TAX FORM 1095-B REQUEST INFORMATION
MEMBER PORTAL INFORMATION
IMPORTANT CHANGES EFFECTIVE JANUARY 1ST, 2021
If you are a member or dependent that has Medicare and retiree health benefit supplemental coverage through the Indiana Laborers Senior Member Program INCLUDING UnitedHealthcare prescription drug coverage (Class CP), effective January 1st 2021, your questions and concerns in regard to medical claims and/or prescriptions will be directed to Laborfirst. To reach your Laborfirst advocate, you will call the Fund Office at (812) 238-2551 or 1-800-962-3158 and select option 5.
VACCINATION AGAINST COVID INFORMATION
The purpose of the Fund is to provide training for laborers employed in the construction industry to upgrade their skills and provide trained new entry workers for the industry.
As an Active Plan Participant, you are entitled to medical coverage, loss of time, life and accidental death and dismemberment coverage.
Defined Benefit Pension Plan
Defined Contribution Trust Fund
STATEMENT: Discrimination is against the law. Indiana Laborers Welfare Fund complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Indiana Laborers Welfare Fund does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Indiana Laborers Welfare Fund provides free aids and services to people with disabilities to communicate effectively with us.
If you believe that Indiana Laborers Welfare Fund has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: Indiana Laborers Welfare Fund, PO Box 1587, Terre Haute, Indiana 47807. Telephone number: 800-962-3158. You can file a grievance in person or by mail. If you need help filing a grievance, Indiana Laborers Welfare Fund is available to help you. You can also file a civil rights complaint with the US Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ortal/lobby.jsf or by mail or phone at: US Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
All members may receive a copy of their 2021 Form 1095-B upon request.
Please use one of the following methods to request a copy of your 2021 1095-B Form:
Phone: 812-238-2551 or 1-800-962-3158 Option 3
Mail: Indiana Laborers Welfare Fund
P.O. Box 1587
Terre Haute, IN 47808-1587