This notice is provided annually to all participants of the Pension, Hospitalization and Benefit Plan of the Electrical Industry and the Employees Security Fund of the Electrical Products Industries Health and Welfare Plan pursuant to Department of Labor regulations
If you have had or are going to have a mastectomy, you may be entitled to certain benefits, under the Women’s Health and Cancer Rights Act of 1998 (WHCRA). For individuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and the patient, for:
‰Û¢‰ÛâAll stages of reconstruction of the breast on which the mastectomy was performed;
‰Û¢‰ÛâSurgery and reconstruction of the other breast to produce a symmetrical appearance;
‰Û¢‰ÛâProstheses; and
‰Û¢‰ÛâTreatment of physical complications of the mastectomy, including lymphedemas.
Coverage for these services will be subject to the Plans’ co-payments if rendered by a Network provider. If such services are provided by non-Network providers, reimbursement will be based on the Plans’ Network allowances, after applying the applicable co-payments.
If you would like more information on WHCRA benefits, call your Plan Administrator at The Joint Industry Board of the Electrical Industry at 718-591-2000.
Availability of the HIPAA Notice of Privacy Practices
As group health plans, the Hospitalization Plan of the Electrical Industry, the Dental Benefit Fund of the Electrical Industry, the Dental Benefit Plan of the Elevator Division, the Employees’ Security Fund of the Electrical Products Industries Health and Welfare Plan, the Health Reimbursement Account Plan of the Electrical Industry and the Additional å_Security Benefits Plan of the Electrical Industry (collectively, “the Plans”) are covered entities subject to the requirements of the Privacy Rules of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In accordance with the HIPAA Privacy Rules, the Plans have a Notice of Privacy Practices that sets forth how we use and disclose protected health information as well as your rights under the HIPAA Privacy Rules. You have the right to request a copy of this Notice at any time. To do so, please submit your written request to the Plans’ Privacy Officer at The Joint Industry Board,158-11 Harry Van Arsdale Jr. Avenue, Flushing, NY 11365 or call (718) 591-2000 ext. 1405.
