Policy Information
Eligibility Rules
Teamsters Enrollment Eligibility Rules
These rules outline the requirements for being initially eligible for coverage on the effective date for which you enroll.
1. Membership Requirement:
- You must be an actively working, full dues-paying member of the International Brotherhood of Teamsters, living in the U.S.
2. Employment and Actively Working Requirement:
- You must be employed under a U.S.-Based collectively bargained contract on the effective date of coverage.
- You must be actively working on or immediately before your effective date of coverage (based on when you enroll) to be eligible. This means performing your job duties for your employer on that specific date. If you are not actively working, your coverage will only start once you return to actively working status.
- Definition of “Actively Working”: The following situations are considered as “actively working” days:
1. Days Worked: Any day you work a full day as scheduled by your employer, performing the duties of your occupation.
2. Scheduled Days Off: Days you are not scheduled to work but are still employed and physically able to work.
3. Vacation Time: Paid vacation days approved by your employer, when you are still physically able to work.
4. Paid Time Off (PTO): Any paid leave days granted by your employer, such as sick leave or personal days, when you are still physically able to work.
5. Periods Between Jobs: Time between assignments or projects, provided you remain employed by the same employer and physically able to work.
- Definition of “Actively Working”: The following situations are considered as “actively working” days:
- If you are not currently employed, meaning you do not have an employer, you are not eligible to enroll.
3. Disability Prior to Coverage:
- If your date of disability is prior to the coverage effective date, it will not be eligible for benefits, and you will not be covered under the policy until you return to actively working status.
If you have a question about eligibility, please call Union One at (224) 770-5304.
Teamsters Post Enrollment Eligibility Rules
These outline the requirements to maintain eligibility once you are initially covered on the plan (as determined above).
1. Membership Requirement:
- You must remain an actively working, full dues-paying member of the International Brotherhood of Teamsters living in the U.S.
2. Maintaining Employment and Working Status Requirement:
- You must remain employed under a U.S.-Based collectively bargained contract and meet the requirements below.
- Work Hours Requirement: You must work at least 750 hours per year.
- Continuity Requirement: You must not have a break in active work longer than 6 consecutive months.
If you have a question about eligibility or if your eligibility changes, please call Union One at (224) 770-5304.
IMPORTANT: Please note that these published rules are intended to serve as a general guide. For the precise and comprehensive eligibility criteria, please refer to the policy booklet. The policy booklet contains the exact language and details regarding eligibility requirements and conditions.
About Open Enrollment
All of the available coverages are offered separately and a Member’s participation in one or all of those coverages, and the level to which he or she elects to participate, is voluntary and strictly the individual’s choice.
The purpose of this Group Insurance Plan is to give you options to supplement your income in the event that you cannot work as a result of an injury, illness or death. This group plan offers Disability Insurance and Life Insurance with Accidental Death & Dismemberment coverage.
All insurance under this Union Group Policy will cover you for as long as you are actively employed, maintain premium payments, and remain in good standing with the union.
Participant and Claimant Responsibilities
It is your responsibility to notify the Teamsters VIP+ Air administrative office if your employment, union status, contact information, or salary changes. Failure to properly notify the Teamsters VIP+ Air administrative office will result in loss of premiums and/or insurance coverage. Notification to the Teamsters VIP+ Air administrative office must be made by phone at (224) 770-5304 and/or by email at info@unionone.com.
Income Verification Notice
In the event you file a claim, you will be required to verify your income by providing your prior year’s W-2 and/or your last three full months of pay stubs prior to your disability. Benefit payments are subject to change based on the income you can verify at the time of claim.
Benefits Offsets, Reductions and Overpayments
Benefits may be reduced where offsets apply. Benefit amounts illustrated on the Summary of Benefits & Rates guide do not reflect any applicable offsets. It is your responsibility as the claimant to notify the Teamsters VIP+ Air administrative office and the Insurance Company of any other income sources you are receiving; failure to do so may result in an overpayment that you will be required to repay. Please review the Group Policy for further information. If you have any questions regarding offsets, please call the Teamsters VIP+ Air administrative office at (224) 770-5304.
As an individual Member of the union, if you have voluntarily elected to participate and pay premium for coverage, it is your responsibility to understand the group policy and its provisions.
