Active and retired longshore families in the ports where members have a choice can change medical and/or dental plans during the Open Enrollment period

May 1 to May 31, 2013. The change will be effective July 1, 2013. In addition to the May Open Enrollment period, members may change their medical plan and/ or dental plan once at any time during the Plan Year (July 1-June 30).

The July 1, 2008 Memorandum of Understanding between the IL WU and PMA provides that new registrants in the ports where members have a choice of medical plans shall be assigned Kaiser HMO Plan or Group Health Cooperative HMO Plan for the first 24 months of registration. After 24 months, those registrants who have qualified for continued eligibility under the Mid-Year/Annual Review hour’s requirement will have a choice of medical plans. New registrants in San Francisco, Sacramento, Stockton, Los Angeles, Portland/Vancouver and Washington will have a choice of dental plans on the first of the month following registration, and may change dental plans during the Open Enrollment period and one additional time during the Plan Year.

MEDICAL CHOICE: The medical plan choices are Kaiser Foundation Health Plan or the IL WU-PMA Coastwise Indemnity Plan for Southern California Locals 13, 26,

29, 46, 63 and 94; Northern California Locals 10, 18, 34 (San Francisco), 34 (Stockton), 54, 75 and 91; and Oregon-Columbia River Locals 4, 8, 40, and 92. In the Washington State area, the medical plan choices for Locals 19, 23, 32, 47, 52 and 98 are Group Health Cooperative or the IL WU-PMA Coastwise Indemnity Plan.

DENTAL CHOICE: For Los Angeles Locals 13, 26, 63 and 94 the dental plan choices are Delta Dental of California, Harbor Dental Associates or Dental Health Services.

For Southern California Locals 29 and 46 the dental plan choices are Delta Dental of California or Dental Health Services. For San Francisco Locals 10, 34, 75 and 91 the dental plan choices are Delta Dental of California, Dental Health Services, or Gentle Dental San Francisco. For Sacramento and Stockton Locals 18, 34 and 54 the dental plan choices are Delta Dental of California or Dental Health Services. For Portland/Vancouver Locals 4, 8, 40 and 92 the dental plan choices are LifeMap-Willamette Dental, Oregon Kaiser Dental Plan or Oregon/Washington Dental Service. For Washington Locals 7, 19, 21, 23, 24, 25, 27, 32, 47, 51, 52 and 98 the dental plan choices are Washington Dental Service or Dental Health Services.

Information on the medical and dental plans, and forms to change plans, can be obtained at the Locals and the IL WU-PMA Benefit Plans office.

All Medical and Dental Program Choice Forms and enrollment forms, as applicable, must be completed and received by the Benefit Plans office by May 31

for the enrollment change to be effective July 1.