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Teamsters Local 804 Welfare Trust Fund

Thank you for contacting us. We will make every effort to assist you in locating the information you seek. To receive information promptly, please select the point of contact from the following categories.

Plan Administrator & Agent for Service of Legal Process
The Board of Trustees
Local 804 Welfare Trust Fund
34-21 Review Avenue
Long Island City, NY 11101
Phone : (718) 786-5410 Fax : (718) 786-6176
Hours : 9:00 am to 5:00 pm Monday through Friday

The following table outlines the various benefits available under the Local 804 Welfare Trust Fund. Please refer to each specific section for details on the individual benefits.

Benefits	Whom to call with questions
Term Life Insurance (actives only)	Amalgamated Life Insurance Company through Fund Office at (718)786-5410
Term Life Insurance for your dependents (actives only)	Amalgamated Life Insurance Company through Fund Office at (718)786-5410
Accidental Death and Dismemberment (actives only)	Amalgamated Life Insurance Company through Fund Office at (718)786-5410
Weekly Accident and Sickness Insurance (actives only)	Fund Office (718)786-5410
Health Benefits
Hospital Benefits	Empire Blue Cross Blue Shield
Major Medical Benefits MagnaCare Benefits (In-Network) Indemnity Benefits (Out-of-Network)	Fund Office (718)786-5410
Dental Benefits	Fund Office (718)786-5410
Prescription Drug Benefits	Systemed/Medco Health
Optical Benefits	Fund Office (718)786-5410
Teamsters Center	Teamster Center Services (718) 920-5115

Additional Phone Numbers
Benefits	Whom to call with questions
Local 804 IBT	Phone: (718) 786-5700
Local 804 Credit Union	Fax: (718) 786-5757 Phone: (718) 786-4205
UPS Pension	Phone: (800) 643-4442
Magnacare	Phone: (800) 235-7267
Empire Blue Cross	Phone: (800) 553-9603
Empire Blue Cross and Blue Shield	Phone: (800) 553-9603
Liberty Mutual Insurance	(Workers' Compensation carrier) (800) 713-7386 Stu Goldstein (212) 964-3000
Amalgamated Life Insurance	(Full Timers Disability and Life Insurance Claims) (212) 539-5113
First Health Network	Out of state providers (800) 226-5116
Systemed/ Medco Health systems (prescription plan)	Members services (800) 711-0917 Pharmacy services (800) 922-1557

Numbers for parttime employees only
Benefits	Whom to call with questions
UPS Benefits Service Center	Phone: (800) 877-1508
Magnacare - claim status	Phone: (800) 352-6465
Medcohealth	Phone: (800) 346-1327
Magnacare	Phone: (800) 235-7267
Broadspier (disability)	Phone: (866) 825-0186
Empire Blue Cross	Phone: (800) 541-2732 Pre-cert (800) 635-1928 Member service (800) 516-1270

Web addresses
Local 804 IBT	www.teamsterslocal804.org
Local 804 Credit Union	www.cu804.org
Magnacare Provider Directory	www.magnacare.com
First Health Network	www.myfirsthealth.com
Medco Rx & home delivery info	www.medcohealth.com
Empire Blue Cross	www.empireblue.com

Email addresses
Health & Welfare	support@local804fund.com
Pension	support@local804fund.com
Annuity	support@local804fund.com
Prescription benefit	support@local804fund.com

Driving Directions

Additional Phone Numbers

Web addresses

Email addresses

Local804 Welfare Trust Fund,34-21 Review Avenue, Long Island City, NY 11101
Phone: (718) 786-5410, Fax: (718) 786-6176
(9:00 am to 5:00 pm Mon - Fri)