Plan Documents

Please contact the fund office for plan documents.

Forms

Health & Welfare

MVP Enrollment Form

Dental Coverage Breakdown

Beneficiary Designation Form

Benefit Funds

Health & Welfare

Find a Medical Provider

Surprise Billing Rights Notice

Find a Dental Provider

Transparency in Coverage

The Fund is required to post certain information on a public website pursuant to the Federal Transparency in Coverage Final Rule published in the Federal Register on November 12, 2020.

The Transparency Rule is intended to make information about the prices charged for health care available to the general public, particularly researchers. These experts can use pricing information from the Fund and other health plans to better understand the health care system and its costs and, hopefully, create new policies that improve competition and lower health care spending.

The Transparency Rule requires that the Fund post links to machine-readable files that contain information about the price of health care services. A machine-readable file is written in computer code and is an extremely large file. It is not intended to be downloaded or read by participants but to be used in research studies. The files do not contain Protected Health Information about you or your family. Below is a link to the required machine-readable files.

Links on this website provide machine-readable files for the Fund’s in-network negotiated rate and historical allowed amounts for out-of-network charges. The files attached to the links are maintained by the Fund’s third-party administrator Empire. Empire will update the file attached to the links automatically each month.

Here is the link to the machine-readable files: https://www.mvphealthcare.com/developers/machine-readable-files/

If you have any questions about the Transparency Rule, you can read more information at https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-final-rule-fact-sheet-cms-9915-f.

Contact List

Medical
MVP Healthcare: 1-800-825-5687

Pharmaceutical
MVP Healthcare: 1-800-825-5687

Dental
ASO: 1-800-537-1238

Vision
Fund Office: 1-516-703-2924

Trustees & Professionals

Trustees

Union Trustees

Joseph Azzopardi
John Drew
Stephen Bermingham
Brian Casey
Anthony Speziale
Lee Eck

Employer Trustees

Randy Pearlman
Todd Nugent
Kieran Ahern
Dino Erbeli
Peter Cafiero
Jerome Haber
Todd Helfrich
Rad Jelcic
Gordon Roth

Professionals

Fund Administrator: Marshall & Moss Administrative Services, Inc.
Fund Counsel: Proskauer Rose, LLP & Barnes, Iaccarino & Shepherd, LLP
Fund Auditor: Novak Francella, LLC
Fund Consultant & Actuary: Segal Company

Contact

Local 155 Benefit Funds
1400 Old Country Road, Suite 406
Westbury, NY 11590
Phone: 516-703-2924