| Title | Category | View File |
|
Data Card
|
Data Card
|
Download
|
|
Summary Plan Description for Base, Alternative, and Retiree Plans
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Summary Plan Description for Base, Alternative, and Retiree Plans - Cover Letter
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 1
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 2
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 3
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 4
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 4 - Exhibit A
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 5
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 6
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Welfare SPD/PD Amendment 7
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
2020 NECA-IBEW SPD/Plan Document Benefit Summaries - revised March 2023
|
Welfare Trust Fund SPD & Plan Document
|
Download
|
|
Summary Plan Description for Base, Alternative, and Retiree Plans
|
Retiree SPD
|
Download
|
|
Summary Plan Description for Base, Alternative, and Retiree Plans - Cover Letter
|
Retiree SPD
|
Download
|
|
2023 GHP Model Disclosure Notice Regarding Patient Protections Against Surprise Billing
|
No Surprises Act
|
Download
|
|
Request for Continuity of Care Benefits and Release of Information
|
No Surprises Act
|
Download
|
|
Pension Trust Fund Plan Document 2018
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Trust Fund SPD 2018
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 1
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 2
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 3
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 4
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 5
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 6
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 7
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 8
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
Pension Plan Document Amendment 9
|
Pension Trust Fund SPD & Plan Document
|
Download
|
|
July 2023 Newsletter
|
Current Newsletter
|
Download
|
|
December 2021 Newsletter
|
Archived Newsletters
|
Download
|
|
January 2023 Newsletter
|
Archived Newsletters
|
Download
|
|
July 2021 Newsletter
|
Archived Newsletters
|
Download
|
|
June 2022 Newsletter
|
Archived Newsletters
|
Download
|
|
December 2020 Newsletter
|
Archived Newsletters
|
Download
|
|
December 2019
|
Archived Newsletters
|
Download
|
|
January 2019
|
Archived Newsletters
|
Download
|
|
June 2019
|
Archived Newsletters
|
Download
|
|
June 2018
|
Archived Newsletters
|
Download
|
|
December 2017
|
Archived Newsletters
|
Download
|
|
June 2017
|
Archived Newsletters
|
Download
|
|
December 2016
|
Archived Newsletters
|
Download
|
|
June 2016
|
Archived Newsletters
|
Download
|
|
December 2015
|
Archived Newsletters
|
Download
|
|
June 2015
|
Archived Newsletters
|
Download
|
|
December 2014
|
Archived Newsletters
|
Download
|
|
June 2014
|
Archived Newsletters
|
Download
|
|
November 2013
|
Archived Newsletters
|
Download
|
|
June 2013
|
Archived Newsletters
|
Download
|
|
December 2012
|
Archived Newsletters
|
Download
|
|
June 2012
|
Archived Newsletters
|
Download
|
|
December 2011
|
Archived Newsletters
|
Download
|
|
June 2011
|
Archived Newsletters
|
Download
|
|
December 2010
|
Archived Newsletters
|
Download
|
|
June 2010
|
Archived Newsletters
|
Download
|
|
December 2009
|
Archived Newsletters
|
Download
|
|
June 2009
|
Archived Newsletters
|
Download
|
|
December 2008
|
Archived Newsletters
|
Download
|
|
Other Liability Insurance Form
|
Welfare Trust Fund Forms
|
Download
|
|
Customer Service Consent (HIPAA Form)
|
Welfare Trust Fund Forms
|
Download
|
|
Spousal and Dependent Insurance Form
|
Welfare Trust Fund Forms
|
Download
|
|
Special Dependent Enrollment Form
|
Welfare Trust Fund Forms
|
Download
|
|
Specific Information Release
|
Welfare Trust Fund Forms
|
Download
|
|
Beneficiary Designation Form - Welfare Trust Fund
