District No. 9 Welfare Trust would like to welcome the employees and their families of Elkhart Products Corporation. To ease in the transition to our plan, we have created this page which contains network directories, forms, summaries and plan documents. If you have any questions, please don’t hesitate to contact us. Our goal to is assist our membership in any way we can.
Network Providers Medical
Using a network contracted provider will give you the best benefit with the least amount of money out of your pocket. If the provider you go to is not contracted with Healthlink OA III, PHCS would be the alternate network to use. If you need to find a Healthlink or PHCS provider, click below for instructions.
Healthlink Providers -Plan reimburses at 85% (HMO) or 75% (PPO) of eligible charges after deductible is met.
PHCS Providers – Plan reimburses at 75% of eligible charges after the deductible is met.
Vision Service Plan (VSP)
To get the best benefit, we encourage the use of a VSP contracted provider. To find a VSP provider, visit vsp.com.
This plan has no dental network; meaning you can go to any dental provider for services. The provider will send us the bill and we will reimburse the benefits under the plan.
Adult Child Form – Each adult child must complete this form upon attaining age 19 or when first enrolled in the plan and each calendar year thereafter.
Change of Address Form – Use this to notify the Fund’s of your new address.
Disability Claim Form – Members can use this form to file for weekly income benefits if you become disabled.
Enrollment Form with Required Documents List– Every eligible member must complete an Enrollment Form in order to activate their eligibility for benefits. A new form must be completed to add dependents to a plan.
HIPAA Authorization Form– One of the most significant effects of the privacy laws is that the Welfare Fund may no longer discuss your health information (including eligibility information) with your family members without your specific written authorization. Please have each family member that is 18 years old and over complete an authorization.