APPLICATION PROCESS FOR ENROLLMENT IN THE RETIREE HEALTH PLAN

Upon request, you will receive a Retiree Health Plan package from the Administrative Office.  This Retiree Health Plan package is generally mailed to retirees a month in advance of exhausting your active bank hours or upon notification of your retirement from the Southern California IBEW-NECA Pension Trust Fund.

The Retiree Health Plan package contains an Enrollment Form and a Selection Form.  Both forms must be completed, signed and returned to the Administrative Office within thirty (30) days of receipt of the date of the postmark.

If the Enrollment Form and Selection Form are not received within thirty (30) days, as stated above, the Administrative Office will send by certified mail a second request.  If these forms are not received within thirty (30) days of the mailing of the certified letter, you will not be permitted to enroll at a later date.

If you elect not to participate in the Retiree Health Plan, then you should make an affirmative declaration by checking the box declining coverage.  If the Enrollment Form and Selection Form are not received by the Administrative Office within thirty (30) days of the certified letter, then the presumption will be that you declined participation in the Retiree Health Plan.

Other important documents included in the Retiree Health Plan package include an enrollment letter and Plan benefit descriptions.