Lincoln Medical & Mental Health Hospital

Your union has your back! The incredible benefits you have are a result of your colleagues working together to ensure that resident physicians can both provide the highest quality care possible and improve their working conditions. If you haven’t already, join CIR now. We’re stronger together.

Benefits

Dental
Vision
Outpatient Mental Health Benefit
Prescription Drug
Benefits-at-a-Glance
HIPAA Notice of Special Enrollment Rights

Contract

Professional Educational Plan: $750/year
Meal Allowance: $3,500/year
Childcare Benefit: $3,500/year
Continuing Learning Program: $1,500/3 years
Open your Contract

Residency & Legal

Continuing Learning Program
Professional Educational Plan
Disability
Legal
CIR Legal Services

Benefits & Forms

Please stay tuned, as paper checks are still being issued until the ACH has been implemented.

ORDER YOUR INSURANCE CARD
Click to order your insurance card
(800) 541-7846 - Group # G-417732
(877) 923-2847 - Client code: 2200
(866) 865-4070 - Group # JRGA

Personal information:

  • Membership Form
  • Update Form – To add new dependents to your plan. Requests to add dependents must be received within 30 days of qualifying event (birth/adoption or marriage), and you must attach requested documentation (see form).
  • Domestic Partnership Application (same-sex and opposite partners eligible) – To add a partner, download an application and return a notarized copy, along with all requested documentation, to the Plan office. You must also complete an Update Form above.
  • Opt-Out Benefits Form – Please fill out this form if you would like to remove yourself and/or your dependent(s) from the CIR Benefits Plan.

Benefits:


Prescription


Vision


Dental


Hearing


Supplemental Benefits


Employee Assistance Program

Disability:

For purposes of our disability benefits, “disabled” means you can no longer perform the duties of your occupation due to accidental bodily injury, sickness, or a related medical condition, including pregnancy or childbirth. You must also be under the care of a licensed provider as defined by the state in which you work.

  • Disabled Health Premium Reimbursement
  • Short-Term Disability (STD) Benefits Claim Form
    • If this is your first full-time job, you would have to work four consecutive weeks in order to become eligible for short-term disability. If this isn’t your first full-time job, you will be eligible for short-term disability payments on your first day of employment, unless you worked less than four weeks in previous job.
    • Coverage begins on the eighth (8th) day of your disability. The maximum benefit payable is 70% of your weekly salary, up to $875 per week, for up to 26 weeks. See the Summary Plan Description (SPD) for more details.
    • If you are going out on a disability leave, contact your employer as soon as possible.
  • Long-Term Disability (LTD) Benefits Claim Form
    • The LTD plan pays you 70% of your monthly salary, up to a maximum of $3,500 per month. LTD benefits typically start if you are still disabled after 26 continuous weeks. For detailed information on Long-Term Disability see the Guardian Certificate.
  • INSMED Portable Disability Coverage – Policies offered to you without any medical underwriting requirements or exams.

Guardian Life Insurance:

  • If you die, a death benefit of $150,000 will be paid to any beneficiary you name. A death benefit of $20,000 will be paid to you if your legal spouse or domestic partner dies from any cause.
  • For instructions on submitting a Group Life Claim, click here.
  • When you terminate employment, you will have the option to continue the life insurance coverage as either group term insurance (this is called “porting” and is similar to how you have been covered during training) or you may convert this benefit to an individual policy, subject to certain conditions.
  • Whether you decide to port or convert, the availability and pricing of this coverage does not depend on any past or current medical conditions.
  • You have up to 31 days from your date of termination to submit one of these forms directly to Guardian:

    For an overview of the differences between porting and converting, click here.

Education:

Childcare:

Are you a resident or fellow in need of childcare? You’re in luck!

Housestaff with children 13-years-old or younger are eligible for reimbursement of up to $3,500 per calendar year as of July 1, 2019 for childcare expenses.

To qualify:

  • You must be a resident or fellow at a New York Health + Hospitals (NYC H+H) facility
  • Your child or children must be 13-years- old or younger
  • Your expenses must qualify as tax- exempt per IRS Publication 503
  • Submit a reimbursement form with paid receipt and other required documentation

You can fill out a reimbursement form and find more info below:

COBRA:

What is COBRA continuation coverage?

COBRA continuation coverage allows you to choose to continue and pay for group health benefits provided by CIR for up to 18 months after your termination date.

Who is eligible?

You and your dependents covered under the Plan on the day before you terminated from your employer.
You will receive a COBRA notice mailed to the address we have on file. This notice has important information about your rights related to continued health care coverage in the House Staff Benefits Plan.

