Summary Plan Description
AMENDMENT 2008-1
AMENDMENT 2008-2
AMENDMENT 2009-1
AMENDMENT 2009-2
AMENDMENT 2009-3
AMENDMENT 2009-4
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AMENDMENT 2009-2
AMENDMENT 2009-2TO ITPE HEALTH & WELFARE SUMMARY PLAN DESCRIPTION
Effective January 1, 2009 the ITPE Health & Welfare Plan Document shall be amended as follows:
1. The benefit schedules set forth at Pages 5 through 9 of the current booklet shall be revised in accordance with the appended schedules.
2. The following language shall be inserted between reference to "Hospital Emergency Room Services" and "Preventive Care Guidelines" now contained at Page 32 of the Summary Plan Description:
• Hearing Aids
A Hearing Aid benefit shall be provided for Employees and their Dependents, whose contribution rates are $3.24 per hour and above. Your schedule of benefits specifies the maximum dollar amount for each Hearing Aid benefit that will be paid by the Fund under this Section. In no event shall the Fund pay more than such maximum amount for any Employee or Dependent in any 24 month period."
3. The second paragraph of the Summary Plan Description now contained at Page 3 of the booklet shall be amended by adding the term "Primary Care Physician" after the term "Physician" in the third sentence thereof.
4. Paragraph No. 14 under the heading "GENERAL EXCLUSIONS AND LIMITATIONS" now contained at Page 21 of the booklet shall be deleted in its entirety.
5. Paragraph 65 under the heading "GENERAL EXCLUSIONS AND LIMITATIONS" now contained at Page 25 of the booklet, shall be amended by deleting the stricken language as set forth below:
65. Conditions related to
6. The following language shall be inserted prior to the last paragraph under the heading "Medical Benefits" presently contained at Page 27 of the booklet:
"For eligible Participants whose contribution rates are $3.24/ hour or higher, a system of co-pays shall be in effect for in-network physician visits and in-office testing.
For all in-network office visits with Primary Care Physicians and all tests/diagnostic procedures performed in such physicians' offices, the Participant shall pay $20.00 per visit and the Plan shall pay 100% of the balance. The term "Primary Care Physician" means a general practitioner, internist, family practice physician or pediatrician. For all in-network physician visits to specialists and all tests/ diagnostic procedures performed in such specialists' offices, the Participant shall pay $35.00 per visit and the plan shall pay 100% of the balance.
No Deductible shall be applicable to such physicians' visits or in-office testing.
