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Summary Plan Description

SPD-2019-cover

Summary Plan Description

  • Summary Plan Description (January 2019 Edition)

Summary of Material Modifications / Notices
(updates to SPD)

June 1, 2019
December 20, 2019
March 20, 2020
April 7, 2020
April 24, 2020
June 23, 2020
November 12, 2020
March 15, 2021
April 29, 2022
June 1, 2022
December 1, 2022
March 15, 2023
March 20, 2023
May 1, 2023
August 21, 2023
December 15, 2023
January 1, 2024
May 24, 2024
September 15, 2024
October 28, 2024

Health & Welfare

  • Summary Plan Description
  • Cost Comparison Tool
  • Medical
  • Dental
  • Vision
  • Hearing
  • Eligibility
  • Caremark Rx Program
  • PPO and Network Providers

Forms & Notices


COBRA Election Form
Welfare Fund Summary of Benefits and Coverage (SBC)
Benefit Highlights
No Surprises Act
Affordable Care Act Notice
Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
Coordindation of Benefits
HIPAA Privacy Notice
Women's Health and Cancer Rights Act of 1998
Dental Plan Summary of Benefits
Non-Discrimination Notice
Summary Annual Report
Board of Trustees
Language Assistance Services

AllOne Health Member Assistance Program

Program Overview
Member Portal
InSights Newsletter
Upcoming Webinars

2371 Bowes Road, Suite 500
Elgin, IL 60123-5523
Local: (847) 742-0900
Toll free: (866) 828-0900
Fax: (847) 742-4430

This website is provided by the Fox Valley Laborers Pension and Welfare Funds as a service and convenience to Fund participants, and to providers of health related services. While every effort has been made to assure the accuracy of information provided on and through this site, neither the Funds nor their Trustees or employees are or can be liable for errors. Should you have any questions regarding the information provided by and through this website, you are urged to refer to the Plan Documents, Summary Plan Descriptions, and other governing documents. These are available at the Fund Office during business hours.

While it is hoped that this website will answer many questions, most questions, and particularly those regarding a particular person’s eligibility and benefits should be directed to the Fund Office. Any conflict between the Plan Documents and information obtained on or through this website will be governed by the Plan Documents, and the reasonable interpretation of the Plan Documents by the Boards of Trustees shall govern in all cases.

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