Support

Frequently Asked Questions

Find answers to common member and employer questions.

FAQ

What if I use a non-participating pharmacy?

If you use a non-participating pharmacy, you are required to pay the full cost of the drug at the retail pharmacy. You may then submit a claim to Express Scripts. Reimbursement is based on the discounted amount Express Scripts would have paid to a participating pharmacy for that drug.

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FAQ

What if my doctor prescribes a medication not covered by the Plan?

The Plan provides for a Preferred Drug Step Therapy Program that identifies generic or brand medications in certain drug classes and recommends FDA-approved lower-cost generic options to the brand-name medication. If your doctor prescribes a non-preferred brand, you may need to try a generic or preferred brand for the Plan to cover the medication. In […]

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FAQ

Are all medications covered by the Plan?

The Plan participates in Express Scripts’ National Preferred Formulary. The formulary is a broad list of preferred medications used by Express Scripts clients nationwide and is subject to change from time to time. If your medication is removed from Express Scripts’ formulary, you will be notified in advance and inform you of alternative drugs available […]

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FAQ

How do I find out more about tax consequences for distributions?

To determine what may be the best way for you to take a distribution from your Plan account (lump sum, installment payments or rollover) and the tax consequences of any payments you receive, you should discuss your particular circumstances with your tax advisor. The Trustees or the Fund Office staff can only inform you of your options […]

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FAQ

What is a direct rollover?

A direct rollover is a payment of your account to your IRA or to another employer’s retirement plan that accepts your rollover. A direct rollover also may be made to a Roth IRA. Certain distributions cannot be paid in the form of a rollover, such as hardship distributions and required minimum distributions after age 72.

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