Pre-Existing Condition Limitations
Disability Pre-Existing Condition Limitation
For the first 12 months of your coverage or for any increases/enhancements to your coverage, no Short-Term Disability (STD) or Long-Term Disability (LTD) benefits will be paid if your disability results from a pre-existing condition. A pre-existing condition is defined as any illness or injury for which you:
- Received medical treatment, consultation, or diagnostic testing
- Were prescribed medications or followed any treatment recommendations
This also includes conditions for which you did not see a doctor, but a reasonable person would have sought medical care. Please note that exclusions may vary by state.
Short-Term Disability – Pre-Existing Condition Guidelines
Short-Term Disability coverage includes a 12-month pre-existing condition limitation. To qualify for benefits related to a pre-existing condition:
- You must be an eligible Member of the group and have paid Short-Term Disability premiums for a minimum of 12 consecutive months following your effective date of coverage (or the effective date of any increases/enhancements to your coverage), or
- You must be treatment-free for the 3 months prior to your coverage effective date (Look Back Period) for the disabling condition.
Long-Term Disability – Pre-Existing Condition Guidelines
Long-Term Disability coverage also includes a 12-month pre-existing condition limitation. To qualify for benefits related to a pre-existing condition:
- You must be an eligible Member of the group and have paid Long-Term Disability premiums for a minimum of 12 consecutive months following your effective date of coverage (or the effective date of any increases/enhancements to your coverage), or
- You must be treatment-free for the 3 months prior to your coverage effective date (Look Back Period) for the disabling condition.
Look Back Period Definition
The Look Back Period is the timeframe during which your medical history is reviewed to determine if a disabling condition existed prior to your coverage effective date (or the effective date of any increases/enhancements to your coverage). To meet the criteria for being “treatment-free” during the Look Back Period, the following must apply:
- Resolution of the Condition: The pre-existing condition must be resolved, meaning it no longer requires ongoing medical treatment, prescription medications, consultations, or diagnostic testing during the Look Back Period.
- No Ongoing Management or Treatment: Simply discontinuing or avoiding treatment does not qualify as “treatment-free.” The condition must not require further management or intervention by a healthcare provider during this period.
Additional Information About Pre-Existing Condition Limitations
- These limitations apply to any increase in your disability benefits.
- The insurance carrier will review pre-existing conditions at the time of claim. This review requires disclosure of all relevant medical records, doctors’ notes, and prescription drug history.
- Failing to receive treatment does not exempt you from the Look Back Period for pre-existing conditions.
The information contained here does not override the policy contract. Only the policy contract will be utilized to determine coverage eligibility at the time of claim. It is each participating member’s responsibility to obtain and review the policy contract. For the most up-to-date information, always refer to the Group Policy booklet. Policy terms, conditions, and limitations may change. If you have questions, call (224) 770-5304.
Long-Term Disability (LTD) Benefit Notice
Learn more about your Long-Term Disability Policy
If you are enrolled in the IBT VIP+ Air Long-Term Disability Policy, this information is intended to help you understand how disability is defined and handled at the time of claim.
Your IBT VIP+ Air Long-Term Disability Policy through Prudential covers the entire duration of your LTD claim (both the 2-year and 5-year Duration Options) with an “own-occupation” definition of disability, which simply means that during a Long-Term Disability claim, your disabling condition must prevent you from performing the “essential duties” of YOUR specific occupation.
The “own occupation” definition of disability also includes being able to hold and maintain an FAA Medical Certification. If you lose your FAA Medical Certification for medical reasons, you are considered disabled under the policy. Even if your attending physician clears you to return to work, if the FAA continues to hold you out (ground you from flying) for that medical condition, you are considered disabled and eligible for benefits.
Group Life Insurance Notice
This is a Voluntary Group Term Life Insurance plan offered through your union. As such, this plan should not serve as your primary source of Life Insurance as the union or insurance company may terminate, cancel or change this policy at renewal. This Life Insurance Plan is designed to give you and your family a guaranteed approved option for additional Supplemental Life Insurance while working and an active Member of your union. Please review all the provisions of this Life Insurance Policy and it is highly recommended that this policy not be used to replace any existing Life Insurance coverage you may have.
When Life Insurance Coverage Ends
If disabled, you may keep your Life Insurance coverage for up to 12 months provided premiums continue to be paid during that period. Beyond 12 months, your coverage will terminate unless you convert or port your Life Insurance coverage.
If you leave the union or retire, you may convert your Group Term Life Insurance to a Permanent Individual Life Insurance Policy or you may port your coverage. You must elect to convert or port your coverage within 31 days from the date you are no longer eligible to be covered on the group plan (i.e. date of retirement or termination). Please contact the Teamsters VIP+ Air administrative office at (224) 770-5304 for questions about rates associated with converting or porting your Life Insurance coverage.
