Prescription Drug Card Change
Watch your mailbox for more information about the switch to CVS Caremark effective January 1, 2025!
Read more
Welcome to the Operating Engineers Local 139 Health Benefit Fund
Recent News
Tax Forms
W-2 Forms: If you received Loss Of Time benefits in calendar year 2023 for a short term disability, you will receive a W-2 form for the amount of benefits paid to you by the Health Fund in 2023. Loss of Time benefits are taxable income for the IRS.
Form 1095-B: No forms are being mailed for 2023. While the Health Fund is required to report information to the IRS of the months that each of the participants and their dependents had health coverage in calendar year 2023, as an individual you are not required to report that information on your tax filing. If you need the form, please contact the Health Fund office.
Health Dynamics Program Ending November 30, 2022
Health Dynamics is terminating its annual wellness exam program as of December 1, 2022. Health Dynamics exams will be available and covered through November 30, 2022. As always, you can have wellness exams (annual physicals) from your primary care doctor. If you need help finding a primary care doctor in your area, go to www.anthem.com. Or call the Health Fund for assistance.
Form 1095-B for 2019
Form 1095-B for calendar year 2019 will not automatically be printed and mailed. According to the IRS, the form is no longer needed to complete your federal income tax return. To request a copy, call the Health Fund at 262.549.9190, email hra@iuoe139.org, or mail your request to the Operating Engineers Health Fund, PO Box 160, Pewaukee, WI 53072.
Forms
Summary of Benefits
Get to know your benefits.
HRA Bonus Form
Have you and your spouse (if applicable) been seen for a physical this year? If so, you may be eligible for a $200 HRA bonus!
Change of Address
Moving? Update your address with the Fund office.
Protected Health Information Authorization Form
Would you like to give permission for someone to call the Fund Office on your behalf (Please note, spouses of members are able to call for information without this form)?
HRA Claim Reimbursement Form
Looking for reimbursement for your applicable medical expenses?
HRA ACH Authorization Form
Get your HRA reimbursement faster
Enrollment Form
Have you experienced a life-changing event such as getting married, having a baby or a spousal employment change? A new enrollment form is needed to update your information with the Fund.
Reciprocity Transfer Authorization Form
Working outside of Wisconsin? Get your hours transferred back to Local 139!
Preferred Providers
Dental Benefits
There is no PPO Network for general Dental Coverage under the Operating Engineers Local 139. Please contact the Fund Office for questions.
Phone: 800-242-7018
