Retiree Health Summary Plan Description
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AMENDMENT NO. 4

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 19th day of November , 2013 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 include the cost of a participant's long term care insurance policy where such costs are incurred and paid on or after October 1, 2008 as eligible for reimbursement under the Premium Reimbursement Plan provisions of the SPD.
  2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, the SPD is amended as follows:

  1. The first paragraph under Premium Reimbursement Plan is amended by adding the following sentence after the second full sentence: "In addition, the cost to a retiree and/or spouse of a long term care insurance policy where such costs are incurred and paid on and after October 1, 2008 are eligible for reimbursement under the Premium Reimbursement Plan."
  2. All other terms and conditions of the SPD shall remain in full force and effect.

Executed this 19th day of November, 2013 at Commerce, California.

BOARD OF TRUSTEES
SOUTHERN CALIFORNIA IBEW-NECA
HEALTH TRUST FUND

BY: Signature on File
Chairman

BY: Signature on File
Secretary