Plan Documents
Make sure you understand important Plan information and forms
The Trust Fund does not discriminate on the basis of race, color, national origin, age, disability, or sex.
To ask for assistance in your primary language, see the Notice of Nondiscrimination.
All PDF files on this website require the most current version of Adobe Reader to view. If you do not have the most current version of Adobe Reader, you can get it by clicking the icon below.
Plan Documents & Amendments
Summary of Material Modifications
July 2024 – New Employee Assistance Program (EAP) Effective August 1, 2024
November 2023 – Reinstatement of Telehealth Services Retroactively to May 12, 2023
June 2023 – Clarifications to Medical Benefits Pursuant to the End of the National Emergency & Public Health Emergency
May 2023 – ABA Therapy, Speech Therapy, changes to Delta Care & Delta Dental PPO Plan Benefits
January 2023 – Change to Indemnity Medical Plan for Medicare Eligible Retirees
January 2023 – Labor First Retiree Advocate Team FAQ
October 2022 – Change to New Retiree Eligibility for Bargaining Employees
July 2022 – Hearing Aid Benefits Increased
March 2022 – Cash Bank Run-Out, Retiree Subsidy Increased, HRA Access for Retirees
June 2020 SMM – Medical Benefit Improvements
May 2020 – Eligibility for Active Employees & Treatment for COVID-19 for Anthem PPO Members
March 2020 – COVID-19 Testing Benefits Changes – Effective March 18, 2020
Dec 2019 SMM – Clarifications to Maximum Allowable Charges for Certain
Changes to WellDyneRX Formulary & New Opioid Management Program – Effective January 1, 2019
WellDyneRX 2019 Clinical Focus Formulary (English)
WellDyneRX 2019 Clinical Focus Formulary (Spanish)
Assignment Rules – Effective September 25, 2018
Changes to DC16 Health Plans & Healthy Rewards – Effective January 1, 2018