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IBEW Local 11-LA NECA Active Health Plan Summary Plan Description (SPD) I.O. Health Reciprocal Agreement & ProrationIt is recognized that some Employees fail to qualify for Health coverage because they travel out of the geographic area covered by the Plan. In accordance with national I.O. Guidelines, contributions received from another Health Fund that participates in the I.O. Health Reciprocity Agreement will be credited to the Employee as hours worked. To be eligible for this reciprocity program you must have: (1) been eligible under this Health Plan within six years of the first work month included in the contribution transfer or; (2) be a newly organized member of I.B.E.W. Local 11 prior to the date of contribution transfer or; (3) moved your ticket to I.B.E.W. Local 11 prior to the date of contribution transfer. When the hourly rate of contributions being transferred to this Fund is less than the hourly rate of contributions paid directly to this Fund under the Inside Wireman’s collective bargaining agreement in effect at the time of contribution transfer, the hours credited to you under this Plan will be prorated in accord with the example shown below. The same method of proration shall apply to provisions in CBAs calling for contributions lower than the standard rate. The Fund office can advise you of CBAs subject to this provision. For example, if an Employee works 150 hours in a reciprocal area where the hourly Health contribution rate is $4.00, and the Employee designates Local 11 as the home local, with a current hourly Health contribution rate of $5.64 (Inside Wireman’s Agreement) the hours would be pro-rated as follows:
Note: there are periodic changes in the employer contribution rate. Check with the Administrative Office for the current rate.
This section added by: Amendment 1.
All reciprocal contributions received by this Fund more than 3 calendar months from the close of the month in which the hours were actually worked shall be credited as hours worked 3 calendar months prior to the month in which the contributions are received rather than the month in which the hours are worked. However, the hours will be applied to the month in which the hours were actually worked if doing so would provide eligibility by work hours for a month for which a COBRA continuation of coverage payment was made and that COBRA continuation payment shall be refunded.
Example: Hours worked in January and received in April would be credited as worked in January. Hours worked in January and received in May would be credited as worked in February.
This section added by: Amendment 3.
It is recognized that certain collective bargaining agreements may provide an hourly contribution rate for full health coverage under this Plan that is different from the then current hourly contribution rate as set forth from time to time under the IBEW-Local 11 NECA Inside Wiremen's Agreement. In such event, the hours to be credited to the Participant for eligibility shall be the product of the hourly contribution rate of the other Agreement divided by the hourly contribution rate of the current IBEW-Local 11 NECA Inside Wiremen's Agreement times the hours worked by the Participant under the other Agreement.
For example, if the other Agreement has a $5.00 per hour rate, the Inside Wiremen's Agreement has a $7.00 per hour rate and the participant worked 100 hours under the other Agreement he would be credited with 71.43 hours for eligibility under this plan (5/7 x 100 = 71.43 eligibility hours)." All other terms of this and conditions of the Active Health Plan shall remain in full force and effect. This Amendment to the Active Health Plan shall be effective August 1, 2004. |
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