Plan Booklet : Locals 302 and 612 of the International Union of Operating Engineers Trust Funds

Health & Security

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	10/01/2018	Amendment	Summary Material Modification - Dollar Bank Eligibility	Participation	All Eligible Participants
Amendment Date	05/29/2018	Amendment	Summary Material Modification - Dollar Bank Eligibility Applicable to Hourly Contribution Rate Participants ONLY	Participation	All Plan Participants and Dependents
Amendment Date	02/01/2018	Amendment	Summary Material Modification - New Preferred Facility	Participation	Active and Non-Medicare Retirees
Amendment Date	06/30/2017	Amendment	Summary of Material Modifications – Dollar Bank Deduction Changes – All Eligible Participants	Participation	All Eligible Participants
Amendment Date	02/28/20017	Amendment	Summary of Material Modification – Dollar Bank Eligibility Changes Applicable to Hourly Contribution Rate Participants ONLY	Participation	All Plan Participants and Dependents
Amendment Date	01/13/2017	Amendment	Summary of Material Modification	Participation	All Plan Participants and Dependents
Amendment Date	12/01/2016	Amendment	Summary of Material Modification	Participation	Actives and Non-Medicare Retirees
Amendment Date	08/08/2016	Amendment	Summary of Material Modification	Participation	All Active and Retired Plan Participants and Beneficiaries
Amendment Date	07/01/2016	Amendment	Summary of Material Modification	Participation	All Active Participants, Non-Medicare Retirees, Medicare Retirees and Dependents
Amendment Date	06/01/2016	Amendment	Changes to Dollar Bank Deduction – Effective July 1, 2016	Participation	All Eligible Plan Participants
Amendment Date	05/13/2016	Amendment	Change of Prescription Drug Benefit Manager – Effective July 1, 2016	Participation	All Plan Participants
Amendment Date	05/13/2016	Amendment	Change of Prescription Drug Benefit Manager – Effective July 1, 2016	Participation	Medicare Eligible Retirees
Amendment Date	08/13/2015	Amendment	Summary of Material Modifications	Participation	All Medicare Retiree Plan Participants
Amendment Date	07/02/2015	Amendment	Summary of Material Modifications	Participation	All Active and Plan A Non-Medicare Retirees
Amendment Date	07/02/2015	Amendment	Summary of Material Modifications	Participation	All Plan B Non-Medicare Retirees
Amendment Date	06/04/2015	Amendment	New Preferred Provider Organization and Benefit Changes	Participation	All Active and Non-Medicare Retirees
Amendment Date	06/24/2014	Amendment	Summary of Material Modifications	Participation	All Eligible Plan Participants
Amendment Date	04/30/2014	Amendment	BridgeHealth Surgical Benefit Management Services	Participation	All Eligible Active and Non-Medicare Retirees Residing in the State of Alaska
Amendment Date	10/11/2013	Amendment	Notice of Privacy Practices	Participation	All Eligible Plan Participants
Amendment Date	05/07/2013	Amendment	Summary of Material Modification	Participation	All Eligible Plan Participants
Amendment Date	06/19/2012	Amendment	Summary of Material Modifications – Important Information Regarding Your Health Plan	Participation	All Eligible Plan Participants
Amendment Date	10/06/2011	Amendment	Summary of Material Modifications	Participation	All Eligible Plan Participants
Amendment Date	03/01/2011	Amendment	Benefit Changes – PPACA	Participation	All Active Employees, Retirees and Eligible Dependents, Including COBRA Beneficiaries
Amendment Date	01/26/2011	Amendment	Benefit Changes – Immunizations at Retail Pharmacies	Participation	All Eligible Plan Participants
Amendment Date	07/29/2010	Amendment	Important Information Regarding Your Health Plan	Participation	All Eligible Plan Participants

Health & Welfare

Plan Booklet