Plan Booklet : Alaska United Food and Commercial Workers Trust

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).

Changes to your plan since the last printed Summary Plan Description.

Amendment Date	Amendment	Participation
Amendment Date	11/15/2022	Amendment	2023 Out-Of-Pocket Benefit Information	Participation	All Eligible Participants
Amendment Date	06/08/2022	Amendment	Changes to Vision Eligibility Requirements and Medical Coordination of Benefits	Participation	All Eligible Participants
Amendment Date	02/24/2022	Amendment	Over the Counter At Home COVID Tests	Participation	All Plan Participants
Amendment Date	02/03/2022	Amendment	Change to HRA Funding Frequency	Participation	All Medicare Eligible Plan Participants
Amendment Date	11/12/2021	Amendment	2022 Out-Of-Pocket Benefit Information	Participation	All Eligible Participants
Amendment Date	07/13/2021	Amendment	Dialysis Benefit Preservation Program - Anti-Assignment of Benefits	Participation	All Eligible Participants
Amendment Date	04/14/2021	Amendment	Changes Due to Coronavirus (COVID-19) Outbreak	Participation	All Plan Participants
Amendment Date	12/10/2020	Amendment	ERISA Extension Notice	Participation	All Eligible Participants
Amendment Date	11/05/2020	Amendment	Benefit Changes - Effective January 1, 2021	Participation	All Eligible Participants
Amendment Date	05/04/2020	Amendment	Plan Changes - Temporary Extension of Coverage for March and April 2020 hours	Participation	All Eligible Participants
Amendment Date	04/17/2020	Amendment	Plan Changes - Telemedicine	Participation	All Eligible Participants
Amendment Date	03/16/2020	Amendment	Plan Changes in Response to Coronavirus (COVID-19) Outbreak	Participation	All Eligible Participants
Amendment Date	10/22/2019	Amendment	2020 Out-Of-Pocket Benefit Information	Participation	All Active and Retired Participants
Amendment Date	10/29/2018	Amendment	2019 Out-Of-Pocket Benefit Information	Participation	All Active and Retired Participants
Amendment Date	03/26/2018	Amendment	Plan Changes to Medicare Retiree Health Benefits - Correction	Participation	All Medicare Eligible Retirees and Medicare Eligible Dependents in the Retiree Health and Welfare Trust
Amendment Date	03/23/2018	Amendment	Plan Changes to Medicare Retiree Health Benefits	Participation	All Medicare Eligible Retirees and Medicare Eligible Dependents in the Retiree Health and Welfare Trust
Amendment Date	02/27/2018	Amendment	Plan Eligibility Changes to Retiree Health Benefits	Participation	All Participants and Dependents in the Health and Welfare and Retiree Health and Welfare Trust
Amendment Date	01/31/2018	Amendment	Plan Changes to Retiree Health Benefits	Participation	All Participants and Dependents in the Health and Welfare and Retiree Health and Welfare Trust
Amendment Date	11/14/2017	Amendment	Benefit Change – Effective January 1, 2018	Participation	All Active Participants and Dependents

A guide to your Medicare Retiree and Medicare Dependent Health Reimbursement Arrangement: Summary Plan Description.

Health & Welfare

Plan Booklet