Attention Members – Upcoming Casual Acquisition Process

Attention Members:

CASUAL HALL HIRING PROCESS 2017

For several months the Joint Port Labor Relations Committee has been in discussions regarding the establishment of the new casual acquisition list for the Port of Los Angeles/Long Beach (Per CLRC-0015-2015).   Below is timeline of the upcoming events leading to the lottery set to take place on February 6, 2017. Furthermore, the below timeline is consistent with the 2004 casual hall hiring process guidelines of CLRC-012-2004.

The Joint Port Labor Relations Committee is committed to the following items.

  1. An Independent third-party (InterOptimis) vendor will administer the distribution, collection, and administration of both Interest and Public Cards.  InterOptimis will report to the JPLRC and maintain the records of the casual processing.
  2. Interest Cards: All Port of Los Angeles/Long Beach Fully Registered (Class A) and limited (Class B) Registered Longshore workers, Port of Los Angeles/Long Beach registered Marine Clerks, Port of Los Angeles/Long Beach Registered Foremen/Walking Bosses, active Port of Los Angeles/Long Beach Identified Casuals, and the Port of Los Angeles/Long Beach direct Employers will receive Interest Cards.  The direct Employers will receive a total of 500 cards.
  3. January 2, 2017 the PMA will mail a Replacement Card (“R” Card) Notice to all eligible recipients explaining the procedure and requirements to apply for a (“R” Card).  See item 5 below.
  4. January 9, 2017.  Interest cards will be mailed to all recipients.  Interest cards will be matched to each recipient with a unique number on each card.  It is imperative that the applicant follow the instructions and deadlines set out on the Interest Card.
  5. Eligible recipients who have not received their Interest Card from InterOptimis by January 19, 2017 will be required to go to the PMA Training Center, in person, on January 19, 2017 and January 20, 2017.  Their Interest Card will be voided and InterOptimis will distribute a Replacement Card (“R” Card).  Only the member will be allowed to pick up the “R” card and will be required to show a picture ID and provide a signature before receiving the “R” card.  After the two agreed-to dates, InterOptimis will not distribute any additional cards.  Should an eligible recipient not receive an interest card and fail to appear at PMA in person on the two agreed-to dates, they forfeit their interest card, with no appeal provided.
  6. January 12, 2017 Published Advertisement to be placed in four local newspapers explaining the procedures for individuals who do not possess an Interest Card and can mail to the JPLRC, care of the third-party (InterOptimis) a card containing all the information set forth in the advertisement.
  7. January 19, 2017 Interest Card and Public Card PO Box “Closed.”  Interest Cards and Public cards must be received by mail no later than January 19, 2017
  8. January 27, 2017 “R” Cards PO Box “Closed.”  Replacement Cards must be received by mail no later than January 27, 2017
  9. February 6, 2017 The Committee agreed that the Casual lottery draw shall commence.
  10. Lottery Site to be determined.
  11. InterOptimis will count the Interest Cards prior to the day of the lottery to determine the exact number of Interest Cards that will need to be matched from the Public Cards.  On the day of the draw, the Arbitrator(s) will count the Interest Cards and read the count into the record.  If the count does not match, the Arbitrator(s) will do a recount and that count shall be the final number.
  12. For the first draw, InterOptimis will select Public Cards until there is a number equivalent to that of the received Interest Cards.
  13. For the second draw, the Interest Cards will be placed in one barrel and the Public Cards will be placed in a separate barrel.  The Arbitrator(s) will select one Interest Card and then select one Public Card with Interest Cards being selected in odd numbers and Public Cards selected in even numbers.  Cards will be drawn in that order until all cards have been selected.  First, the Arbitrator(s) will draw 3,400 cards and pass the cards to InterOptimis for the assignment of a sequence number.  InterOptimis will then read the name and the sequence number into the record and conduct the initial disqualification process for the first 3,400 selected cards.  Then, the Arbitrator(s) will draw the remaining cards and pass them to InterOptimis for the assignment of a sequence number.  InterOptimis will read the name and the sequence number into the record without conducting the initial disqualification process.  For the remaining cards, the initial disqualification process may be scheduled for a later date.
  14. During the initial disqualification process, if a card must be disqualified, InterOptimis will read the sequence number and DQ reason(s) into the record.  At the end of each week, the Committee will review all disqualified cards. If the Committee is unable to agree on a disqualification, the Arbitrator will immediately decide if the disqualification was proper and read his decision into the record.  No arbitration award will be provided.
  15. Representatives from Local 13 and Local 63 will participate throughout the casual lottery process.
  16. The following postal locations have been established (walk-in):
  • For the Interest Cards: 10919 Sepulveda Blvd., Mission Hills/San Fernando, CA
  • For the “R” cards: 18039 Chatsworth Street, Granada Hills, CA
  • For the Public Cards: 15701 Sherman Way, Van Nuys, CA

 

 

 

 

 

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LOCAL 63 THANKSGIVING HOLIDAY BUSINESS OFFICE HOURS

Attention Members:

Local 63’s Business Office will be closed on November 24th and 25th in observance of the Thanksgiving Holiday.  The Office will reopen on Monday, November 28th at 8 a.m.

