Northwest Insulation Workers Welfare Trust

Health & Security

A guide to your Health Plan Benefits: Summary Plan Description Effective 01.01.2019



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• Health Plan Booklets
  • Plan Booklet - Effective January 1, 2019 - with Inserts
  • Plan Booklet - Effective January 1 ,2023 - AK Insert
  • Plan Booklet - Effective January 1, 2019 - Alaska Insert

Please review your Summary of Benefits & Coverage (SBC) for any recent updates to your Plan Booklets.

Amendment Date	Amendment	Participation
Amendment Date	03/01/2024	Amendment	Summary of Material Modification - Copay Benefit Change	Participation	All Plan Participants
Amendment Date	02/12/2024	Amendment	Summary of Material Modification - Office Copay Benefit Change	Participation	All Plan Participants
Amendment Date	07/25/2023	Amendment	Summary of Material Modifications - Benefit Changes	Participation	All Plan Participants
Amendment Date	12/01/2022	Amendment	Summary of Material Modification - Benefit Changes - Eff January 1 ,2023 - AK Clinic	Participation	All AK Plan Participants
Amendment Date	10/14/2022	Amendment	Summary of Material Modifications - Renalogic	Participation	All Plan Participants
Amendment Date	3/22/2021	Amendment	Summary of Material Modifications - Plan Benefit Changes	Participation	All Plan Participants
Amendment Date	11/24/2020	Amendment	Summary of Material Modifications - New Prescription Benefit Manager	Participation	All Active and Non-Medicare Participants and Eligible Dependents
Amendment Date	11/06/2020	Amendment	Humana Medicare Retirees - New Medicare Health Plan Eff 01/01/2021	Participation	All Medicare Eligible Retirees and Dependents
Amendment Date	03/20/2020	Amendment	Summary Material Modification - Response to COVID-19	Participation	All Eligible Plan Participants and Dependents
Amendment Date	2/24/2020	Amendment	Summary Material Modifications-Benefit Changes	Participation	All Plan Participants
Amendment Date	08/08/2019	Amendment	Summary of Material Modification - Benefit Changes Effective October 1, 2019	Participation	All Plan Participants
Amendment Date	01/01/2019	Amendment	Summary Material Modification - Benefit Changes	Participation	All Plan Participants
Amendment Date	12/05/2017	Amendment	Summary Material Modification - Annual Out of Pocket Maximums and New Joint Claims Administration	Participation	All Plan Participants
Amendment Date	6/15/2017	Amendment	Summary of Material Modification – Domestic Partners effective 6/1/2017	Participation	All Active, Retiree and COBRA Participants