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Health Fund

Who's Eligible

Active participants and Certified Retirees A participant who satisfies certain requirements is designated as a Certified Retiree., as well as their spouses (opposite and same-sex) or Same-Sex Domestic PartnersAn individual who has submitted to the Fund an Affidavit of Domestic Partnership on a form provided by the Fund, along with supporting documentation, and who meets the criteria set forth in such Affidavit. Generally, for a partner to qualify, both the participant and his/her same-sex partner must acknowledge being in a committed relationship which has been in existence for at least six months. For more information, contact the Administrative Office. and dependent children, may be eligible for coverage. Once you are eligible, you are automatically enrolled in the Medical PPO plan with the Dental PPO plan, unless you reside in California and have elected to enroll in the Medical PPO with the Dental HMO coverage plan. This election is then effective and may not be changed until your next Open Enrollment period, unless you and your dependents qualify for Special Enrollment RightsThe right you and/or your dependents have to enroll in the Fund outside the Open Enrollment period upon the occurrence of certain events. outside the Open Enrollment period.

As long as you're eligible for benefits, you will receive your own coverage at no charge. If you would like to cover your eligible dependentsAny dependent of a participant who meets the criteria for eligibility established by the Fund., you may enroll them, but you must pay a monthly dependent coverage premium, which is payable quarterly in advance. Dependent coverage premiums are not required for dependents of Certified Retirees age 65 and over who do not have active earned coverage. The Trustees (in consultation with the Fund's benefit consultants and relevant service providers) are responsible for approving the amount of the dependent coverage premium, which is periodically reviewed and subject to change. Participants will be notified of any change to the dependent coverage premium.

Active Participants
Certified Retirees