The Board of Trustees of the Equity-League Health Fund approved the following changes to the Health Fund effective July 1, 2003.
- A participant must work at least 12 weeks under covered employment within a 12 month "earnings period" to be eligible for health benefits.
The annual major medical deductible in the indemnity out-of-network (non PPO) indemnity plan will increase from $250 to $350 per person. A $700 per family annual deductible will apply (at least one person will have to meet the $350 deductible and the balance of the family deductible can be a combined total).
The major medical out-of-network co-insurance percentages (80%/20% co-pay) will be decreased to $70%/30%.
- The major medical out-of-network annual out-of-pocket expense limit will increase from $2,000 to $5,000 per participant.
While the 12 week eligibility provision will affect participation for everyone, the other three changes will only affect participants in the indemnity plan (Union Labor Life Insurance Company) that do not utilize the PPO.
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