San Diego Electrical Industry Trusts

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San Diego Electrical Industry Trusts

  • Home
  • News
    • Currents Newsletter
    • News Archive
  • Health & Welfare
    • Consolidated Appropriations Act
    • Summary Plan Description
    • Plan Document
    • Forms / Notices
    • Frequently Asked Questions
    • Routine Physical Exam Coverage
    • Links
  • Pension
    • Summary Plan Description
    • Plan Document
    • Forms / Notices
  • Drug Free Workforce
    • Summary Plan Description
    • Forms
    • Clean-Cards
    • Testing Locations
    • Testing Requirements
  • Annuity Plan/401k
  • Contact

Health & Welfare > Forms / Notices > Official Plan Notices

Official Plan Notices

 

  • 2024 Participant Information & Coordination of Benefits Questionnaire  – Before any 2024 claims can be processed, you must complete this form and return it to the Trust Office.
  • December 2015 Notice of New PPO Plan Pharmacy Benefit Manager/New Medical Id Card
  • August 2015 Notice on Medical and Dental Services in Mexico and Out-of-Pocket Costs
  • July 2015 Notice on Change to the Rules of Eligibility for Non-Bargaining Employees with respect to Plan A or Plan B Group Health Coverages
  • April 2015 Notice on Dental Providers in Mexico/New Pinnacle ID Card
  • January 2011 Notice on Revised Enrollment and Record Cards/Under Age 26 Dependent Re-enrollment

 

Other Pages in Forms / Notices

  • Claim Forms
  • COBRA Forms
  • Summary Annual Reports
  • Summary of Material Modifications (SMMs)

Contact Us

San Diego Electrical Industry Trusts
4545 Viewridge Avenue, Suite 110
San Diego, CA 92123
(800) 632-2569

  • Health & Welfare
    • Summary Plan Description
    • Plan Document
    • Forms / Notices
    • Frequently Asked Questions
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  • Pension
    • Summary Plan Description
    • Plan Document
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  • Drug Free Workforce
    • Summary Plan Description
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    • Clean-Cards
    • Testing Locations
    • Testing Requirements
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    • 2025 Change / Rescission Form
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NOTICE OF PAYMENT INCREASE

Starting with September coverage (June worked hours), the Health & Welfare direct payment will go up from $6.20 per hour to $7.25 per hour.