FORM 1095-B

Please be advised that as per the IRS Notice 2020-76, Form 1095-B will not
be mailed to you in 2024.

Any participant of the United Wire, Metal & Machine, Health & Welfare Fund may receive a copy of their 2024 Form 1095-B upon request only.

You can request a copy by any of the following methods:

E-mail: RFurio@local810.org
Mail: United Wire, Metal & Machine Health & Welfare Fund
Attn: Claims Department
24-09 38 th Ave – 3 rd Fl
Long Island City, NY 11101
Phone: 212-691-4100, Option 1

Please contact the Fund Office with any questions you may have regarding
your 2024 1095-B.

Thank you.

New York is now offering COVID-19 testing to certain essential workers, including workers at healthcare facilities and essential workers who have contact with the public.

Workers can schedule an appointment for a test by calling 1-888-364-3065 or online at covid19screening.health.ny.gov. More information is in the attached flyer from the Department of Health.

SUMMARY OF MATERIAL MODIFICATION

Important Information Regarding Your Welfare Fund Benefits

March 2020

To All Active Participants and COBRA Beneficiaries:

This notice contains important information concerning benefits provided by the Welfare Fund. Please attach this letter to your Summary Plan Description (SPD). It should be read and retained with your SPD for future reference.

ADDITIONAL BENEFITS TO THE WELFARE FUND

Effective for services received on or after April 1, 2020, the Board of Trustees elected to improve benefits to the Plan with the addition of nutritional counseling. The Plan will now cover up to two (2) nutritional counseling visits per participant per year, up to $150 per visit In-Network.

As such, the following paragraph is added to the SPD under the section titled “Medical Benefits”:

“Services of an In-Network Registered Dietician, Licensed or Certified Nutritionist or Certified Nutrition Specialist limited to 2 visits per participant per Plan year, up to $150 per visit.”

Previously under the SPD, there was no coverage for nutritional counseling.

As always, if you have any questions regarding these Plan changes, please contact the Fund Office at (212) 691-4100.

Sincerely,

Board of Trustees United Wire, Metal and Machine Health and Welfare Fund

See the attached documents below for the latest updates