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10.3 Galleri Test, provided by GRAIL

The Galleri test is available to Participants and Eligible Spouses under the Southern California IBEW-NECA Health Trust Fund Active Summary Plan Description. The Galleri test is available to Participants and Spouses ages 50 years or older, currently enrolled in the Active Health Plan.

To schedule a Galleri test, please visit the website http://www.galleri.com/scibewneca. If you have questions, you can call GRAIL at (833) 964-2553. Please note that you must be eligible for coverage at the time of your Galleri test to recieve the covered Galleri test under the Active Health Plan. If you have questions about your eligibility for this benefit, please contact the Administrative Office.

Exclusions

1. The plan is only covering the Galleri test, at a $0 copayment. Payment for any other services wil be your responsibility. The Galleri test is limited to once every twelve (12) months.
2. If you obtain a similar test, or the Galleri test, through another provider (other than the Galleri test through GRAIL), the Plan will not pay for any portion of the test.
3. Active Participants and Spouses under the age of 50 are not eligible for the Galleri test. Dependent children are not eligible for the Galleri test.