Effective January 1, 2008, Section 1.1.5 of the Plan, beginning on page 26 of the November 1, 2006 Summary Plan Description, is hereby amended in connection with the semi-annual enrollment period for dependent coverage as follows:
1.1.5 Enrollment of Dependents
In order for Dependents to be covered under the Plan, the employee must elect family coverage and all Dependents must be properly enrolled in the Plan pursuant to the following guidelines:
New Dependents
An employee who has elected single coverage and subsequently acquires a Dependent (through marriage, birth, adoption or placement for adoption) must add that Dependent within 30 days after the marriage, birth, adoption or placement for adoption. If an Employee has elected family coverage, newly acquired Dependents will be automatically added to the Employee’s enrollment upon notice to the Fund office of the acquisition of such Dependents.
Special Enrollment
There will be no open enrollment for existing Dependents whose coverage has been declined or discontinued (except as specified in Section 1.1.10 (C) for Dependents of Retired Participants). If a Participant declines or discontinues coverage for a Dependent (including a spouse), that Dependent may not be enrolled at a later date unless a Special Enrollment Event occurs. Upon the occurrence of a Special Enrollment Event, coverage for Dependents may be added, provided that enrollment is requested within 30 days after the Special Enrollment Event and all enrollment forms are completed and returned to the Fund Office within 30 days of the end of the Special Enrollment period.
“Special Enrollment Events” under this provision are: marriage, birth, adoption, placement for adoption or the loss of other health coverage due to marital separation, divorce, death, termination of employment, reduction in work hours, termination of employer contributions toward coverage, or exhaustion of COBRA or state continuation coverage. Special Enrollment is not available if the previous coverage loss resulted from fraudulent activity or from nonpayment of premiums.
Open Enrollment
If an Employee does not enroll an eligible Dependent within thirty (30) days of that person becoming an eligible Dependent or a special enrollment event then the Employee may elect to enroll the eligible Dependent during the Fund’s next semi-annual enrollment period. Enrollment periods are in December and June of each year with coverage effective January 1 or July 1, respectively.
In all other respects the eligibility rules remains the same.
