IUPAT District Council 50 Health and Welfare Funds

For participants of the following benefit funds:

  • Carpet Linoleum & Soft Tile Local Union 1926 Health and Welfare Trust Fund
  • Painting Industry of Hawaii Health & Welfare Trust Fund
  • Hawaii Glaziers Health & Welfare Trust Fund
  • Hawaii Tapers Health & Welfare Trust Fund

We are providing this site to meet the requirements of the No Surprises Act. The No Surprises Act protects you from balance billing if you get treated by an out-of-network provider from an in-network hospital or emergency room. Balance billing happens when an out-of-network provider charges you the difference between the total cost of your care and what your health plan agreed to pay.

The No Surprises Act is designed to ensure that you aren’t balance billed if you receive care under these circumstances. It protects you from paying extra when the circumstances are beyond your control.

You should still use network providers whenever possible. Contact your insurance carrier (see below) to access a list of network providers near you.

If you believe that you’ve been wrongly billed, contact the Fund Office first, and then, if you need further assistance, contact the Employee Benefits Security Administration (EBSA) at 866-444-3272 or through their website.

The above summary is not a complete description of your rights under the No Surprises Act. For more detailed information about the No Surprises Act, read this notice.

Hawaii Medical Service Association (HMSA) Medical Plan

For more information, to find a provider, or to request a Notice of Creditable Coverage or HIPAA Notice of Privacy Practices, visit the HMSA website, or call 808-948-6079 or 800-776-4672 toll free.

The federal regulations require health plans and insurance carriers to disclose pricing information for certain items and services. The required information includes negotiated rates with in-network providers, as well as provider charges and amounts previously paid to out-of-network providers. The regulations require the information to be updated monthly. The information is contained in machine-readable files. These files can be opened in a spreadsheet program like Excel. They are huge files and not easy to use for the average person. HMSA is responsible for the information in the files and for keeping them up to date. You can access the files on HMSA’s website.

Kaiser Permanente Medical Plan

For more information, to find a provider, or to request a Notice of Creditable Coverage or HIPAA Notice of Privacy Practices, visit the Kaiser Permanente website or call (800) 966-5955 toll free.

The federal regulations require health plans and insurance carriers to disclose pricing information for certain items and services. The required information includes negotiated rates with in-network providers, as well as provider charges and amounts previously paid to out-of-network providers. The regulations require the information to be updated monthly. The information is contained in machine-readable files. These files can be opened in a spreadsheet program like Excel. They are huge files and not easy to use for the average person. Kaiser Permanente is responsible for the information in the files and for keeping them up to date. You can access the files on Kaiser Permanente’s website.

Documents & Forms

Below are links to important documents and forms. If you need to submit a form, you can fill them out online, but you will need to print it out, sign it, and then submit a hard copy to the Fund Office. For a copy of your plan’s Summary Description, please contact the Fund Office.

Hawaii Medical Services Association Forms and Documents

Kaiser Permanente Medical Plan Forms and Documents

Delta Dental Forms and Documents

Questions? Contact the Fund Office:
Group Plan Administrators, Inc.
222 South Vineyard Street, PH 4
Honolulu, Hawaii 96813
Phone: (808) 523-9411
Toll Free: (877) 523-9411
Fax: (808) 533-6789

Disclaimer

The above information highlights certain features of the Carpet Linoleum & Soft Tile Local Union 1926 Health and Welfare Trust Fund, the Painting Industry of Hawaii Health & Welfare Trust Fund, the Hawaii Glaziers Health & Welfare Trust Fund, and the Hawaii Tapers Health & Welfare Trust Fund (the Funds). Full details are contained in the Summary Plan Descriptions and other documents that establish the Funds’ Plan provisions. If there is a discrepancy between the wording here and the documents that establish each Fund’s Plan, the Fund’s document language will govern. The Trustees of each Fund reserve the right to amend, modify, or terminate their respective Plan at any time.

While this website contains links to outside websites, this the Funds are not responsible for the accuracy or content of information contained on those sites. Those websites and services may have their own privacy policies and customer service policies, or no policy (policies) at all. We encourage you to review the privacy policies of any third-party websites or services. These links are offered for your convenience and do not constitute an endorsement of those websites. The inclusion of any such link does not imply a recommendation or endorsement by the Funds of the content and information on those websites.