Plan Booklet : Puget Sound Electrical Workers Trusts

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Plan 1

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

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

Amendment Date	Amendment	Participation
Amendment Date	10/12/2022	Amendment	Benefit Changes - Hearing Aids, Transgender Health Services, Dental PPE and Telehealth	Participation	All Eligible Plan Participants
Amendment Date	7/1/2022	Amendment	No Surprises Act Notice	Participation	All Eligible Plan Participants
Amendment Date	5/2/2022	Amendment	COVID-19 OTC Benefits and Telemedicine Temporary Extension	Participation	All Plan Participants
Amendment Date	5/2/2022	Amendment	Dollar Bank Changes	Participation	All Plan 1 Participants
Amendment Date	9/1/2021	Amendment	Maternity Leave Benefit	Participation	All Eligible Plan Participants
Amendment Date	5/14/2021	Amendment	Correction to SPD & COVID-19 Extensions	Participation	All Eligible Plan Participants
Amendment Date	2/2/2021	Amendment	Benefit Changes	Participation	All Eligible Plan Participants
Amendment Date	10/9/2020	Amendment	Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)	Participation	All Active and Non-Medicare Participants
Amendment Date	7/1/2020	Amendment	Benefit Changes and Extension of Plan Deadlines	Participation	All Plan Participants
Amendment Date	5/21/2020	Amendment	Extension of Benefits due to Coronavirus Emergency and Dental Exclusion Changes	Participation	All Plan Participants
Amendment Date	03/20/2020	Amendment	Response to Coronavirus Outbreak	Participation	All Eligible Plan Participants
Amendment Date	2/28/2020	Amendment	Life Insurance and Dollar Bank Changes Eff. 4/1/2020	Participation	All Active Participants
Amendment Date	12/03/2019	Amendment	Correction to the SPD - Orthodontia Coverage	Participation	All Plan Participants
Amendment Date	10/14/2019	Amendment	Life and AD&D Benefits Eff. 9/1/2019	Participation	All Plan Participants
Amendment Date	7/1/2019	Amendment	Dollar Bank Increase & Telemedicine Services	Participation	All Active and Non-Medicare Participants
Amendment Date	6/11/2019	Amendment	Retiree Delayed Enrollment	Participation	All Plan Participants
Amendment Date	5/30/2019	Amendment	Adult Dependent Opt-Out	Participation	All Active Participants
Amendment Date	1/23/2019	Amendment	New SPD and Benefit Changes	Participation	All Plan Participants
Amendment Date	12/27/2018	Amendment	Benefit Changes Eff. 1/1/2019	Participation	All Plan 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 Date	10/12/2022	Amendment	Benefit Changes - Hearing Aids, Transgender Health Services, Dental PPE and Telehealth	Participation	All Eligible Plan Participants
Amendment Date	5/2/2022	Amendment	COVID-19 OTC Benefits and Telemedicine Temporary Extension	Participation	All Plan Participants
Amendment Date	5/2/2022	Amendment	Dollar Bank Changes	Participation	All Plan 2 Participants
Amendment Date	9/1/2021	Amendment	Maternity Leave Benefit	Participation	All Eligible Plan Participants
Amendment Date	5/14/2021	Amendment	Correction to SPD & COVID-19 Extensions	Participation	All Eligible Plan Participants
Amendment Date	2/2/2021	Amendment	Benefit Changes	Participation	All Eligible Plan Participants
Amendment Date	10/9/2020	Amendment	Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)	Participation	All Active and Non-Medicare Participants
Amendment Date	7/1/2020	Amendment	Benefit Changes and Extension of Plan Deadlines	Participation	All Plan Participants
Amendment Date	5/21/2020	Amendment	Extension of Benefits due to Coronavirus Emergency and Dental Exclusion Changes	Participation	All Plan Participants
Amendment Date	03/20/2020	Amendment	Response to Coronavirus Outbreak	Participation	All Eligible Plan Participants
Amendment Date	2/28/2020	Amendment	Life Insurance and Dollar Bank Changes Eff. 4/1/2020	Participation	All Active 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 Date	10/12/2022	Amendment	Benefit Changes - Hearing Aids, Transgender Health Services, Dental PPE and Telehealth	Participation	All Eligible Plan Participants
Amendment Date	5/14/2021	Amendment	COVID-19 Extensions	Participation	All Eligible Plan Participants
Amendment Date	2/2/2021	Amendment	Benefit Changes	Participation	All Eligible Plan Participants
Amendment Date	10/9/2020	Amendment	Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)	Participation	All Active and Non-Medicare Participants