Appeals

The benefits provided by this Fund may be changed by the Board of Trustees at anytime, in their sole and absolute discretion. The Board of Trustees adopts rules and regulations for the payment of benefits. All provisions of the Benefit Reference Guide (BRG) are subject to such rules and regulations and to the Trust Agreement, which established and governs the Fund operations. All benefit and eligibility rules are uniformly applied by the Fund office and Third-Party Administrators. The actions of the Fund or its Administrators are subject to review by the Board of Trustees.

A member or beneficiary may request an APPEAL of any action 180 days of the last determination.

All Appeals for Vision, Tax and Retiree Basic Plan must be in writing addressed to:

The Board of Trustees
SCME Benefit Fund
30 Orville Drive, Suite D
Bohemia, New York 11716-2513

All Appeals for Dental must be in writing addressed to:

Healthplex
333 Earle Ovington Blvd., Suite 300
Uniondale, New York 11553-3608