HEALTH BENEFITS

Local #112 Sheet Metal Workers Summary Plan Description

Medical Summary of Benefits (MVP Health Care)

1-800-229-5851

Retiree HRA – Health Reimbursement Arrangement

MVP Claim Forms (Out-of-Network Providers)

MVP Claim Reimbursement Form for MEDICAL

MVP Claim Reimbursement Forms for DENTAL (2 Forms)

Dental Summary of Benefits (MVP)

1-800-480-5640

Vision Benefits (Davis Vision)

1-800-999-5431

Health Reimbursement Account (Pro-Flex)

A Health Reimbursement Account is an employee benefit plan that allows you to pay for certain health care expenses that are not covered by your insurance. Your HRA account is funded periodically by your employer, and the amount funded is not included in your taxable income. You can use your HRA account to reimburse qualified expenses for yourself, your spouse and any dependents claimed on your federal tax return.