|
Welfare Trust Fund Forms
|
Download
|
|
Direct Transfer Form
|
Welfare Trust Fund Forms
|
Download
|
|
Hours Transfer Form
|
Welfare Trust Fund Forms
|
Download
|
|
Contribution Rate effective June 1, 2017
|
Welfare Trust Fund Documents
|
Download
|
|
Privacy Policy
|
Welfare Trust Fund Documents
|
Download
|
|
Cobra Notice - Base Plan
|
COBRA
|
Download
|
|
Cobra Notice - Alt Plan
|
COBRA
|
Download
|
|
Cobra Notice - Single Alt Plan
|
COBRA
|
Download
|
|
Notification of Qualifying Event
|
COBRA
|
Download
|
|
Member Accident Form
|
Accident Forms
|
Download
|
|
Subrogation Agreement and Loan Agreement
|
Accident Forms
|
Download
|
|
Spouse Accident Form
|
Accident Forms
|
Download
|
|
Dependent Accident Form
|
Accident Forms
|
Download
|
|
Physician's Statement for Loss of Time from Work
|
Accident Forms
|
Download
|
|
HRA Benny Card Participant Guide
|
HRA Documents
|
Download
|
|
How to Use Your Benny Card
|
HRA Documents
|
Download
|
|
How to Use the HRA Mobile App
|
HRA Documents
|
Download
|
|
Benny Card Terms & Conditions
|
HRA Documents
|
Download
|
|
How to Login to the HRA Participant Portal
|
HRA Documents
|
Download
|
|
HRA Eligible Expenses
|
HRA Documents
|
Download
|
|
HRA Participant Portal User Guide
|
HRA Documents
|
Download
|
|
HRA Reimbursement Terms & Conditions
|
HRA Documents
|
Download
|
|
Use the Mobile App to Change Your Password
|
HRA Documents
|
Download
|
|
View HRA Account Activity
|
HRA Documents
|
Download
|
|
2020 Publication 502
|
HRA Forms
|
Download
|
|
Direct Transfer Form
|
HRA Forms
|
Download
|
|
Health Reimbursement Arrangement (HRA) Account Claim for Reimbursement
|
HRA Forms
|
Download
|
|
HRA Direct Deposit Form
|
HRA Forms
|
Download
|
|
Application for Retiree Plan
|
Retirees Forms
|
Download
|
|
Authorization for Automatic Deposits
|
Retirees Forms
|
Download
|
|
Request Automatic HRA Reimbursement of Retiree Premium
|
Retirees Forms
|
Download
|
|
Retiree Opt-In/Opt-Out Form
|
Retirees Forms
|
Download
|
|
Retiree Dental and Vision Letter
|
Retirees Forms
|
Download
|
|
Direct Transfer Form
|
Retirees Forms
|
Download
|
|
Pension Trust Agreement Sept 2022
|
Pension Trust Fund Documents
|
Download
|
|
Complete Pension Benefit Application – Single
|
Pension Trust Fund Forms
|
Download
|
|
Complete Pension Benefit Application – Married
|
Pension Trust Fund Forms
|
Download
|
|
Application: Benefit Application and Certification
|
Pension Trust Fund Forms
|
Download
|
|
Application: Pension Application Only
|
Pension Trust Fund Forms
|
Download
|
|
Advanced Determination
|
Pension Trust Fund Forms
|
Download
|
|
Bargaining and Non-Bargaining Verification
|
Pension Trust Fund Forms
|
Download
|
|
Direct Deposit Form
|
Pension Trust Fund Forms
|
Download
|
|
Joint & Survivor Explanation Verification Form
|
Pension Trust Fund Forms
|
Download
|
|
Maximum Benefit Test (Section 415 Limits) Form
|
Pension Trust Fund Forms
|
Download
|
|
Notice of Return to Work
|
Pension Trust Fund Forms
|
Download
|
|
Notice of Right to Defer and Consequences of Failure to Defer
|
Pension Trust Fund Forms
|
Download
|
|
Pension Trust Fund Appeal Form
|
Pension Trust Fund Forms
|
Download
|
|
Resumption of Benefits 2023
|
Pension Trust Fund Forms
|
Download
|
|
Sample QDRO
|
Pension Trust Fund Forms
|
Download
|
|
Waiver of Joint and Survivor Benefit
|
Pension Trust Fund Forms
|
Download
|
|
Retirement Declaration Document
|
Pension Trust Fund Forms
|
Download
|
|
Temporary Return to Work (600 Hour Rule) 2023
|
Pension Trust Fund Forms
|
Download
|
|
Pension Annual Funding Notice September 2022
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2021
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice 2020
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2019
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2018
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2016
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2015
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2014
|
