Amendment Number 4 to
The Southern California IBEW-NECA
Summary Plan Description
For Active Employees
Dated June 1, 2004

Effective June 1, 2004, the following procedure shall be amended in the CDT-4 procedure codes on page 98:

4249 Clinical Crown Lengthening - Hard Tissue $272.00

The following paragraph shall be inserted in the section entitled "Exclusions and Limitations" as Section PP on page 95:

Benefits are payable for a clinical crown lengthening only when Pretreatment x-rays demonstrate coronal destruction at or below the alveolar bone.

Approved and adopted at the meeting of the Board of Trustees of the Southern California IBEW-NECA Health Trust Fund held on May 24, 2005.

Board of Trustees Southern California IBEW-NECA Health Trust Fund

BY: Signature on File
Chairman

BY: Signature on File
Secretary