Initial Eligibility
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Eligibility for Employees IBEW Local 11 is based on specific types of hours worked under a Collective Bargaining Agreement (CBA). To establish initial eligibility, you need to meet the minimum number of hours as set forth in your collective bargaining agreement. You will be eligible for benefits under the Southern California IBEW-NECA Health Fund the first day of the fourth calendar month next following the last month in which you had worked the minimum hours. Even if an employee's Hours Bank Reserve contains sufficient hours for initial eligibility, the employer will have no actual coverage (except life insurance) until the employer has completed all steps required for enrollment in benefits offered by the Plan. The employee's failure to take appropriate action in enrolling for benefits will cause a reduction in the employee's Hours Bank Reserve without providing the employer with benefits of coverage. See Amendment 47 for more information.
Currently, 100 hours are required for coverage for Inside Wiremen, Material Handlers, Fixture Cleaners and 125 hours for 9th District Sound & Communications. But note that Material Handlers and Fixture Cleaners have medical coverage only.
Click here to see rules for marital partners.
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Dependent Eligibility
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A dependent of an Eligible Employee becomes eligible at the same time that the Employee becomes eligible, or the date the Dependent is acquired, if later. You must provide the required documentation to complete their enrollment. Dependents include legal spouses and children through the end of the month in which the child attains his or her 26th birthday. A child includes a natural child, a stepchild, an adopted child, an eligible foster child and a child for whom the Employee is the Guardian of the person.
A dependent child who attains the maximum age shall remain an eligible dependent so long as the child is disabled, resides with the employee and is listed as a dependent on the Employee's tax return. See Amendment 48 for more information.
Domestic partners will be treated as a dependent domestic partner of the eligible employee if they meet all the conditions of the Plan and have filed the appropriate forms. However, the dependents of the eligible same sex domestic partner are not eligible for coverage under the Plan. See Amendment 9 for more information.
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Waiting Period
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You are eligible to enroll in the Health Plan once you have worked the minimum hours. For example, 100 hours' work in January is used to determine your eligibility for the month of May.
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Continuing Eligibility and Hour Bank Reserve
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Any hours you work in excess of the required number are placed in an "hours reserve bank." You may accumulate up to 600 hours in this bank. After you establish initial eligibility, you must continue to work the required number of hours each month to continue being eligible. If you work less than the required number of hours but have enough hours in your bank, these hours will be "withdrawn" from your bank to meet the number of hours required for continued coverage. See Amendment 45 for more information.
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Losing Coverage
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Your coverage will end when the combined sum of your worked hours and/or your hour bank is less than the number required for continued coverage.
Your coverage will also end if you are an owner or officer of an employer who is non-compliant with the contributions requirements (typically this means not paying the required contributions). This will take effect 45 days after the Employee has been notified, unless the employer becomes compliant within that 45 day period.
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Reinstatement
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After losing coverage, you must once again meet the requirements for initial eligibility.
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Reciprocity
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If you work outside the geographic area of Local 11, you will need to enroll in the Electronic Reciprocal Transfer System (ERTS) in order to maintain coverage in this Plan.
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