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Active Health Summary Plan Description
As of July 1, 2022
En Español (PDF)

SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND

Summary Plan Description
For Eligible Active Participants and their Eligible Dependents

As of July 1, 2022

Este folleto contiene un resumen en Inglés de su plan de derechos y beneficios del Southern California IBEW-NECA Health Trust Fund. Si usted tiene dificultad para entender cualquier parte de este folleto, comuníquese con la Oficina Administrativa al 100 Corson Street, Suite 200, Pasadena, CA 91103. Las horas de servicio son de 8:30 AM a 5:30 PM de lunes a viernes. También puede llamar a la Oficina Administrativa al (800) 824-6935 ó al (323) 221-5861 para solicitar una copia del “Summary Plan Description” en Español.

This document is also available online at www.scibew-neca.org.

This Summary Plan Description has been restated as of July 1, 2022

IMPORTANT NOTICE TO ALL PLAN PARTICIPANTS

The Board of Trustees has the sole and absolute authority and discretion to interpret the provisions of this Plan and determine any and all disputed issues of fact related to eligibility under the Plan or the amount of benefits payable under the Plan. Any and all such interpretations and determinations adopted in good faith by the Board of Trustees shall be final and binding upon all parties including, but not limited to, all Participants and beneficiaries. Any such interpretation or determination may be overturned by an arbitrator or court only if such arbitrator or court finds that the Board of Trustees’ interpretation or determination was arbitrary, capricious, an abuse of discretion and/or unlawful.

ATTENTION

Eligible participants and their dependents are eligible for the benefits of a Member Assistance Program, or MAP for short. This MAP provides assistance in dealing with chemical dependency, marital and family difficulties, and other urgent crisis issues. For information on the MAP, contact the Administrative Office. To access the MAP 24-hour hotline call (888) 426-0026. Please refer to Article 12: Member Assistance Program (MAP) for more information.

NOTE

Plan ahead and familiarize yourself with the eligibility requirements of the Retiree Health Plan. Refer to Article 15: Retiree Health Plan Eligibility for more information. There is a separate Summary Plan Description that provides complete information on the Retiree Health Plan. It is available on www.scibew-neca.org and upon request from the Administrative Office.

COLLECTION OF DOCUMENTS COMPRISE PLAN DOCUMENT

Requirements for eligibility, provisions controlling self-funded benefits and any similar items are set forth in one or more Summary Plan Descriptions and amendments thereto, and provisions controlling insured benefits are set forth in insurance policies, HMO and DMO contracts, Evidence of Coverage (EOC) and Summary of Benefits and Coverage as are in effect from time to time which all collectively along with the Trust Agreement make up the Plan Document.