Health & Welfare and Pension Funds
of Philadelphia and Vicinity

Extension of Benefits

Should the member lose eligibility because he has less than the required number of contribution days to his credit as set forth in the Qualifying Schedule of Eligibility, then Covered Expenses incurred after a Family Member is no longer eligible for the Benefit Program will be considered Covered Expenses payable under this Plan provided the following conditions are satisfied:

A medical claim will be considered related to a previous eligible claim and have all benefits continued (not treated as a new claim) provided:

1. The current actual charges are related to a diagnosis which was initially treated while the patient was eligible for benefits, and
2. The current actual charges were incurred within ninety (90) days of the initial treatment (that is, first date of service by a medical service provider) of the related injury or disease.

 Last Date Updated :  01/10/07