As Required by the Employee Retirement Income Security Act of 1974 (ERISA)

1. Name and type of administration of the Plan:
   The name of the Plan is the Southern California IBEW-NECA Active Health Plan.  The Plan is administered by the Board of Trustees of the Southern California IBEW-NECA Health Trust Fund, a collectively bargained, jointly-trusteed labor-management Trust Fund.
2. Name and address of the person designated as agent for the service of legal process:
   George Wallace, Administrator 6023 Garfield Avenue Commerce, CA 90040 (Service of legal process may also be made upon any Trustee)
3. Administrative Office of the Plan Administrator:
   6023 Garfield Avenue Commerce, CA 90040 Administrator: George Wallace
4. Names, titles, and addresses of the Trustees:
   Labor Trustees (IBEW Local #11)
   Marvin Kropke, Chairman
   c/o Administrative Office
   6023 Garfield Avenue
   Commerce, CA 90040
   
   Marshall Goldblatt
   c/o Administrative Office
   6023 Garfield Avenue
   Commerce, CA 90040
   
   Mark Meyer, Alternate
   c/o Administrative Office
   6023 Garfield Avenue
   
   Dean Todd
   c/o Administrative Office
   6023 Garfield Avenue
   Commerce, CA 90040
   
   Management Trustees (NECA)
   James M. Willson, Secretary
   c/o Administrative Office
   6023 Garfield Avenue
   Commerce, CA 90040
   
   Steve Watts
   c/o Administrative Office
   6023 Garfield Avenue
   Commerce, CA 90040
   
5. Source of financing of the Plan and identity of any of the organizations through which benefits are provided:
   Payments are made to the Trust by individual Employers under the provision of any of the Collective Bargaining Agreements.
   
   The Trustees provide a choice of hospital/medical programs.  
   
   The following organizations provide benefits by virtue of a contract with the Board of Trustees as follows:
   
   Kaiser Foundation Health Plan, Inc.
   Hospital/Medical Benefits
   
   PacifiCare of California
   Hospital/Medical Benefits
   
   Anthem Blue Cross of California
   Self-Funded Hospital/Medical Benefits, including the payment of claims
   
   Prescription Solutions
   Self-Funded Prescription Drug Benefits
   
   Self-Funded Dental Plan
   Claims paid by American Benefit Plan Administrators (Allied Administrators, Inc.)
   
   CIGNA
   Dental Benefits
   
   PMI Dental Health Plans/DeltaCare
   Dental Benefits
   
   United Concordia
   Dental Benefits
   
   Safeguard Dental
   Dental Benefits
   
   Vision Service Plan
   Vision Benefits
   
   Metropolitan Life Insurance Company
   Life Insurance/AD&D
   
   PacifiCare Behvaioral Health
   Administers Mental Health & Chemical Dependency Program, including the payment of claims & Member Assistance Program
   
6. Date of the end of the Plan year:
   June 30
   
7. Internal Revenue Service Plan Identification Number:
   No. 95-6140101
8. A description of the relevant provisions of any applicable collective bargaining agreement:
   The Plan is maintained pursuant to Collective Bargaining Agreements between Local #11 of the International Brotherhood of Electrical Workers, AFL-CIO and the L.A. County Chapter of the National Electrical Contractors Association. Copies of Collective Bargaining Agreements may be obtained by Plan participants from the Union or Administrative Office without charge upon written request. Additionally, Collective Bargaining Agreements may be examined by Plan participants at the Administrative Office of the Trust Fund during regular business hours.
9. Remedies available under the Plan for the redress of claims, which are denied in whole or in part, including provisions required by Section 503 of Employee Retirement Income Security Act of 1974: