Your
MEDICAL
Plan

Review the following groups to determine which classification best describes you or your family.

Active Employees

Employees working under the Collective Bargaining Agreement between IBEW Local Union No. 26 and your employer. Also includes H Plan employees working under the CROP agreement.

Retirees

Employees who have retired from the trade and have met the 10 consecutive year rule to have medical and prescription card coverage with EWTF.

Office Workers of Participating Employers

Employees in a job category that is not subject to a collective bargaining agreement working for an employer who has a collective bargaining unit agreement with Local No. 26 IBEW plus a special written participation agreement with the Board of Trustees for Active Non-Bargaining Unit Employees.

Dependents Including Spouses

• Spouse – legally married and resides with you
• Dependent – children under age 26 provided that they are not eligible for group health plan coverage through their own employment, or through the employment of their spouse

Surviving Spouses and Dependents

A covered spouse and your dependent children eligible at the time of your death.

Official Plan Name

Electrical Welfare Trust Fund (EWTF)

Summary of Benefits and Coverage

This summary is provided in accordance with the Affordable Care Act (ACA) and is intended to give you an overview of the EWTF rules and provisions.

Also available is a Glossary of Health Coverage and Medical Terms prepared by the U.S. Department of Labor.

Please note that neither of the enclosed documents contains all of the benefits or terms used by the EWTF. Some definitions and terms may have slightly different meanings in this Plan and you should use this information only as a guideline.