Health & Welfare Trust Funds

The benefit package currently includes:

• Medical coverage is offered through the Harvard Pilgrim PPO Network administered by Health Plans, Inc.
• Dental and vision benefits are self-funded through the Trust Fund and do not require a network provider.
• Prescription Drugs are administered through current Pharmacy Benefit Manager, Express Scripts, Inc.* Diabetic testing supplies are available through New England Mail Order Pharmacy*. 
• A hearing aid benefit is available through HearUSA.

*If you want information regarding these benefits, please contact the Fund Office at dshanahan@local877.org or 781-769-5789.

For more information on the benefits available, please use the links below:

Plan Descriptions

• Summary Plan Description (SPD)
• Summary of Medical Benefits
• Summary of Dental Benefits
• SPD Amendment 2 - Special Enrollment
• SPD Amendment 3 & 4 - Members Eligible
• SPD Amendment 5 - Dental Benefits
• SPD Amendment 6 - Genetic Testing
• SPD Amendment 7 - Michelle's Law

Forms / Applications

• Health Plans Inc. Enrollment Application
• Change in Dependent Information Form
• Change of Address Form
• Life Insurance Beneficiary Form
• Request a Prescription Drug Card
• Express Scripts Inc. Mail Order Form (90 day prescriptions).
  Contact the Fund Office for information and order forms.
• New England Mail Order Form
  (Diabetic testing and supplies, not including insulin)
  Contact the Fund Office for information and order forms.

Notices / Other Information

• HIPAA Privacy Notice
• Harvard Pilgrim PPO Provider List
• Women's Health Cancer Act
• Special Enrollment Notice
• Disclosure of Credible Prescription Drug Coverage

*If you want information regarding these benefits, please contact the Fund Office at dshanahan@local877.org or 781-769-5789.

Monthly Wellness Tip