Welfare Summary Plan Description

QUICK REFERENCE TABLE
WHERE TO CALL FOR INFORMATION

INFORMATION NEEDED WHERE TO CALL

Eligibility Information
Enrollment Forms
Claims Information:

Life Insurance and AD&D
Vacation Plan
Medical Plan
Prescription Drug Benefit
Dental Care Benefit
Time Loss Benefit

Trust Customer Service Office
Alaska Teamster-Employer Welfare Trust
520 E. 34th Avenue Suite 107
Anchorage, AK 99503-4116
(907) 565-8300 or (800) 478-4450
Trust Email Address: benefits@959trusts.com
Internet Website: www.959trusts.com

Administrative Office
A&I Benefit Plan Administrators, Inc.
1220 SW Morrison St., Suite 300
Portland, OR 97205-2222
(800) 714-3209

Utilization Management Organization:

Precertification Review and Medical Case Management

Qualis Health
(800) 783-8606
Hours of operation (Mon - Fri):
7:30 a.m. - 4:00 p.m. (Alaska Standard Time)
8:30 a.m. - 5:00 p.m. (Pacific Standard Time)

Prescription Drug Program Pharmaceutical Provider:

Network Retail and Mail Order Pharmacy Program

HealthTrans
8300 E Maplewood Ave., Suite 100
Greenwood Village, CO 80111 
(720) 493-8256
Internet Website: https://959.lc.healthtrans.com

Trust Customer Service Office
(907) 565-8300 or (800) 478-4450

Vision Care Benefit Information and forms

Vision Service Plan (VSP) Customer Service
Alaska Vision Services, Inc.
3333 Quality Drive
Rancho Cordova, CA 95670
(800) 877-7195
Internet Website: www.vsp.com

“Out-of-Network” Claims
Vision Service Plan
Attn: Non-Member Doctor Claims
P.O. Box 997105
Sacramento, CA 95899-7105
FAX to (916) 851-5152

Life Insurance Provider

Standard Insurance Company
Booklets may be obtained from the Trust Customer Service Office.

Disease Management Program
Smoking Cessation Program

Cardium Health (877) 676-7700
Internet Website: www.mycardiumhealth.com
Further information may be obtained from the Trust Customer Service office.