AMENDMENT NO. 14
TO THE SOUTHERN CALIFORNIA IBEW-NECA RETIREE HEALTH PLAN

The Board of Trustees of the Southern California IBEW-NECA Health Trust Fund have authorized this Amendment due to recent actions by the Centers for Medicare and Medicaid Services (hereinafter, “Medicare”). The following, “Special Rule for Medicare ‘Double Coverage’ Members” is added at page 28 following the sub-section entitled, “Required Termination.” This Plan Amendment is effective August 1, 2008.

SPECIAL RULE FOR MEDICARE “DOUBLE COVERAGE” MEMBERS
Commencing August 1, 2008 Medicare advised the HMOs that a Medicare eligible retiree and/or spouse could not be enrolled in two Health Plans. This most frequently occurs when a retiree and spouse both receive retiree coverage from different Health Plans due to prior employment and each is enrolled in the other’s Plan as a dependent. Medicare is applying this restriction even when all enrollment is in a single HMO. Retirees and/or spouses who are in such a, “double coverage” situation will be advised by their HMO or Medicare they must terminate coverage under one Health and Welfare Plan and elect coverage under the other Health and Welfare Plan. If the retiree and/or spouse fail to make the election the HMO will terminate their coverage under one Health and Welfare Plan. This special rule is adopted due to Medicare’s actions. It provides an exception to the general eligibility rule that termination of participation in the Retiree Plan prohibits any later re-enrollment. All of the following seven conditions must be met in order for a right to re-enrollment to exist.

1. The Medicare Retiree and/or Spouse must have been enrolled in this Retiree Plan.
2. The Medicare Retiree and/or Spouse must have received a “Double Coverage Notice” from their HMO or Medicare.
3. The Medicare Retiree and/or Spouse must have, in response to the Notice, elected to terminate coverage under this Retiree Plan or had such coverage terminated by their HMO or Medicare.
4. The Medicare Retiree and/or Spouse must have continued coverage under the other Health Plan.
5. The Medicare Retiree and/or Spouse must have subsequently lost coverage under the other Health Plan.
6. The Medicare Retiree and/or Spouse within 30 days of loss of coverage under the other Health Plan re-enrolls in this Retiree Plan.
7. The Medicare Retiree and/or Spouse must submit with their re-enrollment application written proof of conditions (1) thru (6) set forth above.

BY: Signature on File
Chairman

BY: Signature on File
Secretary