Health & Welfare
Plan Enrollment

Plan Enrollment

When you become eligible for health coverage for the first time, you will receive a First Time Eligible Packet in the mail with plan information, required notices, authorization forms and enrollment forms.

The packet you receive in the mail will contain the following items:

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After reviewing your packet and making your health plan choices, you must return the completed enrollment and required dependent forms to the Administrative Office for processing in the envelope provided.

If you are unable to print plan or enrollment documents as needed, you may Submit a Request for documents to be mailed to you.

Submit your completed forms via email to HWEnrollment@carpenterssw.org or by mail to:

  • Attn: Enrollment
  • Southwest Carpenters Health & Welfare
  • 533 S. Fremont Avenue
  • Los Angeles, CA 90071
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Enrolled Participants - Making Plan Changes

Active Plan Changes

Once enrolled, you are permitted to choose a different medical or dental plan at any time, as long as you have been enrolled on your current plan choice for a minimum of one year, by completing and returning a new enrollment form indicating your plan choice.

See Choosing your Health Plan or download Health Plan Benefits at a Glance for information regarding the medical and dental plans available in your area.


Bronze Plan Changes

If you work under a Labor Agreement in Arizona, Colorado, Utah, or New Mexico and have the option to choose the Independence Bronze Plan or the Independence Active Plan, you are now permitted to change your plan at any time as long as 12 or more months have passed since your last medical plan change.

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If the plan change will affect your base pay rate according to the governing labor agreement, your base pay rate change and your plan change will be effective on the same day.

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Plan Change Effective Dates

Changes are effective on the 1st day of the 3rd calendar month after the enrollment form is received.

Month Form Received Plan Change Effective Date
January April 1st
February May 1st
March June 1st
April July 1st
May August 1st
June September 1st
July October 1st
August November 1st
September December 1st
October January 1st
November February 1st
December March 1st
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Enrolling Dependents

You have 90 days to enroll your dependents and provide the required documents and enrollment forms. If you wait more than 90 days, coverage will begin on the first of the month in which all the required documents are provided. The required documents are:

  • Copy of Certified Marriage Certificate and your most recent tax return to enroll your spouse.
  • Copy of a Domestic Partnership Registration from a Government Agency and the Domestic Partner Enrollment Affidavit to enroll a Domestic Partner.
  • Copy of Certified Birth Certificate, Legal Guardianship, or Adoption Decree to enroll a dependent child.

When you become eligible for health coverage for the first time you will receive a First Time Eligible Packet in the mail with plan information, required notices, authorization forms and enrollment forms.

To add or remove an enrolled dependent, see https://www.carpenterssw.org/life-events/#DependentChanges for more information.

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