WELFARE

Summary of Benefits and Coverage

This document provides you with a quick reference to covered expenses, deductibles and out-of pocket costs. This is not a full explanation of the benefits covered by the Plan. For more information about the benefits covered by the Plan, see the Summary Plan Description and the Summary of Material Modifications.
Download

WHCRA and Privacy Notice

This notice includes important information about protections for individuals who elect breast reconstruction in connection with a mastectomy as well. In addition, this notice informs you how you can request a copy of the Fund’s Privacy Notice. You will also receive this notice, annually, via US Mail.
Download

Summary Annual Report

This notice provides insurance and basic financial information regarding the Plan and informs you of your rights to additional information.
Download

Medicare Part D Creditable Coverage

This notice contains information about your current prescription drug benefits and Medicare prescription drug coverage.
Download

Summary Plan Description (SPD)

The SPD summarizes the key provisions of the Plan and includes important information about your benefits from the Plan.
Download

Premium Assistance Under Medicaid and CHIP

This notice includes important information about Premium Assistance Under Medicaid and the Children’s Health Insurance Program.
Download

Summary of Material Modifications (SMM)

The SMMs include additional information and changes to the plan that are not included in most recent Summary Plan Description.

SMM - 2021 June - Download

SMM - 2020 March - Download

SMM - 2019 July - Download

SMM - 02/09/2018 - Download

SMM - 12/29/2016 - Download

SMM - 05/18/2016 - Download

SMM - 04/13/2015 - Download

SMM - At-Home COVID-19 Tests Coverage - Download

SMM - Genetic Testing Coverage - Download

COBRA Self-Pay Rate Notice

This notice provides COBRA rates effective October 1, 2018.
Download

PENSION

Annual Funding Notice

The Annual Funding Notice provides basic financial information regarding the Plan and informs you of the funding of the pension plan.
Download

Summary Plan Description (SPD)

The SPD summarizes the key provisions of the Plan and includes important information about your benefits from the Plan.
Download

SMM - Pension Hours Credit Change, March 2022

The SMMs include additional information and changes to the plan that are not included in most recent Summary Plan Description.
Download

104(d) Notice

Click below to view/download the 104(d) Notice.
Download

Supplemental Plan

Summary Annual Report (SAR)

The SAR provides basic financial information regarding the Plan and informs you of your rights to additional information.
Download

Summary Plan Description (SPD)

The SPD summarizes the key provisions of the Plan and includes important information about your benefits from the Plan.
Download

Member Login

Site Notice:

BAC LOCAL UNION 15

FRINGE BENEFIT FUNDS

DOCUMENTS AND NOTICES

DOCUMENTS AND NOTICES

WELFARE

Summary of Benefits and Coverage

WHCRA and Privacy Notice

Summary Annual Report

Medicare Part D Creditable Coverage

Summary Plan Description (SPD)

Premium Assistance Under Medicaid and CHIP

Summary of Material Modifications (SMM)

COBRA Self-Pay Rate Notice

PENSION

Annual Funding Notice

Summary Plan Description (SPD)

SMM - Pension Hours Credit Change, March 2022

104(d) Notice

Supplemental Plan

Summary Annual Report (SAR)

Summary Plan Description (SPD)