Hardship Prescription Drug Appeals

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The Trustees of the Union's Welfare Fund have adopted a program for Hardship Prescription Drug Appeals. Its purpose is to hear and decide appeals from covered members for waivers of the $4,000 per year limitation on coverage under the Fund's Prescription Drug Benefit. Covered members who have reached the $4,000 limitation on coverage ($8,000 if both husband and wife are covered members of the Fund) may appeal for a waiver of the limitation by writing a letter to the Welfare Fund Board of Trustees describing their circumstances, e.g., extreme financial hardship, one-time need for a very expensive prescription drug, etc. The Board of Trustees will give each appeal immediate attention and will reach a decision as expeditiously as possible, usually within a week of receipt of the member's letter. Covered members whose appeals are approved may receive up to an additional $1,000 in Prescription Drug Benefit coverage during the current calendar year only.This means that should they reach the $4,000 limitation during the next calendar year, they would need to appeal for a waiver again for that year. Covered members who have any further questions should call the Welfare Fund's Prescription Drug Benefit section at 212.777.9000 ext. 3060.

Mail Order Prescription Drug Service Explanation of Benefits (EOB)