Home
SEARCH
Retiree Health
DB Pension Plan
DB Pension Plan BenefitTabs
DB Pension Plan Links
DC Pension Plan
DC Pension Plan Links
 email this page    printer friendly
IBEW Local 11-LA NECA Active Health Plan
Summary Plan Description (SPD)


Amendment Number 5 to
The Southern California IBEW-NECA
Summary Plan Description
For Active Employees
Dated June 1, 2004

Effective March 1, 2005, the following language is deleted from the Indemnity Plan General Plan Exclusions:

Item N, Check-up Exams

All remaining General Plan Exclusions following existing Item M are re-lettered accordingly, beginning with "Custodial Care".

On page 74, the following section is added following the section entitled Preventative Care (Dependents Age 7 to Age 16):

Annual Physical Examination Benefit (Age 16 and Older)

  • A physician's services for routine physical examinations, limited to no more frequently than once every twelve months.
  • A maximum annual benefit allowance not to exceed $250 for physician's services. The Plan will pay the lesser of the physician's charges or $250.
  • Annual examinations received from a Prudent Buyer Participating provider will not be subject to the Plan deductible or co-insurance.
  • Annual examinations received from a Non-participating Provider will be subject to the annual deductible and co-insurance factor.

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.

BY: Signature on File
Chairman

BY: Signature on File
Secretary