Health & Welfare Plan Document
AMENDMENT 2008-1
AMENDMENT 2008-2
AMENDMENT 2009-1
AMENDMENT 2009-2
AMENDMENT 2009-3
AMENDMENT 2009-4
Schedule of Benefits
About the Plan
Summary Plan Description
FAQ
Board of Trustees
Contract Administrator
AMENDMENT 2009-2
AMENDMENT 2009-2TO ITPE HEALTH & WELFARE PLAN DOCUMENT
Effective January 1, 2009 the ITPE Health & Welfare Plan Document shall be amended as follows:
1. A new Section 1.25 as set forth below shall be substituted for the current Section 1.25 and the present Sections 1.25, 1.26 and 1.27 will be renumbered accordingly:
"1.25 Primary Care Physician. The term "Primary Care Physician" shall mean a General Practitioner, Internist, Family Practice Physician or Pediatrician."
2. Add a new Paragraph 19 to Section 9.03(b) which shall read as follows:
"19. Hearing Aid - 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. Section 9.02(g) shall be amended to read as follows:
Annual Renewal of Medical Benefits.
Except as provided at Section 9.03(b)(19), dealing with hearing aid benefits, medical benefits provided by the fund shall renew each calendar year.
4. Section 23.01 shall be amended as follows:
(a) Paragraph No. 14 shall be deleted in its entirety and the remaining paragraph numbers of Section 23.01 shall be renumbered accordingly.
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:
(b) Paragraph No. 65 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.
