AMENDMENT NO. 7

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 Retiree Health Summary Plan Description of the Southern California IBEW-NECA Health Trust Fund restated as of February 1, 2013 ("SPD"), executed this 13th day of November, 2014, 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 specify that assignment of Medicare Parts A and B is required for participation in an HMO or the Out of Area Retiree Plan.
2. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, effective April 1, 2014, the SPD is amended as follows:

1. The following language shall replace the first two paragraphs on the top of page 22 of the SPD.
   
   "Medicare Assignment.
   If the retiree or eligible spouse selects one of the HMO medical Plans or the Out of Area Plan for health coverage and is eligible for Medicare, he or she must assign Parts A and B of his or her Medicare benefits to the Medicare-risk Plan that the retiree or spouse selects.
   
   WARNING:
   Once you have enrolled in one of the groups with Medicare-assignment (Kaiser Permanente Senior Advantage, UnitedHealthcare Medicare Advantage, or Out of Area Plan), do not sign up for another Medicare-risk plan on your own without first writing to the Administrative Office. Enrolling in another Medicare-risk plan may cause your benefits from this plan to be cancelled."
   
   
2. All other terms and conditions of the Plan shall remain in full force and effect.

Executed this 13th day of November, 2014 at Commerce, California.

BOARD OF TRUSTEES
SOUTHERN CALIFORNIA IBEW-NECA
HEALTH TRUST FUND

BY: Signature on File
Chairman

BY: Signature on File
Secretary