AMENDMENT NO. 3

TO THE SUMMARY PLAN DESCRIPTION OF THE SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND RETIREE HEALTH PLAN RESTATED AS OF FEBRUARY 1, 2013

This Amendment to the Southern California IBEW-NECA Health Trust Fund's Retiree Health Summary Plan Description restated as of February 1, 2013 ("SPD") executed this 19th day of November, 2013 is made by the Board of Trustees of the Southern California IBEW-NECA Health Trust Fund ("Board of Trustees") with reference to the following facts and circumstances:

1. The Board of Trustees wishes to amend the SPD to clarify that the injectable prescription drugs are covered prescriptions under the Mandatory Generic Prescription Drug Plan.
2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, the SPD is amended as follows:

1. Under the "Mandatory Generic Prescription Drug Plan" Section of the Plan, the eleventh bullet point on the list of "Exclusions" is revised to provide as follows: "Drug or medicines purchased or administered to the participant by a prescriber or prescriber's staff. For example, drugs administered, injected or dispensed by a physician. However, injectables obtained at a pharmacy shall be covered."
2. All other terms and conditions of the SPD shall remain in full force and effect.

Executed this 19th day of November, 2013 at Commerce, California.

BOARD OF TRUSTEES
SOUTHERN CALIFORNIA IBEW-NECA
HEALTH TRUST FUND

BY: Signature on File
Chairman

BY: Signature on File
Secretary