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Summary Plan Description (SPD)
SOUTHERN CALIFORNIA IBEW-NECA RETIREE HEALTH PLAN BENEFITS AVAILABLE TO YOU
EARLY RETIREES UNDER AGE 65 (NOT ON MEDICARE)
AND DISABILITY RETIREES OF ANY AGE PRIOR TO MEDICARE ELIGIBILITY
You may choose one of the following:
- Kaiser Permanente (HMO) and Kaiser Permanente Drug (Rx) Plan
- PacifiCare (HMO) and Prescription Solutions Drug (Rx) Plan
- Premium Reimbursement Plan and Prescription Solutions Drug (Rx) Plan
RETIREES AGE 65 AND MEDICARE ENROLLED IN PARTS
A & B
You may choose one of the
following:
- Kaiser Permanente Senior Advantage and Senior Advantage Medicare Prescription Drug (Rx) Plan (MA-PD)
- PacifiCare Secure Horizons and Secure Horizons Drug (Rx) Plan (MA-PD)
- Medicare Supplement Plan and Prescription Solutions Medicare Prescription Drug (Rx) Plan
- Premium Reimbursement Plan and Prescription Solutions Drug (Rx) Plan
You may choose one of the following:
- CIGNA (DMO) Plan
- DeltaCare USA (DMO) Plan
- Safeguard (DMO) Plan
- United Concordia (DMO) Plan
- Self-Funded Dental Plan
You may choose one of the following;
- Kaiser Permanente Vision Plan
- Vision Service Plan ("VSP") - PacifiCare Participants and Premium Reimbursement