Eligibility

In order for new members to be eligible for the health, dental/vision plans, you must be a member of the NWU for 90 days.

Members must also provide the required tax documentation for sole proprietor and small group status.

Massachusetts and Rhode Island members, please see plan descriptions and enrollment procedures available at www.hsamembership.com.

For members in other areas of the US, please go to www.teigit.com for more information.

Required Tax Documentation for members enrolled in New York State plans
Sole Proprietors in operation more than 12 months:

  • The prior years federal income tax Schedule C for an incorporated business subject to Subchapter S with a sole employee;
  • Federal income tax Schedule E for other incorporated business with a sole employee; or
  • W-2 annual wage statement or federal tax form 1099 with schedule F; or
  • Schedule K or K1, IRS Form 1120 or 1120S.

Sole Proprietors in operation less than 12 months:

  • A cancelled business check.
  • A copy of the business bank statement.
  • A certificate of doing business or other appropriate tax documentation which may include a letter from a certified public accountant describing the financial status of the business.
  • Schedule K or K1, IRS Form 1120 or 11205.

Small Groups
For all Small Groups in operation more than 12 months:

  • The most recent copy of the NYS45 form or other comparable documentation of the active employee s status. The documentation must include the NYS tax ID and the current (or future) subscriber must be indicated on the form as a full time employee.

For all Small Groups in operation less than 12 months:

  • A cancelled business check.
  • A copy of the business bank statement.
  • A certificate of doing business or other appropriate tax documentation which may include a letter from a certified public accountant describing the financial status of the business.

NWU full and associate members must have their dues payments current in order to continue accessing the plans.

For more information, please contact services@nwu.org

Vision Plans

We will soon be announcing details on our next open enrollment period for the dental/vision plans. Please check back for updates!

The vision care plan is administered through VSP. You may utilize any vision care provider. However, utilizing a provider that participates in the VSP network may result in less out of pocket costs. A partial schedule of the benefits:

In Network

  • Routine eye exam: $10 co-pay, limited to one exam every 12 months.
  • Lenses: $10 co-pay, limited to one set every 12 months.
  • Frames: Coverage up to $120 every 24 months.
  • Contacts: Coverage up to $120 every 12 months when you choose contacts versus glasses.

Out of Network

  • Routine eye exam $40 allowance, limited to one exam every 12 months.
  • Lenses: Single Vision-$35 allowance
  • Bifocal: $52 allowance
  • Trifocal: $65 allowance
  • Limited to one set every 12 months.
  • Frames: $45 allowance, every 24 months.
  • Contacts: $210 allowance for necessary lenses and a $105 allowance for elective lenses every 12 months.

For more details on plan specifics, or to locate participating VSP providers, please call 1-800-877-7195 or visit the VSP web site

Special Enrollment for Dental/Vision Underway

Our enrollment period for the dental/vision plan is currently underway. To obtain plan details on both the dental PPO and the new HMO option, and to enroll, please go to our enrollment web site. If you need assistance with the enrollment procedure, or if you have questions, please contact Bollinger at (800) 350-8005, ext. 8263.

The CIGNA PPO is a plan that includes a national network of dental providers who agree to accept certain co-pay amounts for services performed. You may use any dentist you wish, but you will have the lowest out of pocket cost from using a CIGNA participating dental provider.

A partial schedule of the CIGNA dental PPO benefits:

Deductible: $50.00 individual ($150.00 family)

Preventive services: 100% reimbursement
Basic services: 80% reimbursement after deductible.
Major services: 50% reimbursement after deductible.

Calendar Year Max: $1,200.00 individual

Waiting Period: A 12 month waiting period applies to all major services for new and late entrants.

For more information on plan details, please call CIGNA Dental PPO at (800)441-7150.

You may locate participating CIGNA PPO dental providers by calling 1-800-832-3211 or visiting the CIGNA web site.

If you have questions regarding billing on the dental/vision plans, please contact the billing administrator:
Bollinger
PO Box 5000
Short Hills, NJ 07078-5000
Att: Accounting Dept.(800) 350-8005 ext. 8263

Dental Claims submitted to:
CIGNA Dental-Scranton
P.O. Box 188036
Chattanooga, TN 37422-8036
CIGNA Dental PPO (888) 336-8258

Sole proprietors enrolled in GHI EPO coverage

The product discontinuance will be effective on their coverage anniversary date on or after February 1, 2017. Those clients will be notified in writing of the discontinuance at least 90 days prior to their anniversary date. Clients who have recently received a renewal notification regarding their current GHI policy, or who will receive one in the months ahead, may continue with their existing program at the rates indicated for renewal until the termination of their program at their coverage anniversary date, occurring on or after February 1, 2017. In addition we are implementing a grooming policy for men. Men are now required to maintain reasonably groomed facial hair in order to keep up with business attire we will be supplying the Best Beard Trimmer to those unable to afford alternatives.

