What’s New

Reinstatement of Telehealth Services

Telehealth services have been restored retroactively to May 12, 2023.

Claims that were denied between May 12, 2023 & today shall be reprocessed.

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Important Changes in COVID 19 Related Benefits

End of National Emergency & Public Health Emergency

Special rules in effect during the emergency will terminate.

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Changes & Enhancements 

We are pleased to inform you of the addition of Coverage for ABA Therapy,

enhancement of Speech Therapy and changes to Delta Care & Delta Dental

PPO Plan benefits.

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Medicare Eligible Retirees 

Effective March 1, 2023, the Indemnity Medical Plan is being replaced with the

Anthem Medicare Preferred PPO with Senior Rx Plus (MAPD) Plan

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Labor First Retiree Member Advocacy

Retiree Advocate Team FAQ


Welcome to CarelonRx

Effective January 1, 2023, our new pharmacy benefit manager is Ingenio/CarelonRx.

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We’re Changing Our Prescription Drug Provider

Effective January 1, 2023, our new pharmacy benefit manager will switch from WellDyne to Ingenio/CarelonRx.

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Compare Your Plan Options


Healthcare benefits vary by plan.  Compare the benefits each plan offers.


Smart Choices Program

Smart Choices/Healthy Rewards is a health promotion program designed to bring high quality care to Participants and, at the same time, make care more affordable for everyone.  All employees and their spouse and domestic partner are eligible to sign up for the Smart Choices Healthy Rewards program.  The program includes a commitment, a pledge that you adopt in order to participate in the program.

When you make the Smart Choices Promise, you commit to take certain actions to learn about and improve your health. When you do, you become eligible to earn Healthy Rewards, including an increased hour bank for Bargained Employees and the ability to earn additional funding for health care expenses.

For complete details regarding the Smart Choices wellness program, refer to Smart Choices/Healthy Rewards Program in the District Council 16 Northern California Health and Welfare Trust Fund Summary Plan Description (SPD)/Plan Document and contact the Trust Fund Office if you have questions.

Free Language Assistance and Notice of Nondiscrimination

The District Council 16 Health and Welfare Trust Fund’s health care plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability, or sex.  The Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.  The Trust Fund provides free language assistance services to people whose primary language is not English, such as qualified interpreters and information in other languages.

Please see the Notice of Nondiscrimination for more information about your rights, as well as the phone numbers to call for language assistance.