About Us

A Note from the Executive Director

I would like to take this opportunity to introduce you to our website. As you navigate, you will find information related to the  success of our organization, its function, people involved in the  everyday operation as well as updates regarding your benefits and  wellness initiatives.

It is our hope that you find this site helpful. If you have any  suggestions regarding additional topics you would like us to include,  please feel free to email us at suggest@LMHF.net

We are pleased to have you as a member of our organization and hope  that your experience with us assists you in managing your insurance  premiums. It is our goal that Labor-Management Healthcare Coalition  members learn healthy lifestyle habits through our wellness program,  resulting in their overall improved well-being.

If you are a Governmental or public entity, meet the criteria  outlined in our eligibility section, and would like to learn more about  our organization, please contact this office by phone. We will be glad  to provide the information necessary to be considered for membership by  the Labor-Management Healthcare Fund Board of Trustees.


Kindest regards,
Victoria E. Martino

About the Fund

 

The LMHC contracts with the Labor-Management Healthcare Fund (LMHF) to administer the healthcare plans. The LMHF Board of Trustees assumes fiduciary responsibility for the Fund. The Trustees preside over the Fund operations and staff.

The LMHF staff strives to ensure member satisfaction through providing education of plan designs, assisting in enrollment, and working with healthcare providers on behalf of our members, thereby contributing to the success of the program. We are able to assist you through any unresolved issues regarding your member ID cards, enrollment status, unpaid claims, etc. and answer any questions you have regarding your benefits.

The Fund office provides the following services:

Education - surrounding the plan components, design and history

Enrollment Services - including employee communication, telephone and online enrollment services

Customer Service - specific to plan understanding, enrollment, and initial implementation phase

Wellness Initiatives - provide ongoing wellness activities, seminars, and communication materials to educate and inform membership

Communication - provide members with information relative to their plan, any upcoming changes (as determined by the LMHC with the exception of formulary changes and/or any NYS mandated changes), and other health related items

Market Liaison - work closely with BlueCross BlueShield of WNY and Pharmacy Benefit Dimensions to monitor plan performance and issue resolution

Utilization Review

Eligibility Requirements:

To be considered for membership, you must meet the following criteria:


Governmental, public entity and quasi-governmental agencies including  but not limited to cities, towns, villages, school districts and  governments in and around Western New York. 


The group is required to employ individuals in a unit of personnel  represented in collective bargaining by an employee organization that  has been lawfully recognized or designated as the Unit’s Collective  Bargaining Representative. 


The LMHC, in conjunction with its chosen health insurance carrier,  BCBSWNY, will determine eligibility based on their underwriting  criteria, including but not limited to a review of census, demographics,  family status, historical loss experience (if available), and related  information of active, COBRA and retirees. 


  • Entities will  determine individual eligibility for group health insurance based upon  either a Collective Bargaining Agreement between management and labor or  the entities’ eligibility criteria.  Entities have the right to  determine their own waiting period before they are eligible to  participate in the group health plan.
  • Based upon the  size of the employer group, underwriting guidelines will determine the  minimum participation requirements for enrollment.
  • Requirement to participate in the Plan is to be a sole offering.
  • Current retirees and active employees are required to participate to be eligible for the Plan.

Contact Us

Drop us a line!

Better yet, see us in person!

We love our customers, so feel free to visit during normal business hours.

Labor-Management Healthcare Fund

3786 Broadway Street, Cheektowaga , New York 14227, United States

(716) 601-7980

Hours

Our Partners

Summary Of Benefits and Coverage Erie County

POS 202 SBC (pdf)

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POS 203 SBC (pdf)

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POS 204 SBC (pdf)

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POS 204-PBA SBC (pdf)

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PPO 812 SBC (pdf)

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Traditional 901 SBC (pdf)

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Erie Community College

POS 202 SBC (pdf)

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POS 203 SBC (pdf)

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POS 204 SBC (pdf)

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POS 208 SBC (pdf)

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PPO 812 SBC (pdf)

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Erie County Water Authority

POS 202 SBC (pdf)

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POS 203 SBC (pdf)

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POS 204 SBC (pdf)

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PPO 812 SBC (pdf)

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ECMC Corp. & Terrace View

POS 202 SBC (pdf)

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POS 203 SBC (pdf)

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POS 204 SBC (pdf)

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PPO 812 SBC (pdf)

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Town of West Seneca

WS POS 201 SBC (pdf)

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WS TRAD 901 MM-PBA (pdf)

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WS TRAD 901 MM-WC & BC (pdf)

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WS Trad 901 Retirees $1 (pdf)

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WS Trad 901 Retirees $3 (pdf)

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WS Trad 901 Retirees $5 (pdf)

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Western Regional OTB

OTB PPO 813 SBC (pdf)

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Town of Tonawanda

TON POS 204 SBC (pdf)

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TON POS 229 SBC (pdf)

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TON PPO 811 SBC (pdf)

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TON Trad 901 Retirees $5 SBC (pdf)

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TON Trad 901 Retirees $10 SBC (pdf)

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TON POS 204 2018-Hourly (pdf)

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Town of Orchard Park

OP POS 203 PBA SBC (pdf)

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OP POS 203 WC-BC SBC (pdf)

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OP PPO 811 SBC (pdf)

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Town of Clarence

Clarence POS 205 Plus SBC (pdf)

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City of Dunkirk

Dunkirk PPO 813 SBC (pdf)

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LMHF Bronze Plan

Bronze POS 8200 SBC (pdf)

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Summary of Benefits and Coverage Glossary