Pension Annual Funding Notices
|
Download
|
|
Pension Annual Funding Notice Sept 2013
|
Pension Annual Funding Notices
|
Download
|
|
Pension Summary Material Modifications June 2023
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants June 2022
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants November 2021
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants September 2021
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants December 2020
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants February 2020
|
Pension Summary Material Modifications
|
Download
|
|
Pension Important Notice to Participants June 2018
|
Pension Summary Material Modifications
|
Download
|
|
How To Read Your EOB
|
Explanation of Benefits
|
Download
|
|
How to View Your eEOB
|
Other
|
Download
|
|
BCBS Blue Access for Members
|
Other
|
Download
|
|
Description of Participation Options
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Health Plan Only
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Health Plan and HRA
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Working Owner Alumni Agreement
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Non Construction BU Agreement
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Waiver of Non-Bargaining Participation
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Business Information Sheet
|
Welfare Trust Fund - Employer Information
|
Download
|
|
Informational Letter to Employers - Pension
|
Pension Trust Fund - Employer Information
|
Download
|
|
NBU Agreement - Pension 2023
|
Pension Trust Fund - Employer Information
|
Download
|
|
NBU Agreement Percentage of Salary - Pension 2023
|
Pension Trust Fund - Employer Information
|
Download
|
|
Waiver of Non-Bargaining Participation - Pension
|
Pension Trust Fund - Employer Information
|
Download
|
|
Working Owner Alumni Agreement - Pension 2023
|
Pension Trust Fund - Employer Information
|
Download
|
|
Description of Participation Options - Pension
|
Pension Trust Fund - Employer Information
|
Download
|
|
Business Information Sheet
|
Pension Trust Fund - Employer Information
|
Download
|
|
Nondiscrimination Notice Section 1557 ACA
|
Welfare Trust Fund Documents
|
Download
|
|
Welfare Summary Annual Report 2018
|
Welfare Summary Annual Reports
|
Download
|
|
Welfare Summary Annual Report 2019
|
Welfare Summary Annual Reports
|
Download
|
|
Welfare Summary Annual Report 2020
|
Welfare Summary Annual Reports
|
Download
|
|
Welfare Summary Annual Report 2021
|
Welfare Summary Annual Reports
|
Download
|
|
Welfare Summary Annual Report 2023
|
Welfare Summary Annual Reports
|
Download
|
|
No Surprises Act Summary of Material Modifications
|
Welfare Summary Material Modifications
|
Download
|
|
PaydHealth Summary of Material Modifications
|
Welfare Summary Material Modifications
|
Download
|
|
2020 Wellness Power
|
Welfare Summary Material Modifications
|
Download
|
|
EyeMed Vision Care Benefit
|
Welfare Summary Material Modifications
|
Download
|
|
MDLIVE Summary of Material Modifications
|
Welfare Summary Material Modifications
|
Download
|
|
Welfare Trust Fund Appeal Form/Authorized Representative Form
|
Appeal
|
Download
|
|
Large Employer Letter
|
Employers
|
Download
|
|
Welfare Fund Admin Rules for Participation Agreements
|
Employers
|
Download
|
|
Notice to Contributing Employers and Participating Employee Organizations 2023
|
Employers
|
Download
|
|
Welfare Collection and Payroll Audit Policy
|
Employers
|
Download
|
|
Welfare Notice to Employers dated 06/24/19
|
Employers
|
Download
|
|
Pension Trust Agreement Sept 2022
|
Employers
|
Download
|
|
Pension Admin Rules 2023
|
Employers
|
Download
|
|
Pension Collection and Payroll Audit Policy
|
Employers
|
Download
|
|
Pension Notice to Employers dated 06/24/19
|
Employers
|
Download
|
|
BCBS Class Action Settlement 2021
|
Other
|
Download
|
|
Go Green Agreement
|
Go Green
|
Download
|
|
Know Before You Go Member Flyer
|
Eye Med
|
Download
|
|
Mobile App Member Flyer
