensure they are considered medically necessary. The Medical Plan requires pre-authorization for certain services and supplies.
To find out more about Life Insurance and Accidental Death and Dismemberment Insurance, please contact LifeMap.
Coordination of Benefits applies when you or covered dependents have health care coverage under more than one plan. Plan rules determine how the Trust Plan works with other plans, which plan pays first, and how benefits are paid.
If you have other coverage, contact the Trust Administrative Office to find out how the plans will coordinate.
You and each of your covered dependents may have the independent right under federal law to elect to continue the health coverage available through the Trust on a self-pay basis after your coverage under the Trust would otherwise end.
Contact the Trust Administrative Office to find out about qualifying events, eligibility and how to get started.
If a claim is denied in whole or in part, you may be able to file an appeal and request a review of the decision.
See the appropriate section in the Active Employee Summary Plan Description or Retiree Plans Summary Plan Description for information regarding how to file an appeal.