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.