LOCAL 1010
Benefits


Benefits Rep.
Ernie Barrientez
937‑7784 937‑7784
ext. 117

Benefits Rep.
Terra Samuel
937‑7784 937‑7784
ext. 112

benefits@uswa1010.org


Summary Plan Descriptions
Active Wage Fund SPD
Retired Wage Non-Medicare Eligible Fund SPD


Benefits Forms
(Active)

2019 Wellness Verification Form
Spouse Coverage Status Inquiry
Spousal Premium Reimbursement
Davis Vision Claim Form
United Concordia Dental Claim Form


Benefits Forms
(Retirees)

Aetna Medicare Claim Form
Change of Address Request Form
Direct Deposit Authorization Form
Federal Tax Withholding Form
State Tax Withholding Form
Prudential Life Beneficiary Change Form
Pre-Medicare Healthcare Termination Form
Pre-Medicare Healthcare Enrollment Form


Benefits Links
When looking for a provider you must enter your network
Medical - BlueCross Blueshield: BCBS PPO/EPO
Dental - United Concordia: Advantage Plus 2.0
BlueCross Blueshield
Virtual Medical ID Card Instructions
United Concordia Dental
Davis Vision
CVS/Carmark
   ArcelorMittal/USW Benefits   

FMLA/S&A Benefit
(REED Group)
          FMLA Information          

S&A claim or FMLA Leave: call the phone number below

844-507-5388 844-507-5388

Coverage Provider
Phone #'s

(on the back of your cards)
CVS/Caremark
800-345-5413
CVS/Caremark
800-345-5413

ArcelorMittal Retiree Services
(retiree benefits phone tree)
800-356-0078
(retiree benefits phone tree)
800-356-0078


Steelworkers Pension Trust Summary Description
SPT.pdf





Local 1010 Memorial Hall
7047 Grand Avenue
Hammond, Indiana 46323
(219) 937-7784
Fax (219) 937-7684