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Health Fund
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Summary Plan Description -
Table of Contents

Introduction

Introduction

Handbook Summary

Handbook Summary

Section 1: Summary Of Benefits

Summary of Benefits

Section 2: Eligibility and Enrollment

How To Become Eligible For Benefits

Who's Eligible

When You Lose Eligibility

How To Convert Coverage (California Residents)

New York State Continuation Assistance (New York Residents)

Section 3: Medical Benefits

Medical Benefits

Paying For Your Care

How The PPO Plan Works

How The Industry Health Network Works (For Southern California Only)

How The Low Option Plan Works (For COBRA Participants and Extended Coverage Participants Only)

How The Special Features Of The PPO Plan And Low Option Plan Work

How Your Prescription Drug, Mental Health And Substance Abuse, And Vision Benefits Work Under The PPO Plan

Section 4: Dental Benefits

How The Delta Preferred Option (DPO) Works

How The DeltaCare USA Dental (HMO) Works

Section 5: What Else You Should Know About Your Health Care Plans

What Else You Should Know About Your Health Care Plans

Newborn's And Mother's Health Protection Act

Qualified Medical Child Support Orders

Grandfathered Status Under the Affordable Care Act

Section 6: Protection Benefits

How The Life Insurance Plan Works

How The Accidental Death And Dismemberment (AD&D) Plan Works

Section 7: Administrative Information

General Plan Information

Your Rights Under The Employee Retirement Income Security Act Of 1974

Claims And Appeals Rules

HIPAA Notice of Privacy Practices (NOPP)

Participants Who Are Unable To Be Located

Right Of Reimbursement And Subrogation

Overpayments

Plan Changes Or Terminations

About This Handbook

Section 8: Other Resources

Frequently Asked Questions

Section 9: Glossary

Glossary

Index

Index