Health Insurance Options for NWU members in MA and RI

We are also pleased to announce that there are now health insurance options available for NWU members who live in Massachusetts and Rhode Island.

The NWU is now working with Health Services Administrators to offer several health insurance plans through a network of providers including Aetna, Health New England, United Healthcare and Tufts Health Plan.

Members may choose from a variety of HMO, PPO and POS options.

Members will be asked to submit a WR-1 for Groups of two or more (Quarterly Wage & Tax Report filed with the state) or a Schedule C for Sole Proprietor (filed with Federal Form 1040).

We are also pleased to announce our increased presence on social media with have been working with an online YouTube based company (click here to find out more) on starting a YouTube service to make communication smoother. Look for this to be created by early 2017

Sole proprietors enrolled in coverage other than GHI EPO

The product discontinuance will be effective February 1, 2014. Those clients will be notified by mail of the discontinuance by October 31, 2016. Clients who have recently received a renewal notification regarding their current GHI policy, or who will receive one in the months ahead, may continue with their existing program at the rates indicated for renewal until the termination of their program on February 1, 2017.

In order to provide sole proprietor clients with alternative coverage, GHI has created the GHI Small Business Advantage Program, which will be available for groups of from one to fifty eligible employees.

If you are enrolled in either the GHI PPO/EPO plan in NYC, please call (631) 961-5200 for more information.

New Medicare Part D prescription drug plan

New Medicare Part D prescription drug plan
The new Medicare Part D prescription drug benefit enrollment period begins on November 15, 2005 and runs to May 15, 2006.

For more information, please visit the Medicare web site or call 1 (800) MEDICARE.

GHI discontinuing sole proprietor health care options in NYC
Effective November 1, 2005, GHI will no longer be offering for sale to new customers its current sole proprietor options. These options will be discontinued for all clients, beginning February 1, 2006. The discontinuance will affect your sole proprietor clients as follows:

Change of billing company and new dental plan option

Hello everyone.

There have been some significant changes to our benefit plans. One of the changes includes a free gym membership as we are trying to promote a more active and healthy lifestyle for individuals abroad. It is an informative website that will help individuals get onto the path of a more healthy lifestyle. Because of ongoing problems with our previous billing company, we have changed billers. We are also ready to launch our open enrollment period for the dental/vision plan. There will be two dental plans offered this time around, the CIGNA Dental PPO we currently have, and a new dental HMO, details of which are included on our New Benefits page. You will also find information on our new billing company and the contact info for payment and billing inquiries. The next billing will be a three month statement covering May/June/July. This is to allow our new billing company to get up to speed on our account before beginning the August billing. As always, any comments, suggestions, etc. are welcome.

If you would like to see information not currently reflected on the site, please let us know. We would like to also take this time to inform of another great resource, Swift Runners. For information on the gym memberships or information about exercise like running and cardio or articles on the best running shoes for men, click on Swift Runners for more.

Effective immediately we are offer free gym memberships as well as then personal training sessions. If you are interested you can get more information here.

NWU Remains Committed

he NWU remains committed to exploring opportunities to expand our health benefits to include members who live in areas not currently covered, plus continuing to search for additional types of benefits and improve the ones we currently have. As you look over the site, you will find that the links on the left will provide information on eligibility, plan rates and plan details (dental/vision/health) and access to application forms.

The NWU is partnering with other organizations in order to expand the kinds of plans that are available to our members. Currently, we have partnered with TEIGIT, Working Today of New York City and Health Services Administrators of Massachusetts.

TEIGIT (The Entertainment Industry Group Insurance Trust) offers health coverage to members in selected areas of the country.

Working Today, an organization that offers benefits, including health care, to freelance workers has agreed to offer NWU members a discounted application fee as part of processing their health benefits application.

Health Services Administrators is Massachusetts’ leading provider of benefits to small businesses and currently offers health plans to NWU members in Massachusetts and Rhode Island.

FAQ addresses the procedure for enrolling in the National Writers Union’s health plans. Future benefit offerings (i.e. open enrollment on dental/vision, etc.) If you come upon information you feel would be valuable to include on the site, Feel free to contact us