Plan Booklet : Washington – Idaho Operating Engineers Trust Funds

Health & Security

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	02/18/2022	Amendment	Coverage of Over-the-Counter COVID Tests	Participation	All Participants
Amendment Date	07/27/2021	Amendment	SMM - Benefit Changes	Participation	All Participants and Eligible Dependents
Amendment Date	03/19/2021	Amendment	SMM - Dialysis Benefit Changes and Gene and Cellular Therapy Coverage	Participation	All Eligible Participants and Eligible Dependents
Amendment Date	12/30/2020	Amendment	SMM - Contraceptive Coverage - Effective February 1, 2021	Participation	All Eligible Participants and their Dependents
Amendment Date	07/09/2020	Amendment	SMM - Benefit Changes - Vaccines & Telemedicine	Participation	All Participants
Amendment Date	03/20/2020	Amendment	Summary of Material Modification - COVID-19	Participation	All Participants
Amendment Date	03/01/2020	Amendment	SMM - Annual Dental Open Enrollment / New Preferred (PPO) Dental Network - Effective March 1, 2020	Participation	All Eligible Participants and Dependents
Amendment Date	06/01/2019	Amendment	SMM - Telemedicine Provider Change Effective June 1, 2019	Participation	Active Participants and Non-Medicare Retirees
Amendment Date	01/01/19	Amendment	SMM - Notice of New Pharmacy Benefit Manager and New Administrator - Effective January 1,2019	Participation	All Participants
Amendment Date	03/01/2018	Amendment	SMM - Hour Bank Freeze Forfeiture	Participation	All Participants
Amendment Date	02/01/2017	Amendment	SMM - Notice of Plan Changes	Participation	All Participants
Amendment Date	01/01/2016	Amendment	SMM - Changes to Benefits and Retiree and Disability Self-Pay Rates	Participation	All Participants
Amendment Date	08/01/2015	Amendment	SMM - Autism and Habilitative Care Coverage	Participation	All Participants
Amendment Date	06/01/2015	Amendment	SMM - Dialysis Benefit for End Stage Renal Disease (ESRD)	Participation	All Participants
Amendment Date	04/01/2014	Amendment	SMM - Medical PPO Network Change - Precertification Vendor Change	Participation	All Participants
Amendment Date	01/01/2013	Amendment	SMM - Notice of Plan Changes Effective January 1, 2013	Participation	All Participants
Amendment Date	03/15/2011	Amendment	SMM - Eligibility and Benefit Changes to Your Health Care Plan	Participation	All Participants
Amendment Date	02/04/2010	Amendment	SMM - Changes to Routine Physical Examination Benefit	Participation	All Participants
Amendment Date	01/01/2010	Amendment	SMM - Mental Health Parity and Addiction Equity Act	Participation	All Participants