Active Health Summary Plan Description
As of September 1, 2017
En Español (PDF)

5.3 Rolling 12-Month Open Enrollment Procedure

Once you are enrolled in a medical or dental plan you must remain enrolled in that plan for 12 consecutive months. After those 12 months, you may change your enrollment to an alternative plan that is then being offered by the Trust Fund. Example: Bob enrolls in the Anthem Blue Cross PPO Plan in February of 2017. Bob may first switch to an available HMO Plan for February 2018 coverage and may switch to any available medical plan option for any month after February 2019. To switch coverage Bob must request a change of coverage form from the Administrative Office, complete the form and return it to the Administrative Office by the 15th day of the month preceding the month he wants the change in coverage to begin. If Bob files a change form with the Administrative Office by March 15, 2018, his HMO coverage shall be effective April 1, 2018.

The Trustees have adopted two (2) exceptions to the requirement that you remain within a particular plan for a minimum of 12 months prior to switching to another plan.

First, if your physician, medical group or hospital discontinues participation in the HMO or PPO program in which you are enrolled, you may change your enrollment by submitting a change form to the Administrative Offices. This same exception is applicable to the Dental Plan. The Administrative Office will send you a change form upon request.

Second, if you are enrolled in an HMO Plan and move outside of the HMO's service area, you may change your enrollment by submitting a change form to the Administrative Office. The Administrative Office will send you a change form upon request.

Please refer to Article 5.1.2: Alternate Kaiser Plan–Sound Unit 45% and 50% Apprentices Only for information on special eligibility rules for Sound Unit 45% and 50% Apprentices.