AMENDMENT NO. 2

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 29th day of August 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 memorialize the long established practice of the Fund Offices to specify the documentation that a participant must provide as proof of payment under the Premium Reimbursement Plan and to outline the process for filing claims for the Premium Reimbursement Plan and the Medicare Supplement Plan.
2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, effective October 1, 2013, the SPD is amended as follows:

1. The address listed under the Definition of "Medicare Supplement Plan" on pages 9-10 is revised as follows:
   
   IBEW-NECA Claims Administration
   Allied Administrators
   P. O. Box 2500
   San Francisco, CA 94126
   Telephone: (800) 736-0401
   
   
2. The address listed under the Definition of "Premium Reimbursement Plan" on pages 10-11 is revised as follows:
   
   IBEW-NECA Claims Administration
   Allied Administrators
   P. O. Box 2500
   San Francisco, CA 94126
   Telephone: (800) 736-0401
   
   
3. The following shall be added to the end of the Section entitled "Medicare Supplement Plan for Retirees/Spouses (page 39):"
   
   "How to File a Claim
   When sending a Claim to the Administrative Office, follow these steps:
   1. Obtain a Medicare Supplement Claim Form from the Administrative Office, the Trust Funds’ website, or Allied Administrators.
   2. Use the Medicare Supplement Claim Form when submitting bills and claims for payment.
   3. Complete Parts One and Two of the Medicare Supplement Claim Form.
   4. Attach all Explanation of Medicare Benefit ("EOB") forms to the Claim Form.
   5. Date and sign the Claim Form. Keep a copy of the Claim Form for your own personal records.
   6. Claim Forms should be mailed to the following:
      IBEW-NECA Claims Administration
      Allied Administrators
      P. O. Box 2500
      San Francisco, CA 94126
      Telephone: (800) 736-0401
   Benefits (reimbursement of eligible Medicare out-of-pocket expense) are generally paid within 30 days from the date of receipt of all required information by Allied Administrators.
   
   Note: Send in only one Claim Form per calendar month, with all claims for both retiree and spouse listed on the same Claim Form."
   
   
4. The "Quarterly Reimbursement" bullet point of the "Premium Reimbursement Plan" Section of the SPD (page 40) is changed to the "Monthly Reimbursement" bullet point and the following is added to the existing sentence under such bullet point:
   
   "How to File a Claim for Premium Reimbursement
   When sending a Claim to the Administrative Office or Allied Administrators, follow these steps:
   1. Obtain a Premium Reimbursement Claim Form from the Administrative Office, the Trust Funds’ website, or Allied Administrators.
   2. Complete the Premium Reimbursement Claim Form entirely.
   3. Submit one or more of the following as proof of premium payment:
      1. Cancelled Check (front and back)
      2. Bank Statement (online statement acceptable)
      3. Credit Card Statement
      4. Payroll Stub with deduction indicated or
      5. Other proof of premium payment.
   4. Date and sign the Premium Reimbursement Claim Form. Keep a copy of the Claim Form for your own personal records.
   5. Claim Forms should be submitted to:
      
      IBEW-NECA Claims Administration
      Allied Administrators
      P. O. Box 2500
      San Francisco, CA 94126
      Telephone: (800) 736-0401

      Benefits (premium reimbursement) are generally paid within 30 days from the date of receipt of all required information by Allied Administrators.
      
      Note: Send in only one Claim Form per calendar month, with all claims for both retiree and spouse listed on the same Claim Form."

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

Executed this 29th day of August, at Commerce, California.

Board of Trustees
Southern California IBEW-NECA
Health Trust Fund

BOARD OF TRUSTEES
SOUTHERN CALIFORNIA IBEW-NECA
HEALTH TRUST FUND

BY: Signature on File
Chairman

BY: Signature on File
Secretary