Retiree Health Summary Plan Description
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AMENDMENT NO. 10

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 Retiree Health Plan Summary Plan Description of the Southern California IBEW-NECA Health Trust Fund restated as of February 1, 2013 ("SPD"), executed this 13th day of August, 2015, 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 reflect that effective January 1, 2016, the Medicare Supplement Plan will no longer be available to retirees and their eligible spouses who are enrolled in one of the RHP options other than the Medicare Supplement Plan, or for retirees and their eligible spouses who first enroll in the Retiree Health Plan after that date.
  2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, effective January 1, 2016, the Retiree Health Plan SPD is amended as follows:

  1. Page 7 is amended in the Section entitled "Retirees Age 65 and Medicare Enrolled in Parts A and B" by adding the following language to the third bullet which refers to the "Medicare Supplement Plan and Mandatory Generic Prescription Drug Plan:"

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  2. Page 10 is amended by replacing the address for IBEW-NECA claims administration as follows:

    IBEW-NECA Claims Administration
    Allied Fund Administrators, an ATPA Company
    P. O. Box 24160
    Oakland, California 94623-2416

  3. Pages 9-10 are amended by adding the following language to the end of the Section entitled "Medicare Supplement Plan."

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  4. Page 14 is amended by adding the following language to the end of the fourth full paragraph:

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  5. Page 21 is amended by adding the following language to the end of the last paragraph under the Section entitled "Medical Enrollment Required" with the following:

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  6. Page 36 is amended by adding the following language after "Medicare Supplement Program" under the Section entitled "Brief Summary Comparison of Retiree Health Plan Benefits".

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  7. Page 38 is amended by adding the following new language after the first sentence of the Section entitled "General Discussion – Choosing a Medical Plan That Best Suits Your Needs" as follows:

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  8. Page 39 is amended by inserting the following sentence after the second sentence in the last paragraph on that page.

    Do not enroll in Medicare Part D. Enrollment in Medicare Part D will cause termination of coverage under this Plan.  Once terminated, the retiree or spouse will not be permitted to subsequently re-enroll in the Retiree Health Plan.

  9. Page 39 is amended by adding the following new language to the end of the Section entitled "Medicare Supplement Plan for Retirees/Spouses."

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

  10. Page 63 is amended by adding the following language after the end of the penultimate paragraph on that page:

    Please note that effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.

Executed this 13th day of August, 2015 at Commerce, California.

Board of Trustees
Southern California IBEW-NECA Health
Trust Fund

BY: Signature on File
Chairman

BY: Signature on File
Secretary