Local 2 Hospitality Industry Child & Elder Care Plan

Elder Care & Disability Benefits

The Elder/Disabled Care Benefit helps pay for care for an elder or disabled relative. As part of this benefit, the Plan also contracts with Self Help for the Elderly, an organization that offers counseling if you would like to discuss your relative’s current situation or want referrals to appropriate services.

Eligible Relatives: Relatives who are eligible for this benefit include the participant’s spouse, domestic partner, child over the age of 13, parent, current parent-in-law, or grandparent.

Ineligible Expenses: No reimbursement will be paid for care provided by the participant or their spouse or domestic partner. The cost of prescription drugs also cannot be reimbursed.

To Qualify for This Benefit: You must demonstrate that your relative has a serious need for the services of a caregiver. Successful applicants for this benefit typically provide:

An Elder Disabled Relative Qualification Form filled out by the relative’s doctor, or documentation from In-Home Support Services, that shows that the participant’s relative has a seriously disabling condition and requires assistance to perform basic daily activities. Qualifying relatives often have restricted mobility or severe dementia, or are blind, autistic, or bed bound.
Evidence that the participant is currently paying, or will pay, for the services of a caregiver.

Elder/Disabled Care Benefit	Description	Forms Required
Reimbursement: $160/Month	Reimburses expenses associated with the care of an elder or disabled relative. Relative can be a participant’s spouse, domestic partner, child 13 years or older, parent, current parent-in-law, or grandparent. Reimbursable expenses must be related to the relative’s health or well-being. Also includes counseling and referral services related to care for elders or disabled relatives. Some services counselors can help you arrange include: Caregiving services In-home Support Service Home delivered meals Adult Day Services Translation Medi-Cal Emergency In-home Support Service Transportation services	Copy of birth, marriage, and/or domestic partnership certificates linking the relative to the participant. (Example: If relative is participant’s parent-in-law, submit copies of the spouse’s birth certificate and participant’s marriage certificate.) Copy of relative’s Social Security card or document with SS# on it. Proof of relative’s residence: copy of Social Security or SSI check, senior ID, or letter from a doctor or insurance company about recent services addressed to your relative. This proof must be from within the last 90 days. Elder Disabled Relative Qualification Form or IHSS certification letter from within the last 14 months. Birth or Marriage Certificates: Birth or marriage certificates in a foreign language must be translated into English. The translation must be verified by a notary public. Annual Applications: If you received the benefit last year and are applying for the same child this year, you do not have to bring in forms to prove birth, marriage or social security number.

Elder/Disabled Care Benefit

Description

Forms Required

Reimbursement: $160/Month

Reimburses expenses associated with the care of an elder or disabled relative. Relative can be a participant’s spouse, domestic partner, child 13 years or older, parent, current parent-in-law, or grandparent.
Reimbursable expenses must be related to the relative’s health or well-being.
Also includes counseling and referral services related to care for elders or disabled relatives. Some services counselors can help you arrange include:
- Caregiving services
- In-home Support Service
- Home delivered meals
- Adult Day Services
- Translation
- Medi-Cal
- Emergency In-home Support Service
- Transportation services

Copy of birth, marriage, and/or domestic partnership certificates linking the relative to the participant. (Example: If relative is participant’s parent-in-law, submit copies of the spouse’s birth certificate and participant’s marriage certificate.)
Copy of relative’s Social Security card or document with SS# on it.
Proof of relative’s residence: copy of Social Security or SSI check, senior ID, or letter from a doctor or insurance company about recent services addressed to your relative. This proof must be from within the last 90 days.
Elder Disabled Relative Qualification Form or IHSS certification letter from within the last 14 months.

Birth or Marriage Certificates: Birth or marriage certificates in a foreign language must be translated into English. The translation must be verified by a notary public.

Annual Applications: If you received the benefit last year and are applying for the same child this year, you do not have to bring in forms to prove birth, marriage or social security number.

Related Materials:

Eligibility Criteria

Staff
Director – Louise Rush

Program Coordinator –
Ana Saborio

Payment Coordinator –
Beatrice Mai

Hours
Monday & Wednesday
8:30 AM – 4:45 PM

Phone
(415) 864-0506

Email
ChildElderPlan@
local2benefits.org

Visit Us
247 Golden Gate Avenue
San Francisco, CA 94102

Local 2 Hospitality Industry Child & Elder Care Plan

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