Summary Plan Description

Additional Plan Benefits

The following services and supplies are also available but are based on separate benefit maximums or special fee schedules. These benefits are not subject to the $200 annual deductible or $325,000 annual maximum:

Vision Benefits

Routine vision benefits are available based on the benefits and benefit maximums in the Schedule of Vision Care.

Dental Benefits

Dental benefits are available based on the Dental Fee Schedule with a $2,000 annual maximum. Dental implants are paid at 50 percent with a lifetime maximum of $1,000. Orthodontic benefits are paid at 50 percent with a lifetime maximum of $1,500.

Time Loss Benefits (Participant Only)

The weekly time loss benefit is equal to 33 percent of journeyman pay based on a 40-hour week at the prevailing journeyman's rate specified in the Area Master Agreement signed by your most recent contributing employer. This benefit is paid for a maximum of 26 weeks.

Life Insurance and Accidental Death and Dismemberment

Life insurance and accidental death and dismemberment benefits are available based on the schedules listed here.