Operating Engineers Health & Welfare Fund

INTRODUCTION

The Operating Engineers Health & Welfare Fund has steadily grown since its inception in 1954.  The Fund provides comprehensive healthcare coverage to Plan participants for medical, hospital and prescription drug expenses, as well as life insurance, vision care and dental benefits.

 

This site was designed to provide you with the most current information regarding your benefits as well as other topics of interest. There is also interactive participant information - you can check eligibility, claims status, or download and print the forms you need right here.  In the future you will be able to search online for AHF contract providers.  We will continue to incorporate changes and enhancements, so check back with us often!

 

Some Plan highlights:

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The Trustees established a contract provider networks, Blue Cross for California Residents, and Affiliated Health Funds (AHF) for Non-California Residents, and are always looking to expand the network.  Participants who choose AHF participating providers can significantly reduce their out-of-pocket expenses.  Since its inception in 1984, participants have saved over $120 million and the Fund has saved over $60 million by using this program!

 
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The Plan offers a wide variety of choices for healthcare including a traditional fee-for-service plan, the contract provider networks, HMOs (Kaiser Permanente, Health Net and Health Plan of Nevada), and a panel of contract dentists.

 
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These are some recent enhancements made by the Board of Trustees:
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Contraceptives (birth control materials) are now covered by the Plan for eligible spouses.

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The Dental Plan maximum was increased from $5,000 in any two-calendar-year period to $6,000 in any two-calendar-year period.

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Orthodontic coverage for dependent children was increased to $2,000 and, as of July 1, 1999, to $3000 for children with cleft lip, alveolus or palate.

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Hearing aids are now covered up to $1,000 per ear, once every three
years.

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The Plan now provides a $2,500 Death Benefit upon the death of the spouse of an eligible Retired participant.

IMPORTANT DISCLAIMER- PLEASE READ:  The information contained on this website is a general statement of the most important provisions of the Operating Engineers Health & Welfare Plan.  No general statement such as this can adequately reflect all the details of the Plan.  Nothing in this statement is meant to interpret or extend or change in any way the provisions expressed in the written Rules and Regulations of the Plan.  The rights of a participant or beneficiary can only be determined by consulting the Health & Welfare Plan Rules and Regulations.