Active Participants Who Are Unfit for Duty
Active participants who become Unfit for Duty due to illness or injury should submit Unfit for Duty forms to the SUP Welfare Plan office. Unfit for Duty information verified by your attending physician can extend your medical and dental coverage until you regain your fit for duty status. Updated forms from your doctor should be submitted periodically as you receive treatment and a form should be submitted once you are medically fit for duty again. Please contact the Welfare Plan office if you need forms or have questions (800-796-8003).
Re-enrollment for Active Participants
If a participant reestablishes eligibility after medical and dental coverage terminates because of insufficient working days, the participant must complete new enrollment forms to restart their coverage. As an example if a participant has been a Kaiser member, but loses his coverage because of insufficient shipping time that person must fill out new Kaiser forms once eligibility is reestablished.
If you have questions about changes in your eligibility or need enrollment forms, please contact the Welfare Plan office (800-796-8003).
You can e-mail questions to the SUP Welfare Plan at the following e-mail addresses. To protect your privacy do not include your social security number or other sensitive personal information in your e-mails.
Michelle Chang, Administrator: firstname.lastname@example.org
Patty Martin: email@example.com
Virginia Briggs, Claims: firstname.lastname@example.org
Michael Jacyna, Eligibility: email@example.com
Terry O’Neill, Training Representative: firstname.lastname@example.org