3.7 Termination and Cancellation of Coverage
3.7.1 Voluntarily Terminating
Your Coverage
You can terminate your Retiree Health Plan coverage by sending a
written request to the Administrative Office.
You can terminate your Spouse's Retiree Health Plan coverage by
sending a written request to the Administrative Office. You and your
Spouse must sign the written notice, and your signatures must be
notarized.
When the Administrative Office receives your termination request,
coverage will be terminated effective on the last day of the following
month.
For example, if the Administrative Office receives your
request on May 15, coverage will end on June 30.
Once Retiree Health Plan coverage has been terminated for you and/or
your Spouse, the individual whose coverage was terminated will not be
permitted to re-enroll in Retiree Health Plan coverage.
If you terminate your Retiree Health Plan coverage, your Spouse's
coverage will also be terminated.
3.7.2 Non-Covered Electrical
Employment
Non-Covered Electrical Employment is defined by the Southern
California IBEW-NECA Pension Plan Document at Article 1, Section 34 as
"any kind of work which is performed:
"Non-Covered Electrical Employment" means electrical work
performed in the jurisdiction of any Union members who are Participants
in the Plan, or in any other jurisdiction of the International
Brotherhood of Electrical Workers ("IBEW") that maintains a Related Plan
that is not covered by a collective bargaining agreement requiring
contributions to the Plan. Such work includes the following:
- any type of work that is performed in the jurisdiction of any
union whose members are Participants in this Plan or in the jurisdiction
of any other local of the IBEW that maintains a Related Plan,
- any type of work that is performed on or after the date the
Participant becomes an Active Participant in this Plan,
- any type of work that is performed as an employee, supervisor,
sole proprietor, officer, director, partner or corporate owner,
- any type of work that is performed for an entity or as a sole
proprietor, partner or owner performing services in the same trade,
craft or industry covered by the Plan,
- any type of work that is performed that is not subject to a
collective bargaining agreement requiring contributions to the Plan or a
like or Related Plan between the Union and an Employer sponsored by
either a local Chapter of the National Electrical Contractors
Association ("NECA") or an affiliated local union of the IBEW,
and/or
- any work or employment for an electrical instruction program,
electrical training program, or retail-based instruction other than an
IBEW-NECA sponsored training program.
In the event a Participant engages in the work described in
subsections (a) through (e) or the work or the employment described in
subsection (f), all benefits accrued by the Participant shall be
suspended until the Participant attains Normal Retirement Age.
Employment that is not subject to a collective bargaining agreement
for an Employer who is signatory to a collective bargaining agreement
with the Union or an affiliated local union of the IBEW shall not
constitute Non-Covered Electrical Employment.
- Effective June 1, 2004, all provisions of the Plan requiring
suspension of Early Retirement Pension benefits until Normal Retirement
Age (Section 10.1) and/or ineligibility for Early Retirement Pension
benefits due to Non-Covered Electrical Employment (Article 3, Section
3.2) shall apply solely to benefits accrued on and after October 1,
1987. The provisions of Section 10.1, providing for month-to-month
suspension of benefits for Suspendible Employment, including but not
limited to Non-Covered Electrical Employment, shall continue to apply to
all benefit accruals and to the remedial payments under this subsection
(g). A separate and distinct remedial amendment shall be adopted
related to Suspendible Employment.
For purposes of interest to be added to some remedial payments under
this subsection (g), the rates of interest have been per annum and at
the rate in effect at the time of the remedial payment for pensions with
a Retroactive Annuity Starting Date.
For purposes of the Retiree Health Plan, if you engage in Non-Covered
Electrical Employment after you first qualify for coverage under the
Active Health Plan, or while you are covered under Retiree Health Plan
coverage, your rights to Retiree Health Plan coverage (if any, ongoing
or future) are lost; and
If you later earn at least five (5) years of Credited Service under
the Southern California IBEW-NECA Pension Plan after the date you first
engaged in Non-Covered Electrical Employment, you could regain
eligibility for Retiree Health Plan coverage. However, if you again
engage in Non-Covered Electrical Employment after you have regained
eligibility rights for Retiree Health Plan coverage, you will
permanently lose your eligibility rights and will not be able to regain
the ability to elect Retiree Health Plan coverage.
If your Retiree Health Plan coverage is terminated due to Non-Covered
Electrical Employment, you and your Eligible Spouse will be offered
non-subsidized COBRA coverage and conversion rights to the extent
required by applicable law.
3.7.3 Double Coverage
Cancellations
Medicare rules do not allow a Medicare-eligible Retiree to be
enrolled in two Medicare at-risk health plans. This restriction also
applies when you are covered under two health plans with the same
benefit option. For example:
You have coverage as a Participant in the Retiree Health
Plan and select the Kaiser Permanente HMO; AND
You have coverage as Dependent under your Spouse's health
coverage and select the Kaiser Permanente HMO.
If you have coverage under two Medicare-at-risk health plans, you
will be advised that you must cancel your coverage under one of your
health plans.
If you cancel coverage under this Retiree Health Plan because you
received a double-coverage notice, you can later re-enroll in this
Retiree Health Plan coverage when coverage from the other group health
plan ends.
You must re-enroll in this Retiree Health Plan coverage within 30
days of the date your other group health plan coverage ends. At the
time of re-enrollment, you must submit written proof of the other group
coverage, its duration, and the date the coverage ended.
If you do not complete Retiree Health Plan re-enrollment within 30
days of the end of your other group coverage, you will permanently lose
the ability to re-enroll in Retiree Health Plan coverage.
3.7.4 Other Terminations
The Board of Trustees may change, modify, reduce or terminate the
Retiree Health Plan at any time.
Coverage for your spouse will be terminated if your spouse ceases
to meet the definition of an eligible dependent under the Retiree Health
Plan.
A retiree who has his monthly pension benefit withheld or
suspended, in whole or in part, by the Southern California IBEW-NECA
Pension Plan, (for example due to the Annual Verification Process) will
have his retiree health coverage cancelled commencing with the first day
of the month following the month in which the Pension Plan issues the
written suspension notice to the retiree. Unless otherwise provided in
the Plan, your eligibility for retiree health coverage resumes in the
month the Pension Fund next issues you a pension check(s).