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Summary Plan Description (SPD)
Southern California IBEW-NECA Active Health Plan
Amendment #32
To the DeltaCare/PMI Dental Plan (DMO) as Contained
In the Active Health Plan Summary Plan Description
Dated June 1, 2004
The DeltaCare/PMI Dental Plan (DMO) as contained in the Southern California IBEW-NECA Health Plan Summary Plan Description dated June 1, 2004 is amended as follows:
Effective for dental claims incurred on an after January 1, 2008, pages 111 – 125 are deleted in their entirety and replaced with the DeltaCare USA Dental Health Plan – DeltaCare Plan CA10A, Schedules A and B as attached hereto.
APPROVED AND ADOPTED at the Board of Trustees’ meeting held on November 20, 2007.
BY: Signature on File
Chairman
BY: Signature on File
Secretary