Enroll in HCTC Qualified Blue Cross Blue Shield Benefit Plans through the Cleveland-Cliffs Steel LLC VEBA Trust (CCSLLC VEBA) in 4 Easy Steps

ALL FORMS INCLUDING THE IRS FORM AND ENROLLMENT NEED TO BE MAILED DIRECTLY TO THE VEBA TO ENSURE YOUR PAPERWORK IS PROPERLY PROCESSED.

MAIL YOUR FORMS TO: Cleveland-Cliffs Steel LLC VEBA Trust (CCSLLC VEBA), 4853 Galaxy Parkway Suite K Cleveland, OH 44128

CALL 877-474-8322 WITH ANY QUESTIONS.

 
1. Complete HCTC Eligibility Documents for Each Eligible Member

a.    Provide a copy of a recent 1099-R demonstrating PBGC benefits

b.    Complete IRS Form 13441-A HCTC Monthly Registration and Update

 
2.    Complete VBTART Enrollment Form

a.    If one or two family members are enrolling use A SEPARATE FORM FOR EACH ELIGIBLE FAMILY MEMBER and careful to select both an effective date and a plan of benefits.  THIS WILL SAVE YOU MONEY ON YOUR PREMIUMS.

b.    If three or more members are enrolling from the same family use ONE FORM.

 
3.    Make the appropriate payment for the plan you have selected and the date you have enrolled.

a.    Make sure that you make pay for the first two months.

b.    Beginning in January, 2017, you will receive a bill from the VEBA for your required contribution moving forward.

 
4.    Return the completed forms to the address contained at the bottom of the enrollment form which is:  
 
Cleveland-Cliffs Steel LLC VEBA Trust (CCSLLC VEBA)
4853 Galaxy Parkway Suite K Cleveland, OH 44128

You may also e-mail to: info@amusaveba.org
You may also enroll online at www.amusaveba.org/hctc

Call the VEBA with any Questions on Eligibility or Enrollment
1-877-474-8322

877.474.8322  or email us today

Cleveland-Cliffs Steel LLC VEBA Trust (CCSLLC VEBA),
4853 Galaxy Parkway Suite K
Cleveland, OH 44128

CONTACT US

UPDATE YOUR ACCOUNT CONTACT INFO

Disclaimer: This website is maintained by SHN, Inc. as plan administrator, and not by Cleveland-Cliffs Steel LLC VEBA Trust (CCSLLC VEBA).

 

MEDICARE

800-633-4227

THE VEBA

877-474-8322