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IMPORTANT NUMBERS LETTER TO PARTICIPANTS SCHEDULE OF BENEFITS
For Participants Who Have Selected The Pipe Trades PPO Plus Self-Funded Indemnity Medical Plan Counseling Benefits For All Participants Schedule of Outpatient Prescription Drug Benefits Schedule of Employee Assistance Program Benefits Schedule of Dental Benefits Schedule of Vision Benefits
ELIGIBILITY RULES
Employees Dependents Special Enrollment Rights Loss of Eligibility for Making False Statements Extended Coverage Disclosure of Protected Health Information Security Standards for Electronic Protected Health Information
MEDICAL BENEFITS
Your Choice of Medical Benefit Programs Kaiser Plan General Description The Pipe Trades PPO Plus Self-Funded Medical Plan Medical Benefits Hearing Aid Benefit Mental and Nervous Disorders Exclusions
PRESCRIPTION DRUGS
Pharmacy Consultation Program
TREATMENT FOR ALCOHOL OR DRUG PROBLEMS PIPE TRADES PPO PLUS SELF-FUNDED DENTAL PLAN VISION BENEFIT LASIK EYE SURGERY LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE CLAIMS AND APPEALS PROCEDURES
How to File Claims Claims Denials Claims Appeal Procedure
GENERAL PROVISIONS
Coordination of Benefits Right to Receive and Release Information Right of Recovery
SUMMARY PLAN INFORMATION STATEMENT OF ERISA RIGHTS DEFINITIONS
