Southern California IBEW-NECA Health Plan
Amendment # 14
To the Self-Funded Indemnity Plan as Contained
In the Active Employee Summary Plan Description
Dated June 1, 2004
This Amendment to the section of the Plan entitled "Self-Funded Indemnity Plan" as contained on pages 59 through 82 of the Active Employee Summary Plan Description, dated June 1, 2004 is made this 24th day of January, 2006 as follows:
"Effective for claims incurred on or after January 1, 2006, the major medical lifetime maximum will increase from $400,000 to $1,000,000 for eligible employees and their eligible dependents."
Wherever the lifetime maximum of $400,000 appears in the Indemnity Plan on pages 59 through 82, the amount of $1,000,000 is inserted in its place.
Approved and adopted at the Board Meeting held on this 24th day of January, 2006 at City of Commerce, California.
BY: Signature on File
Chairman
BY: Signature on File Secretary
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