Plan 1

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).

Changes to your plan since the last printed Summary Plan Description:

Amendment Date Amendment Participation
Amendment Date10/14/2019Amendment Life and AD&D Benefits Eff. 9/1/2019ParticipationAll Participants
Amendment Date7/1/2019Amendment Benefit Changes Eff. 9/1/2019ParticipationAll Participants
Amendment Date6/11/2019Amendment Delayed Enrollment for Retiree CoverageParticipationAll Participants
Amendment Date5/30/2019Amendment Adult Dependent Opt-OutParticipationAll Active Participants
Amendment Date1/23/2019Amendment New SPD and Benefit ChangesParticipationAll Participants
Amendment Date12/27/2018Amendment Benefit Changes Eff. 1/1/2019ParticipationAll Participants

Plan 2

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).


Changes to your plan since the last printed Summary Plan Description:

Amendment Date Amendment Participation
Amendment Date10/14/2019Amendment Life and AD&D Benefits Eff. 9/1/2019ParticipationAll Participants
Amendment Date7/1/2019Amendment Benefit Changes - Eff. 9/1/2019ParticipationAll Participants
Amendment Date6/11/2019Amendment Delayed Enrollment for Retiree CoverageParticipationAll Participants
Amendment Date12/27/2018Amendment Benefit Changes Eff. 1/1/2019ParticipationAll Participants
Amendment Date9/25/2017Amendment Changes to Dollar Bank MaximumParticipationAll Participants
Amendment Date6/30/2017Amendment Benefit Changes Eff. 1/1/17ParticipationAll Participants
Amendment Date12/01/2016Amendment Benefit ChangesParticipationAll Participants
Amendment Date07/01/2016Amendment Benefit Changes Effective 8/1/16ParticipationAll Eligible Plan Participants
Amendment Date07/01/2015Amendment Benefit Changes Effective 8/1/15ParticipationAll Participants
Amendment Date03/19/2015Amendment Cigna – New Dental Preferred Provider Organization, Effective 4/1/2015ParticipationAll Participants Eligible for Dental
Amendment Date10/31/2014Amendment Benefit Changes Effective 1/1/2015ParticipationAll active participants, retirees, beneficiaries and COBRA participants
Amendment Date10/15/2014Amendment New PPO Organization Effective 11/1/2014ParticipationAll Active and Retired Participants and their Dependents
Amendment Date08/29/2014Amendment Benefit Change Effective 11/1/2014ParticipationLevels 1-3 Stockmen, Residential Apprentices, and Light Fixture Maintenance Employees
Amendment Date08/05/2014Amendment Dollar Bank Changes Effective 9/1/2014 and New PPO Network Effective 1/1/2014ParticipationAll Plan 2 Participants and Beneficiaries
Amendment Date07/01/2014Amendment Benefit Changes Effective 8/1/14ParticipationAll Participants
Amendment Date01/31/2014Amendment New PPO Network Effective 4/1/14Participation All Participants
Amendment Date11/01/2013Amendment Plan Changes Effective 1/1/14Participation All Participants
Amendment Date10/21/2013Amendment Changes to Dollar Bank MaximumParticipation All Participants
Amendment Date10/01/2013Amendment Extension of Dependent Eligibility to Same-Sex Spouses, Termination of Domestic Partner Eligibility, and Change to Dental BenefitsParticipation All Participants
Amendment Date03/20/2013Amendment Dollar Bank ChangesParticipation All Active Plan 2 Participants and Beneficiaries
Amendment Date08/23/2012Amendment Summary of Material ModificationParticipationAll Employees, Retirees and Eligible Dependents, Including COBRA Beneficiaries
Amendment Date07/01/2011Amendment Summary of Material Modification – PPACAParticipationAll Active Plan 2 Participants and Beneficiaries
Amendment Date02/14/2011Amendment Summary of Material Modifications – Dental Benefit ChangesParticipationAll Active Plan 2 Participants and Beneficiaries
Amendment Date04/20/2010Amendment Dollar Bank Accrual ChangeParticipationAll Plan 2 Participants
Amendment Date02/10/2010Amendment Summary of Material ModificationParticipationAll Participants
Amendment Date09/17/2009Amendment Important Information Regarding Your Health PlanParticipationAll Active and Retired Participants
Amendment Date02/20/2009Amendment Dollar Bank Maximum Accrual ChangesParticipationAll Plan 2 Participants
Amendment Date12/11/2008Amendment Preferred Provider Network Update – Effective 1/1/2009ParticipationAll Eligible Participants
Amendment Date05/15/2008Amendment Vision Benefit Modification – Effective 4/1/2008ParticipationAll Active and Retired Participants
Amendment Date01/25/2008Amendment Weight Loss and Bariatric Surgery ProgramParticipationAll Participants
Amendment Date01/14/2008Amendment Dollar Bank Maximum Accrual ChangesParticipationAll Plan 2 Participants
Amendment Date07/13/2007Amendment New Nationwide Preferred Provider Network - Effective August 1, 2007 ParticipationAll Eligible Participants
Amendment Date02/23/2007Amendment Dollar Bank Maximum Accrual Effective 3/1/2007ParticipationAll Plan 2 Participants
Amendment Date09/18/2006Amendment Benefit ChangesParticipationAll Eligible Plan Participants
Amendment Date06/30/2006Amendment Summary of Material ModificationsParticipationAll Participants
Amendment Date03/26/2006Amendment Neurodevelopmental Therapy – Benefit Change Effective 1/1/2006ParticipationAll Participants and Dependents

Special Plan for Retirees Age 62 to 65

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).


