Sheet Metal Workers' International Association
Local Union No.73
Pension Welfare and Annuity Funds

 










 


Continuation of Eligibility

In general, your coverage continues on the basis of your hours worked. See the following charts to determine continuing eligibility requirements. Chart 1 is for Employees who have been eligible for benefits for 18 months or longer. Chart 2 is for those who have been eligible less than 18 months.

The requirements for continuing coverage are different, depending on how long you have been eligible for coverage.

Eligibility for your Dependents continues while you are eligible for benefits, as long as they continue to meet the definition of Dependent under the Plan.

Chart 1: If you have been eligible for benefits for 18 months or longer:

Your eligibility continues
for the month of...


If you have 1,000 hours in the preceding 12-month period...

AND



You have at least one hour in the preceding 6-month period...

If you do not have the necessary hours, your eligibility terminates on...

February

January through December

July through December

January 31

March

February through January

August through January

February 28 or 29

April

March through February

September through February

March 31

May

April through March

October through March

April 30

June

May through April

November through April

May 31

July

June through May

December through May

June 30

August

July through June

January through June

July 31

September

August through July

February through July

August 31

October

September through August

March through August

September 30

November

October through September

April through September

October 31

December

November through October

May through October

November 30

January

December through November

June through November

December 31


Chart 2:
If you have been eligible for benefits for less than 18 months:


Your eligibility continues for the
month of...

If you have 500 hours in the preceding 6-month period...

and



You have at least
one hour in the preceding
3-month period...

If you do not have the necessary hours, your eligibility terminates on...

February

July through December

October through December

January 31

March

August through January

November through January

February 28 or 29

April

September through February

December through February

March 31

May

October through March

January through March

April 30

June

November through April

February through April

May 31

July

December through May

March through May

June 30

August

January through June

April through June

July 31

September

February through July

May through July

August 31

October

March through August

June through August

September 30

November

April through September

July through September

October 31

December

May through October

August through October

November 30

January

June through November

September through November

December 31


You will also qualify for continuing coverage if you have 500 hours in the preceding 6-month period and you have at least one hour in the preceding 3-month period.

Example: How Coverage Continues

Continuing from the previous eligibility examples, John first became eligible for coverage on September 1, 2009.

For the first 18 months of John’s coverage (from September 1, 2009 through the end of February 2011), John must meet the requirements of the chart for Participants who have been eligible for benefits for less than 18 months (Chart 2 above). For example, in order to continue eligibility in March 2010, John must have 500 hours from August 1, 2009 through January 31, 2010 and have at least one hour during the period from November 1, 2009 through January 31, 2010.

Starting March 2011, John must meet the requirements of the chart for Participants who have been eligible for benefits for 18 months or more (Chart 1 above). For example, in order to continue eligibility in April 2011, John must have 1,000 hours from March 1, 2010 through February 28, 2011 and have at least one hour during the period from September 1, 2010 through February 28, 2011. Alternatively, John can maintain eligibility in April 2011 if he has 500 hours from September 1, 2010 through February 28, 2011 and at least one hour from December 1, 2010 through February 28, 2011.

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