AMENDMENT NO. 5
TO THE SUMMARY PLAN DESCRIPTION OF THE SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND ACTIVE HEALTH PLAN
(RESTATED AS OF JULY 1, 2022)

This Amendment to the Southern California IBEW-NECA Health Trust Fund, Active Health Plan Summary Plan Description (“SPD”) (restated as of July 1, 2022, as amended) 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 reflect a clarification in the agreements participating under Section 2.1, as outlined below.
2. The Board of Trustees wishes to amend the SPD to reflect the changes in the benefits available to the Mainenance Agreement effective for work month November 2024 (March 2025 eligibility month) as outlined below.
3. The Board of Trustees has reserved to themselves the ability to amend the SPD from time to time.

NOW THEREFORE, effective November 1, 2024, the SPD is amended as follows:

1. Article 2, Plan Benefits Available to You, Section 2.1, Inside Wireman, Intelligent Transportation, Inspector, Railroad Agreements, is amendment to replace the title of Section 2.1 to read "Inside Wireman, Intelligent Transportation, Inspector, Railroad Agreements, Master Turf and Master Maintenance.".
2. Article 2, Plan Benefits Available to You, Section 2.5, Maintenance Agreement, the benefits listed are replaced and restated as follows commencing with November 1, 2024 work month (March 2025 eligibility month):
   
   
   • Hospital/Medical/Prescription Drug Benefit
     • Alternate Kaiser Permanente HMO Plan Only
   • Health Reimbursement Arrangement
   • Advocacy and Assistance Benefit
     • MedExpert
   • Member Assistance Program (MAP)
   • Life Insurance/AD&D Benefits
     • Anthem blue Cross/The Standard Life and Health Insurance Company

All other terms and conditions of the Summary Plan Description and Plan, shall remain in full force and effect.

Executed this 9^th day of October 2024 at Pasadena, California.

BY: Signature on File
Chairman — Eric Cartier

BY: Signature on File
Secretary — Robert Corona