On Friday, November 25th, the Local 63 Business Office lobby will be open for members wishing to deposit their ballots in the locked ballot box located in the Business Office lobby.

Also on Friday, November 25th, the Records Clerk will be available during the hours of 9 a.m. to 4 pm.

The Officers and Staff of Local 63 wish you and your family a happy and safe Thanksgiving!!!

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Tri-Local Bulletin on Health Benefit Claims

Attention Local 63 Members, please read the below Tri-Local Bulletin:

 

November 14, 2016

 

Health Benefit Claims

 

Brothers and Sisters of Local 13, 63, and 94

 

We all acknowledge the confusion around us about how to handle our Health Insurance coverage and more importantly how to resolve demands for payment of medical bills.  Be assured that your Officers are doing all we can possibly do to make these tasks easier for you and your family.  However, to meet these goals we now need your help.

 

We need every member to be more diligent and proactive in your selection of health providers with special attention paid to whether you are selecting an “in-network” or an “out of network” provider.  Also, we need your help to address recent demands from providers who are claiming members have overdue accounts for previous services by being more aware of the necessary deadlines relating to demanding payment of overdue bills, and what you must do under the requirements of the Health Plan to get those bills paid.

 

To help you become more aware of these deadlines, and how to handle those demand letters for payments, the Officers have prepared a timeline of how to handle denials of payments.  This timeline graph should help you navigate the waters of the complexities of the health insurance business.

 

Remember, you have a right to challenge the denial of payment.  That right is guaranteed by law and the Health Plan regulations and is outlined in your Supplemental Summary Plan Description (SSPD) booklet (if you do not have one please ask for one because this booklet is very important and helpful).

 

However, you must pursue this right or it will be lost.  The attached flow chart sets forth the appeal process for each step. It also explains what you are expected to do during those steps.

 

As noted at the bottom, an appeal is solely and exclusively your decision and your responsibility.  The only person or people that are made aware of all the documents and decisions in written correspondence is the claimant (you the member), Plan personnel, the Trustees and the Arbitrator.  It is your responsibility to take note and follow your timelines.

 

This process is not new, but is being sought by members more often these days.  Should you have questions or need assistance in starting or understanding this process beyond the enclosed document, please see your Local Officers, the Southern California Area Welfare Director, or the ILWU-PMA Benefit Plans Office (the Plan) directly.

 

Brothers and Sisters, you are not alone in resolving your claims, but unfortunately it takes you to initiate this process and seek the necessary assistance.  Each of the locals in your area have taken the time to provide you with the tools you will need to make this process successful for you.

 

Please review the enclosures to familiarize yourself with the appeal process, so you can understand your rights and responsibilities.  Remember to always review your Explanation(s) of Benefits (EOBs) so you will know when your claim is considered a “true denial” and you may have to file for an appeal with the Plan.  This is your responsibility and has become increasingly more important.

11-14-2016 Tri-Local Bulletin Re Health Benefit Claims

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ILWU Coast Advisory Re Pacific Coast Surgical Center

Attention Members:

ADVISORY Concerning Pacific Coast Surgical Center

Many members have received medical services at Pacific Coast Surgical Center (PCSC), an out of network outpatient surgery center.  It appears that PCSC has recently retained a collection agency to pursue unpaid claims that had been denied by the ILWU-PMA Welfare Plan several years ago.  At that time, PCSC told members not to worry about the denied claims, as PCSC would not balance bill them; some members also received Explanation of Benefits forms (EOBs) from the Plan stating that they had no ‘patient responsibility’ for the services in question.  Members were therefore understandably angry when they received letters from PCSC, or its collection agency, threatening to bill them directly unless they filed appeals (“Full and Fair Reviews”, or FFRs) with the Plan through the Southern California Area Welfare Director.  The situation got worse when the Benefit Plans Office (BPO) began to deny those FFRs because they were filed more than 180 days after the members received EOBs from the Plan for the services in question.

Today, the Coast Benefits Specialist and Area Welfare Directors met with the BPO and CCO about this situation.  It was agreed that members with collection notices from PCSC who contact the Local 13 Benefits Office, the Southern California Area Welfare Director’s office or the Coast Benefits Specialist will be advised to file FFRs, and that the BPO will send those FFRs to the Coastwise Claims Office for review and reprocessing on an expedited basis, even if the original EOBs are more than 180 days old.  Therefore, if you have received a collection notice for services rendered at PCSC, you should contact the Local, AWD Office or Coast Benefits Specialist immediately and work with them to file a Full and Fair Review with the Plan.  Note that the reprocessing of your claim is not a guaranty that it will be paid, but filing the appeal will help to resolve the problem.

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