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 Date03/29/2023AmendmentBenefit ChangesParticipationAll Eligible Participants
Amendment Date11/15/2022Amendment 2023 Out-Of-Pocket Benefit InformationParticipationAll Eligible Participants
Amendment Date06/08/2022Amendment Changes to Vision Eligibility Requirements and Medical Coordination of BenefitsParticipationAll Eligible Participants
Amendment Date02/24/2022Amendment Over the Counter At Home COVID TestsParticipationAll Plan Participants
Amendment Date02/03/2022AmendmentChange to HRA Funding FrequencyParticipationAll Medicare Eligible Plan Participants
Amendment Date11/12/2021Amendment 2022 Out-Of-Pocket Benefit InformationParticipationAll Eligible Participants
Amendment Date07/13/2021Amendment Dialysis Benefit Preservation Program - Anti-Assignment of BenefitsParticipationAll Eligible Participants
Amendment Date04/14/2021 Amendment Changes Due to Coronavirus (COVID-19) OutbreakParticipationAll Plan Participants
Amendment Date12/10/2020Amendment ERISA Extension NoticeParticipationAll Eligible Participants
Amendment Date11/05/2020Amendment Benefit Changes - Effective January 1, 2021ParticipationAll Eligible Participants
Amendment Date05/04/2020Amendment Plan Changes - Temporary Extension of Coverage for March and April 2020 hoursParticipationAll Eligible Participants
Amendment Date04/17/2020Amendment Plan Changes - TelemedicineParticipationAll Eligible Participants
Amendment Date03/16/2020Amendment Plan Changes in Response to Coronavirus (COVID-19) OutbreakParticipationAll Eligible Participants
Amendment Date10/22/2019Amendment 2020 Out-Of-Pocket Benefit InformationParticipationAll Active and Retired Participants
Amendment Date10/29/2018 Amendment 2019 Out-Of-Pocket Benefit InformationParticipationAll Active and Retired Participants
Amendment Date03/26/2018 Amendment Plan Changes to Medicare Retiree Health Benefits - CorrectionParticipationAll Medicare Eligible Retirees and Medicare Eligible Dependents in the Retiree Health and Welfare Trust
Amendment Date03/23/2018 Amendment Plan Changes to Medicare Retiree Health BenefitsParticipationAll Medicare Eligible Retirees and Medicare Eligible Dependents in the Retiree Health and Welfare Trust
Amendment Date02/27/2018 Amendment Plan Eligibility Changes to Retiree Health BenefitsParticipationAll Participants and Dependents in the Health and Welfare and Retiree Health and Welfare Trust
Amendment Date01/31/2018Amendment Plan Changes to Retiree Health BenefitsParticipationAll Participants and Dependents in the Health and Welfare and Retiree Health and Welfare Trust
Amendment Date11/14/2017Amendment Benefit Change – Effective January 1, 2018ParticipationAll Active Participants and Dependents

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