Changes to your plan since the last printed Summary Plan Description:

Amendment Date Amendment Participation
Amendment Date7/1/2019Amendment Benefit Changes Eff. 9/1/2019ParticipationAll Participants
Amendment Date6/11/2019Amendment Delayed Enrollment for Retiree CoverageParticipationAll Participants
Amendment Date6/30/2017Amendment Benefit Changes Eff. 1/1/17ParticipationAll Participants
Amendment Date12/01/2016Amendment Benefit ChangesParticipationAll Participants
Amendment Date07/01/2016Amendment Benefit Changes Effective 8/1/16ParticipationAll Eligible Plan Participants
Amendment Date07/01/2015Amendment Benefit Changes Effective 8/1/15ParticipationAll Participants
Amendment Date03/19/2015Amendment Cigna – New Dental Preferred Provider Organization, Effective 4/1/2015ParticipationAll Participants Eligible for Dental
Amendment Date10/31/2014Amendment Benefit Changes Effective 1/1/2015ParticipationAll active participants, retirees, beneficiaries and COBRA participants
Amendment Date10/15/2014Amendment New PPO Organization Effective 11/1/2014ParticipationAll Active and Retired Participants and their Dependents
Amendment Date08/05/2014Amendment Dollar Bank Changes Effective 9/1/2014 and New PPO Network Effective 1/1/2014ParticipationAll Plan 1 Participants and Beneficiaries
Amendment Date01/31/2014Amendment New PPO Network Effective 4/1/14ParticipationAll Participants
Amendment Date11/01/2013Amendment Plan Changes Effective 1/1/14ParticipationAll Participants
Amendment Date10/01/2013Amendment Summary of Material ModificationParticipationAll Participants
Amendment Date08/23/2012Amendment New PPO Network Effective 4/1/14ParticipationAll Employees, Retirees and Eligible Dependents, Including COBRA Beneficiaries
Amendment Date02/14/2011Amendment Summary of Material Modifications – Dental Benefit ChangesParticipationAll Participants
Amendment Date02/10/2010Amendment Summary of Material ModificationParticipationAll Participants
Amendment Date09/17/2009Amendment Important Information Regarding Your Health PlanParticipationAll Active and Retired Participants
Amendment Date02/27/2009Amendment Chiropractic and Acupuncture Benefit Change Effective 1/1/2009ParticipationAll Retirees Not Eligible for Medicare Benefits
Amendment Date12/11/2008Amendment Preferred Provider Network Update – Effective 1/1/2009ParticipationAll Eligible Participants
Amendment Date05/15/2008Amendment Vision Benefit Modification – Effective 4/1/2008Participation All Active and Retired Participants
Amendment Date01/25/2008Amendment Weight Loss and Bariatric Surgery ProgramParticipationAll Participants

Retiree Plan

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).


Changes to your plan since the last printed Summary Plan Description:

Amendment Date Amendment Participation
Amendment Date7/1/2019Amendment Benefit Changes Eff. 9/1/2019ParticipationAll Participants
Amendment Date6/11/2019Amendment Delayed Enrollment for Retiree CoverageParticipationAll Participants
Amendment Date6/30/2017Amendment Benefit Changes Eff. 1/1/17ParticipationAll Participants
Amendment Date12/01/2016Amendment Benefit ChangesParticipationAll Participants
Amendment Date07/01/2016AmendmentBenefit Changes Effective 8/1/16ParticipationAll Eligible Plan Participants
Amendment Date07/01/2015AmendmentBenefit Changes Effective 8/1/15ParticipationAll Participants
Amendment Date03/19/2015AmendmentCigna – New Dental Preferred Provider Organization, Effective 4/1/2015ParticipationAll Participants Eligible for Dental
Amendment Date10/31/2014AmendmentBenefit Changes Effective 1/1/2015Participation All Active Participants, Retirees, Beneficiaries and COBRA Participants
Amendment Date10/15/2014AmendmentNew PPO Organization Effective 11/1/2014ParticipationAll Active and Retired Participants and their Dependents
Amendment Date08/05/2014AmendmentSummary of Material Modifications Effective 9/1/2014ParticipationAll Plan Participants and Beneficiaries
Amendment Date07/01/2014AmendmentBenefit Changes Effective 8/1/14ParticipationAll Participants
Amendment Date01/31/2014AmendmentNew PPO Network Effective 4/1/14ParticipationAll Participants
Amendment Date11/01/2013AmendmentPlan Changes Effective 1/1/14ParticipationAll Participants
Amendment Date10/01/2013AmendmentExtension of Dependent Eligibility to Same-Sex Spouses, Termination of Domestic Partner Eligibility, and Change to Dental BenefitsParticipationAll Participants
Amendment Date08/23/2012AmendmentSummary of Material ModificationParticipationAll Employees, Retirees and Eligible Dependents, Including COBRA Beneficiaries
Amendment Date07/01/2011AmendmentSummary of Material Modification – PPACAParticipationAll Participants
Amendment Date02/14/2011AmendmentSummary of Material Modifications – Dental Benefit ChangesParticipationAll Participants
Amendment Date02/10/2010AmendmentSummary of Material ModificationParticipationAll Participants
Amendment Date09/17/2009AmendmentImportant Information Regarding Your Health PlanParticipationAll Participants
Amendment Date02/27/2009AmendmentChiropractic and Acupuncture Benefit Change Effective 1/1/2009ParticipationAll Active and Retired Participants
Amendment Date12/11/2008AmendmentPreferred Provider Network Update – Effective 1/1/2009ParticipationAll Eligible Participants
Amendment Date05/15/2008AmendmentVision Benefit Modification – Effective 4/1/2008ParticipationAll Active and Retired Participants
Amendment Date01/25/2008AmendmentWeight Loss and Bariatric Surgery ProgramParticipationAll Participants