If you enroll in Child Life coverage and your child is disabled, you can retain your child’s coverage beyond age 26 by contacting the Teamsters VIP+ Air Plan’s customer service center at (224) 770-5304 or by email at info@unionone.com.
Note: Typically converting your Group Term Life Insurance into an Individual Permanent Life Insurance Policy is very expensive and only recommended for people who cannot qualify for Life Insurance elsewhere.
Premium Payments, Calculations, and Adjustments
Renewal Notice
This is a Group Insurance Plan offered through your union. As such, at renewal your rates and benefits may change or non-renew based on the overall claims experience of the group and/or participation requirements not being met. Further, any substantial change to the makeup of the group, such as a change in the Member demographics, that impacts the underwriting risk of the plan may immediately result in a change to the plan.
At renewal, if you do not call the Teamsters VIP+ Air administrative office to re-enroll or discontinue coverage, you hereby authorize and give permission to the Teamsters VIP+ Air administrative office to auto-enroll you in the renewal plan benefits that most resemble your currently elected benefits. Auto-enrollment could result in a potential increase in your monthly or bimonthly premium drafts. Please understand, this is intended to ensure no Member loses coverage for failing or forgetting to take the time to renew or re-enroll. Given that all benefits are “Voluntary” you can cancel or lower your coverage at any time.
Loss of Premiums Notice
If you do not contact the Teamsters VIP+ Air customer service center at (224) 770-5304 or by email at info@unionone.com within 90 days of your date of dismissal, date of retirement, date in which you left the IBT, there will be no refund for any premiums paid. It is the sole responsibility of the Member to contact the customer service center within the 90-day allotted time.
Failure to Make a Payment
Participating Members for whatever reason may miss a premium payment from time to time. The current plan allows for a 60-day grace period to make up any missed premium payments.
Administrative & Transaction Costs
All administrative and transaction fees are included in your monthly premium. These fees cover the costs associated with, but not limited to, premium processing, premium returns, postage, policy correspondence, claims advocacy and other ancillary expenses associated with the administration of your elections. These monthly fees are applied to all coverages shown on the Summary of Benefits & Rates.
Included when premium is collected: Payment Transaction Fee $1.00.
IMPORTANT INFORMATION ABOUT THIS PLAN
IMPORTANT: The monthly cost for coverage is based on your age at the start of the coverage and will rise on the policy anniversary date after you move into a new age bracket. This benefits guide is tailored for Members aged 18-69.
Participation in this program is voluntary, and the decision to enroll rests solely with the Members. Members are responsible for bearing all associated costs. A $2 technology fee is included in all listed monthly costs for the following coverages: Short-Term Disability and Long-Term Disability. A $1 technology fee is included in all listed monthly costs for the following coverages: Member Life and Spouse Life.
This voluntary benefit plan is classified as a Safe Harbor plan and, as such, is not subject to the Employee Retirement Income Security Act of 1974 (ERISA). The Union does not contribute to the premiums for this plan on behalf of its Members, does not endorse the plan, and does not require Members to enroll in the plan.
IMPORTANT: If you depart from the IBT, opt out of paying dues, or retire, you must notify the Teamsters VIP+ Air administrative office at (224) 770-5304. Not doing so within 90 days could delay or negate your eligibility for a refund.
We encourage enrolled Members to thoroughly review the complete policy. To request a copy, please email info@unionone.com.
This program is administered by Union One Benefits Administration and underwritten by Prudential Financial.
For AD&D, STD & LTD: THIS IS AN EXCEPTED BENEFITS POLICY. IT PROVIDES COVERAGE ONLY FOR THE LIMITED BENEFITS OR SERVICES SPECIFIED IN THE POLICY.
For STD & LTD: These policies provide disability income insurance only and do NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Department of Financial Services.
North Carolina Residents: THIS IS NOT A MEDICARE SUPPLEMENT PLAN. If you are eligible for Medicare, review the Guide to Health Insurance for People with Medicare, which is available from the company.
Group Insurance coverages are issued by The Prudential Insurance Company of America, a Prudential Financial company, Newark, NJ. The Booklet-Certificate contains all details, including any policy exclusions, limitations, and restrictions, which may apply. Contract Series: 83500.
Prudential, the Prudential logo, and the Rock symbol are service marks of Prudential Financial, Inc. and its related entities, registered in many jurisdictions worldwide.