Download April 2017 Vision Plan Improvement

LAKE COUNTY INDIANA N.E.C.A. – I.B.E.W.
HEALTH & BENEFITS PLAN
7200 MISSISSIPPI ST., SUITE 300 • MERRILLVILLE, INDIANA 46410 • 219-845-4433
2017 VISION PLAN IMPROVEMENT
April 2017
To All Participants in the Lake County, Indiana NECA-IBEW Health and Benefit Plan:
Effective April 1, 2017 work frame allowance is increasing from $120 to $140.
 The in-network contact lens allowance is increasing from $105 to $120.
The other in-network and out-of-network allowances will remain as shown on page 11 of your
Summary Plan Description booklet.
Reminder About Safety Glasses - Your VSP vision benefit includes safety glasses for employees.
There is no cost to you if you obtain your safety glasses through a VSP doctor when you are also
obtaining your regular eyewear. This annual benefit includes single vision, lined bifocal and
lined trifocal lenses made of standard plastic or glass that meets current ANSI and OHSA standards, and a $65 frame allowance. If you chose lens upgrades or a frame in excess of the allowance, you can pay the difference out of pocket.
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Notice Regarding Grandfathered Status
The Trustees of the Lake County, Indiana NECA-IBEW Health and Benefit Plan have determined that the
Plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the “Affordable Care Act”). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain
basic health coverage that was already in effect when that law was enacted. Being a grandfathered health
plan means that your Plan may not include certain consumer protections of the Affordable Care Act that
apply to other plans, for example, the requirement to cover preventive health services without any cost
sharing. However, grandfathered health plans must comply with certain other consumer protections in the
Affordable Care Act, for example, the elimination of lifetime limits on benefits.
Questions regarding which protections apply and which protections do not apply to a grandfathered health
plan and what might cause a plan to change from grandfathered health plan status can be directed to the
Fund Office at 7200 Mississippi Street, Suite 300, Merrillville, IN 46410, telephone 219-845-4433. You
may also contact the Employee Benefits Security Administration, U.S. Department of Labor, at 1-866-4443272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and
do not apply to grandfathered health plans.
 Summary of Material Modifications  EIN: 35-0911491  PN: 501  IBEW697 smm 2017-4