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IBEW Local 11-LA NECA Active Health Plan
BenefitTabs

BenefitTabs

Initial Eligibility

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.

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.





Dependent Eligibility 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. Written proof of dependent status is required. Dependents include legal spouses, children under age 19, children placed for adoption, and children age 19 - 25 who are full-time students who submit required verification. Children who become totally disabled while still in dependent status can continue as dependents while they remain totally disabled for a period of 12 months. 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.



Waiting Period  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.



Continuing Eligibility and Hour Bank Reserve 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  If you work less than the required number of hours but have enough hours in your bank, these hours will be "withdrawn" from your bank to meet the number of hours required for continued coverage.



Losing Coverage 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 the employer becomes compliant within that 45 day period. 



Reinstatement After losing coverage, you must once again meet the requirements for initial eligibility.



Reciprocity 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.