Retiree Health Summary Plan Description
En Español (PDF)

AMENDMENT NO. 13

SUMMARY PLAN DESCRIPTION
OF THE
SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND RETIREE HEALTH PLAN

This Amendment to the Southern California IBEW-NECA Health Trust Fund Retiree Health Plan Summary Plan Description (“SPD”) 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 the change of Claims Administrator for the Medicare Supplement Plan for retirees who enrolled in the Medicare Supplement Plan on or before January 1, 2016.
  2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, effective February 1, 2017, the SPD is amended as follows:

  1. Coast Benefits, Inc. shall replace Allied Administrators as the Plan’s claims administrator. References in the SPD appearing on pages 10, 11 and elsewhere in the SPD to “Allied Administrators” shall be changed to “Coast Benefits, Inc.” wherever those terms appear.
  2. Page 10 and 11 are amended by replacing the address for IBEW-NECA claims administration as follows:

    Coast Benefits, Inc.
    IBEW-NECA Claims Administration
    3444 Camino Del Rio North, Suite 100
    San Diego, CA 92108
    Phone: (800) 886-7559 or (619) 280-2009
    Fax: (619) 280-4304

  3. All other terms and conditions of the Plan shall remain in full force and effect.

Executed this 26th day of January 2017, at Commerce, California.

BY: Signature on File
Chairman

BY: Signature on File
Secretary