|
Eye Med
|
Download
|
|
Member Web Flyer
|
Eye Med
|
Download
|
|
Provider Locator Member Flyer
|
Eye Med
|
Download
|
|
EyeMed Reimbursement Form for Out-of-Network Claims
|
Eye Med
|
Download
|
|
Labor First Announcement
|
Labor First
|
Download
|
|
Labor First FAQs
|
Labor First
|
Download
|
|
PaydHealth Select Drugs and Product List 2023 Fourth Quarter
|
PaydHealth
|
Download
|
|
PaydHealth Select Drugs and Product List 2023
|
PaydHealth
|
Download
|
|
IBEW NECA Conduit 401(k) Plan Trust Agreement
|
401(k) Plan
|
Download
|
|
IBEW NECA Conduit 401(k) Plan Document
|
401(k) Plan
|
Download
|
|
IBEW NECA Conduit 401(k) Summary Plan Description
|
401(k) Plan
|
Download
|
|
Rollover Into Plan Form
|
401(k) Plan
|
Download
|
|
Distribution Form
|
401(k) Plan
|
Download
|
|
Age 59.5 Distribution Form
|
401(k) Plan
|
Download
|
|
Enrollment Form
|
401(k) Plan
|
Download
|
|
Hardship Form
|
401(k) Plan
|
Download
|
|
Wellness Power Welcome Letter 2023
|
Wellness Power
|
Download
|
|
Wellness Power Biometric Form 2023
|
Wellness Power
|
Download
|
|
2023 Summary of Benefits and Coverage: Alt Plan (Individual + Children)
|
Summary of Benefits and Coverages
|
Download
|
|
2023 Summary of Benefits and Coverage: Retiree Under 65 Base Plan
|
Summary of Benefits and Coverages
|
Download
|
|
2023 Summary of Benefits and Coverage: Active Base Plan
|
Summary of Benefits and Coverages
|
Download
|
|
2023 Summary of Benefits and Coverage: Alt Plan
|
Summary of Benefits and Coverages
|
Download
|
|
TELUS Health FAQs
|
Employee Assistance Program
|
Download
|
|
TELUS Health Overview
|
Employee Assistance Program
|
Download
|
|
TELUS Health Service Overview
|
Employee Assistance Program
|
Download
|
|
TELUS Health How To Use The EAP
|
Employee Assistance Program
|
Download
|
|
Dental Procedures Codes and Plan Benefits 2023
|
Dental Benefits
|
Download
|
|
NECA-IBEW Welfare Fund.NBU Agreement.Base Plan and HRA
|
Employers
|
Download
|
|
NECA-IBEW Welfare Fund.NBU Agreement.Base Plan Only
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust Fund.NBU Agreement.Alt Plan and HRA
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust Fund.NBU Agreement.Alt Plan Only
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust Fund.Non Construction BU Agreement.Alt Plan
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust Fund.Non Construction BU Agreement.Base Plan
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust.Working Owner Alumni Agreement.Alt Plan
|
Employers
|
Download
|
|
NECA-IBEW Welfare Trust.Working Owner Alumni Agreement.Base Plan
|
Employers
|
Download
|
|
EPIC Hearing Benefit
|
Welfare Trust Fund Documents
|
Download
|
|
About Over-the-Counter Hearing Aids
|
Welfare Trust Fund Documents
|
Download
|
|
Pension Annual Funding Notice 2023
|
Pension Annual Funding Notices
|
Download
|
|
EPIC Hearing Benefit Flyer 2023
|
Welfare Trust Fund Documents
|
Download
|
|
Tax Withholding Election Form
|
401(k) Plan
|
Download
|
|
Hardship Withdrawal Guidelines
|
401(k) Plan
|
Download
|
|
Special Tax Notice Regarding Plan Payments
|
401(k) Plan
|
Download
|
|
Minimum Distribution Form
|
401(k) Plan
|
Download
|
|
Summary of Benefits and Coverage - Medicare Advantage Alt Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
Summary of Benefits and Coverage - Medicare Advantage Retiree Base Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
Summary of Benefits and Coverage - Retiree Under 65 Base Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
Summary of Benefits and Coverage - Single Alt Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
Summary of Benefits and Coverage - Active Base Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
Summary of Benefits and Coverage - Alt Plan 2024
|
Summary of Benefits and Coverages
|
Download
|
|
2023 W4-P
|
Pension Trust Fund Forms
|
Download
|
|
Retiree Presentation
|
Retirees Information
|
Download
|
|
Pension Trust Fund PowerPoint Presentation
|
Pension Trust Fund Documents
|
Download
|