Health and Welfare Fund – Forms/Notices

MOE Health Plan Marketplace Information – Resource Material

Newly Eligible Members* be on the lookout for the following:

*This information does not apply to hourly members eligible on or before April 1, 2016.  If you fall into this category, you should already be enrolled in the MOE Health Plan Marketplace.

FORMS – If you are unable to access any of the following forms, please contact the Fund Office to request the specific form(s) you need.

Reciprocity

Change of Address

If you recently moved, please login to your www.My150.com account to easily update your address by clicking on your My Profile.  By updating your address on My150 all Local 150 entities will be notified of your updated address (i.e., District Office, Apprenticeship Training, Fund Office, etc.). Alternatively, you can complete the following Change of Address Form and submit the form to the Fund Office.

OHC Forms

Welfare Fund Forms

Miscellaneous Forms

 NOTICES

Welfare Fund Notices

Retiree Welfare Plan Notices

Summary of Benefits and Coverage (SBCs) For the Plan Year, April 1, 2016 through March 31, 2017

Summary of Benefits and Coverage (SBCs) For the Plan Year, April 1, 2017 through March 31, 2018

Fund Office Hours

Monday – Friday
8:00 a.m. – 5:00 p.m.

Saturday
8:00 a.m. – 12:00 p.m.

Closed Sundays


Eligibility/Member Services Hours

Mon., Tues., Wed., and Fri.
8:00 a.m. – 5:00 p.m.

Thurs.
9:00 a.m. – 5:00 p.m.

Saturday
8:00 a.m. – 12:00 p.m.

Closed Sundays


Operators' Health Center Hours

Monday – Wednesday
9:00 a.m. – 5:00 p.m.
(Last Appointment 4:00 PM)

Thursday
10:00 a.m. – 7:00 p.m.
(Last Appointment 6:00 PM)

Friday
9:00 a.m. – 5:00 p.m.
(Last Appointment 4:00 PM)

Saturday
8:00 a.m. – 12:00 p.m.
(Last Appointment 11:00 AM)

Closed Sundays

6150 Joliet Rd Suite OHC
Countryside, IL 60525
Tel: 708.485.2273 (CARE)

Member Advocate

Julie Jelinek
Tel: 708.579.6672
Email: jjelinek@moefunds.com

Pharmacy Member Advocate

Tracy Biela
Tel: 708.387.8331
Email: tbiela@moefunds.com