This section of your booklet provides the highlights of benefits provided by the Faculty Association of Suffolk Community College Benefit Fund (“FA Benefit Fund”). All of the benefits are described in detail in the appropriate sections later in the booklet.
ACTIVE MEMBER AND DEPENDENT COVERAGE
DENTAL
Participating Provider Option: No out-of-pocket expenses for covered benefits; participating providers are reimbursed directly from the FA Benefit Fund. Call 1-800-DHCOOK1 (1-800-342-6651) to confirm that your current provider is continuing with the FA Benefit Fund or for a list of participating dental providers in your area.
Dental Schedule of Allowance: Maximum coverage of $2,000/person/plan year (Sept. 1 - Aug. 31) based on dental schedule of allowance; periodontal maximum of $2,000/person/plan year; lifetime implant allowance of $2,000 and life-time orthodontia allowance of $3,430/person.
Submit a claim form {obtained from the FA Benefit Fund Office, website (www.fascc.org), Personnel or 1-800-DHCOOK1 (1-800-342-6651)} and be reimbursed up to the scheduled amount.
OPTICAL
The Davis Vision Care Plan will provide optical coverage for FA Benefit Fund members once each plan year (Sept. 1 - Aug. 31). In brief, the benefit provides the following:
Participating Provider Option: No out-of-pocket expenses for a comprehensive eye exam, selected frames and lenses from over 75 vision care panel doctors and optical centers in the Long Island and metropolitan New York City area. This option establishes maximum co-payments for premier/metal frames and additional services beyond the basic benefit. Payment will be made by you directly to the participating provider. Call 1-800-999-5431 or visit their website at www.davisvision.com for a list of providers.
Out-of-Network Option: Payment will be made to you for actual expenses not to exceed $10 for an exam and up to $35 for materials (frames, lenses, contacts). Call 1-800-999-5431 or visit their website at www.davisvision.com for a Direct Reimbursement Claim Form.
PRESCRIPTION DRUG COPAYMENT REIMBURSEMENT
Effective with prescriptions filled in 2002, co-payment reimbursement is up to a maximum of $300/family/year. Download the claim form from our website, www.fascc.org, or call FA Benefit Fund Office (631-732-6500) for a claim form and submit along with pharmacy print-out, statement from your medical carrier, or photo-copied receipts (NO ORIGINALS) showing the co-payment amounts. Reimbursement may be claimed only once in a calendar year.
HEARING AID
Reimbursement of up to $400 once every 36 months toward the purchase of a hearing aid. Download the claim form from our website, www.fascc.org , or call FA Benefit Fund Office (631-732-6500) for a claim form and submit along with the bill.
MATERNITY
$300 benefit upon the birth or adoption of a child; $600 for twins. Download the claim form from our website, www.fascc.org, or call the FA Benefit Fund Office (631-732-6500) for a claim form and submit along with the child's birth or adoption certificate.
LIFE INSURANCE
$10,000 life insurance benefit payable to the member’s designated beneficiary upon the death of the member. A notarized designated beneficiary form must be on file. (Forms available at FA Benefit Fund Office.) Anyone needing information on filing a claim should call the FA Benefit Fund Office (631-732-6500).
BURIAL BENEFIT
$1,000 to help defray the cost of funeral expenses upon the death of either the member or the member’s spouse or domestic partner. Single persons must file a designation of beneficiary form (obtained from the FA Benefit Office). Submit a death certificate, along with the member’s social security number, to claim benefit.
BENEFITS QUESTIONS? PLEASE CONTACT MARY
AT (631) 732-6500.
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