COBRA Election forms:

To apply for COBRA, you will need to complete the Election form that corresponds to the Dental Plan you had prior to termination. If you don’t remember which Dental Plan you have, look at your Dental ID card. Here is a sample of what the Managed Dental Guard ID card looks like:

Your Cobra Election includes the following benefits: RX, Supplemental Reimbursements (Major Medical, Dental, Mental Health,Obstetrical and Newborn) Hearing Aid, Vision, Urinalysis Monitoring, Hospitals Detox & Rehab.

The only difference in the benefits is the Dental option you had prior to termination. Please select the Election form (also includes the COBRA Credit Card Authorization Form) that applies to you:

You have up to 31 days from your date of termination to submit one of these forms directly to Guardian:

Patient Care Trust Fund

As part of our mission to improve patient care and safety, the PCTF provides multiple grants to CIR members for research, equipment, educational materials, and more.

Click here to learn more and to apply for PCTF grants.

Appeal & Claim Reprocess Forms:

  • Appeal Claim Form – Complete this form if your claim was denied in whole or any part or if you disagree with the decision that was made.
  • Claim Reprocess Form – Complete this form if your claim was denied and you are able to provide additional information.

Resources:

Coming Soon: NEW Self Service Member Portal!
Phase 1 will begin in a few months with reimbursement claim submissions

The Benefit Funds Office is excited to inform you that we are working hard to make submitting supplemental claims more seamless through our new Self Service Member Portal.

You’re probably wondering what’s in it for me? How is this going to make my life easier?

Advantages of having a Self-Service Member Portal:

  1. There will be an easy login for the Member Portal simply using your Member ID, First name, Last name, and Date of birth (DOB).
  2. This will streamline the application process by automatically linking to your member and employer details so that you won’t have to enter them on each application. Based on the log-in information provided, the system will automatically load the applicable reimbursement claim forms.
  3. Continuing Learning Program (CLP) and Professional Educational Plan (PEP) reimbursement claims may be submitted through the member portal.
  4. The proof needed for each expense submitted will be tied to the expense line itself. This will reduce the number of denials from the Fund Office for lack of proof-of-submission and decrease wait time for payments.
  5. The claims processing time will decrease. Checks will be mailed out faster than they have been under the old system.
  6. The rules and guidelines for the reimbursement type are listed on the form’s first page to help you understand what’s allowed and required.
  7. You will be able to easily submit claims through the browser on your desktop computer, cell phone, or tablet.
  8. You can take a picture from your device and upload it for proof of payment.
  9. Information as to when a claim was received, processed, and mailed will be readily available for you to check at your convenience. This means that you won’t need to email or call the benefits office to check on the status of your claims.
  10. Access to viewing and printing a copy of your Explanation of Benefits (EOB).

Stay tuned for more information pertaining to the NEW Self Service Member Portal coming your way.

Additional Benefits

Post Residency Contract Review

CIR dues paying members at HSBP hospitals are now eligible for a  review of their post-residency employment contract at a substantially discounted rate of $200. Click here for details.

Education Loan Debt Benefit

You are eligible for an individual education loan consultation at a 60% discounted rate! Click here for details.

On-Call Coverage Pool

On-call Coverage Pool form
FAQ for On-call Coverage Pool, with changes to reflect the new contract changes on 3/26/2020

Identity Theft Monitoring & Protection

Enroll in identity theft protection through IdentityForce

Coverage Pay

FAQ Holiday Pilot Program
Coverage Pay Form (critical care, on call coverage, holiday, etc.)

Patient Care Trust Fund

As part of our mission to improve patient care and safety, the PCTF provides multiple grants to CIR members for research, equipment, educational materials, and more. Click here to learn more and to apply for PCTF grants.

Regional Vice Presidents & Delegates

Regional Vice Presidents
Linelle Campbell, Emergency Medicine, Jacobi Medical Center
Dr. Michael Del Valle, Emergency Medicine, Jacobi Medical Center
Dr. Michael Zingman, Psychiatry, Bellevue Hospital

Delegates
Ryan Bird, Surgery
Carolina Moreira, Internal Medicine
Julio Ovalle, Internal Medicine
Ignacio Salas, Emergency Medicine
Alex Carlos Jr., Internal Medicine (Alternate)
Ogochukwu Oseji, OB/GYN (Alternate)

Questions about your contract? Contact: Dominic Desmond | Ddesmond@cirseiu.org | (917) 273-6472