Puget Sound Electrical Workers Trusts

Plan Booklet

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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 DateAmendmentParticipation
8/31/2026Dollar Bank Changes Plan 1 – Effective October 2026 EligibilityAll Plan 1 Participants
4/24/2026Dollar Bank Changes Plan 1 – Effective June 2026 EligibilityAll Plan 1 Participants
10/31/2025Telemedicine – Extension of CoverageAll Associate Participants
10/31/2025Dollar Bank Changes Plan 1 – Effective December 2025 EligibilityAll Plan 1 Participants
06/30/2025Plan Benefit Change – Modifications to ABA Therapy Services, Habilitative Benefits, Rehabilitative Therapy, and Medical Plan ExclusionsAll Active Participants
06/13/2025New Benefit – Virta Diabetes & Weight Loss ManagementAll Active and Non-Medicare Participants
04/01/2025Dollar Bank Changes Plan 1 – Effective May 2025 EligibilityPort of Seattle – Plan 1 Participants
02/28/2025Dollar Bank Changes Plan 1 – Effective April 2025 EligibilityAll Plan 1 Participants
11/27/2024Telemedicine and Dollar Bank Deduction Changes – Effective January 2025 EligibilityAll Plan 1 Participants
5/1/2024Pediatric Chiropractic CareAll Eligible Plan Participants
1/31/2024Plan Benefit ChangesAll Eligible Plan and Medicare Retiree Participants
1/31/2024Dollar Bank Changes – Plan 1All Plan 1 Participants
7/7/2023Plan Benefit ChangesAll Eligible Plan Participants
10/12/2022Benefit Changes – Hearing Aids, Transgender Health Services, Dental PPE and TelehealthAll Eligible Plan Participants
7/1/2022No Surprises Act NoticeAll Eligible Plan Participants
5/2/2022COVID-19 OTC Benefits and Telemedicine Temporary ExtensionAll Plan Participants
5/2/2022Dollar Bank ChangesAll Plan 1 Participants
9/1/2021Maternity Leave BenefitAll Eligible Plan Participants
5/14/2021Correction to SPD & COVID-19 ExtensionsAll Eligible Plan Participants
2/2/2021Benefit ChangesAll Eligible Plan Participants
10/9/2020Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)All Active and Non-Medicare Participants
7/1/2020Benefit Changes and Extension of Plan DeadlinesAll Plan Participants
5/21/2020Extension of Benefits due to Coronavirus Emergency and Dental Exclusion Changes All Plan Participants
03/20/2020Response to Coronavirus OutbreakAll Eligible Plan Participants
2/28/2020Life Insurance and Dollar Bank Changes Eff. 4/1/2020All Active Participants
12/03/2019Correction to the SPD – Orthodontia CoverageAll Plan Participants
10/14/2019Life and AD&D Benefits Eff. 9/1/2019All Plan Participants
7/1/2019Dollar Bank Increase & Telemedicine ServicesAll Active and Non-Medicare Participants
6/11/2019Retiree Delayed EnrollmentAll Plan Participants
5/30/2019Adult Dependent Opt-OutAll Active Participants
1/23/2019New SPD and Benefit ChangesAll Plan Participants
12/27/2018Benefit Changes Eff. 1/1/2019All 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 DateAmendmentParticipation
8/31/2026Dollar Bank Changes Plan 2 – Effective October 2026 EligibilityAll Plan 2 Participants
4/24/2026Dollar Bank Changes Plan 2 – Effective June 2026 EligibilityAll Plan 2 Participants
10/31/2025Dollar Bank Changes Plan 2 – Effective December 2025 EligibilityAll Plan 2 Participants
06/30/2025Plan Benefit Change – Modifications to ABA Therapy Services, Habilitative Benefits, Rehabilitative Therapy, and Medical Plan ExclusionsAll Active Participants
06/13/2025New Benefit – Virta Diabetes & Weight Loss ManagementAll Active and Non-Medicare Participants
2/28/2025Dollar Bank Changes Plan 2 – Effective April 2025 EligibilityAll Plan 2 Participants
11/27/2024Telemedicine and Dollar Bank Deduction Changes – Effective January 2025 EligibilityAll Plan 2 Participants
5/1/2024Pediatric Chiropractic CareAll Eligible Plan Participants
1/31/2024Plan Benefit ChangesAll Eligible Plan and Medicare Retiree Participants
1/31/2024Dollar Bank Changes – Plan 2All Plan 2 Participants
7/7/2023Plan Benefit ChangesAll Eligible Plan Participants
10/12/2022Benefit Changes – Hearing Aids, Transgender Health Services, Dental PPE and TelehealthAll Eligible Plan Participants
5/2/2022COVID-19 OTC Benefits and Telemedicine Temporary ExtensionAll Plan Participants
5/2/2022Dollar Bank Changes Plan Benefit ChangesAll Plan 2 Participants
9/1/2021Maternity Leave BenefitAll Eligible Plan Participants
5/14/2021Correction to SPD & COVID-19 ExtensionsAll Eligible Plan Participants
2/2/2021Benefit ChangesAll Eligible Plan Participants
10/9/2020Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)All Active and Non-Medicare Participants
7/1/2020Benefit Changes and Extension of Plan DeadlinesAll Plan Participants
5/21/2020Extension of Benefits due to Coronavirus Emergency and Dental Exclusion ChangesAll Plan Participants
03/20/2020Response to Coronavirus OutbreakAll Eligible Plan Participants
2/28/2020Life Insurance and Dollar Bank Changes Eff. 4/1/2020All 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 DateAmendmentParticipation
10/31/2025Extension of Telemedicine CoverageAll Non-Medicare Retirees
06/13/2025New Benefit – Virta Diabetes & Weight Loss ManagementAll Active and Non-Medicare Participants
12/4/2024Telemedicine ChangesAll Non-Medicare Retiree Participants and Eligible Dependents
11/4/2024RetireeFirst Announcement Letter
RetireeFirst FAQs		All Eligible Medicare-Eligible Retirees and Dependents
10/23/2024Plan Benefit ChangesAll Eligible Plan and Medicare Retiree Participants
1/31/2024Plan Benefit ChangesAll Eligible Plan and Medicare Retiree Participants
7/7/2023Plan Benefit ChangesAll Eligible Plan Participants
10/12/2022Benefit Changes – Hearing Aids, Transgender Health Services, Dental PPE and TelehealthAll Eligible Plan Participants
5/14/2021COVID-19 ExtensionsAll Eligible Plan Participants
2/2/2021Benefit ChangesAll Eligible Plan Participants
10/9/2020Extension of Plan Deadlines and Benefit Changes (Gene and Cellular Therapy)All Active and Non-Medicare Participants