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IBEW Local 11-LA NECA Retiree Health Plan
Summary Plan Description (SPD)


AMENDMENT NO. 10
TO THE SOUTHERN CALIFORNIA IBEW-NECA RETIREE HEALTH PLAN

The Board of Trustees of the Southern California IBEW-NECA Health Trust Fund hereby wishes to clarify the provisions of the Southern California IBEW-NECA Retiree Health Plan with regard to the ability of an eligible retiree or spouse to decline initial enrollment in the Retiree Health Plan in the event the eligible retiree or spouse is declining initial enrollment due to other health coverage. The following new paragraph is added immediately following the conclusion of the section contained within the Retiree Plan labeled “Deadline for Enrollment” as found on page 12 of the Retiree Summary Plan Description.

“The only exception to the 30 day initial enrollment deadline is the Special Enrollment required under HIPAA. To retain this initial Special Enrollment right you must advise the Fund in writing you are declining coverage under the Retiree Plan because you have coverage from another source. This signed statement must be received by the Fund prior to the expiration of the 30 day period. A spouse may decline initial enrollment through the same process. If a required statement is not received within the 30 days all HIPAA Special Enrollment rights are lost. If you have provided timely notice to the Fund you may subsequently enroll within 30 days of loss of your other coverage. If you do not enroll within the 30 days of loss of your other coverage all HIPAA Special Enrollment rights are lost. At the time of the HIPAA Special Enrollment you must submit written proof of your other coverage, its duration and the date of loss of coverage. If eligible for HIPAA Special Enrollment coverage will commence on the first day of the month following the month the Fund receives your application for enrollment. These Special Enrollment rights only apply during your or your spouse’s initial enrollment.”

All other terms and conditions of the Southern California IBEW-NECA Retiree Health Plan shall remain in full force and effect.

Approved and adopted at the meeting of the Board of Trustees of the Southern California IBEW-NECA Health Trust Fund held on the 12 th day of March, 2008 at the City of Commerce, California.

BY: Signature on File
Chairman

BY: Signature on File
Secretary