Question:
has anyone ever had to bring the issue of wls before a union commitee?
I need help. I need to bring this issue up to a contract committee and not sure how to go about it. Anyone ever done this? Has it worked? Was it added to their insurance coverage? Only have one shot for the next 3 years. Please help. — deborah D. (posted on April 12, 2001)
April 12, 2001
Good luck to you. I sent every member of my husband's union Board Of
Trustees a 28 page packet that I made up. I had letters of medical
necessity from my doctors, the National Inst of Health documentation, the
Mayo clinic reports, personal letters from myself and lots of other things.
After their review, they still denied me. They did not consult a doctor
who knew anything about the surgery, and told me and I quote, "we are
of the opinion that this surgery is unsafe and ineffective"...also,
"many seek to have this procedure reversed because they cannot
cope"... "there are other, less drastic ways to achieve weight
loss"...and finally, "this surgery is not used to treat
co-mordities and other health problems". We know, all of these
"claims" are made up and FALSE! Obviously they did not give me a
Full and Fair review which is my right under ERISA law. That is why the
Department Of Labor got involved... it was obvious I was just given a bunch
of bull. The union cannot support any of their claims in my denial
letter. I was so frustrated with dealing with them that I changed
insurances and had my surgery 2 months ago. There's alot of
"shady" things going on in my husband's local union right now
anyway (Teamsters). The Department of Labor is still involved because what
their denial letter states and it is obvious to them I did not get that
Full and Fair Review. Good luck to you. Hopefully, you'll be dealing with
people are are willing to be educated on the matter. Mine were concerned
ONLY about their own pocketbooks and paychecks! Sorry to sound bitter -
but I am - even though I am blessed to have been able to get other
insurance and have my surgery - the union can't keep doing this to their
union members/dependants.
— T.L. S.
April 12, 2001
I know you having a hard time getting this, but all union are not the same.
Ours we have a board of Health and Welfare department and they are union
members that stand on that board and work for us. The union members. If
you have something like that then I don't see there to be a problem. They
should help you. Ask and see if there is such a thing in your union. Are
union is a great one so helpful. We are self insured and we can pick who
ever we want it insure us. I hope this helps you.
— [Anonymous]
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