UFCW Local 1262 & Employer Benefit Funds
Acme

Local 1262 Acme Members — Summary of Benefits & Eligibility

This summary is intended for general informational purposes only. For specific questions regarding your eligibility and benefits call — 856-793-1590 or 800-555-4959 (UFCW Local 152/1262 Health & Welfare Fund Office). Additional contact information for specific services such vision care or legal plan are provided at the bottom of this page.

Full-Time Employees

After three months of service full-time employees (excluding full-time porters & service clerks) and their eligible dependents are eligible to participate in the medical, dental care, vision care, physical examination, prescription drug and life and dismemberment insurance plans the first of the month following three (3) months of service — assuming all other eligibility criteria are satisfied.

Part-Time Employees

 After 6 months — Life insurance

After 12 months — Vision Plan

After 18 months — Legal Plan

After 24 months — Dental Plan

Additionally:

Part-Time Employees with 5 or more years of service as of July 1, 2014

  • Single coverage
  • Can purchase dependent coverage at the full-cost of dependent coverage.

Part-Time Employees with less than 5 years of service as of July 1, 2014 & who are paid an average of 30 hours per week or more

  • Offer of Bronze Plan at a cost at their applicable percentage rate not to exceed 9.5 percent of gross wages.
  • Can purchase dependent coverage at the full-cost of dependent coverage.
  • After 36 months of service an annual Lump Sum payment of $250 per year on the employee’s anniversary of employment if the employee does participate in the Bronze Plan.

Part-Time Employees with less than 5 years of service as of July 1, 2014 & who are paid an average of less than 30 hours per week

  • After 36 months of service an annual Lump Sum payment of $250 per year on the employee’s anniversary of employment.

 Service Clerks

After 12 months of service — Vision Care & Physical Examination Plan (single coverage)

After 24 months of service — Dental Coverage (single coverage)

CONTACT INFORMATION

Horizon Blue Cross Blue Shield of NJ

Pre-Certification 800-664-2583 — Customer Service 800-355-2583

Horizon (Behavioral Health) 800-626-2212

Express Scripts, Inc. (Prescription Drug/Pharmacy Benefit)

Customer Service 800-467-2006

Prior Authorization 800-889-0376

DR Prior Authorization 800-417-8164

Dental

Horizon BC/BS of NJ Customer Service 800-433-6825

Vision

Vision Benefits of America Customer Service 800-432-4955

Medical Supplies (Horizon Blue Cross) 800-355-2583

(Diabetic Supplies – test strips, lancets, blood machine are included in this category)

Legal

ARAG 800-247-4184

Pension

973-299-6700