Health & Welfare (Active)

Pensioners & Surviving Spouses Health

Vacation & Holiday

Defined Contribution

Christmas Bonus



Blue Shield


HIPAA Privacy

Medicare Part D

The Pensioners & Surviving Spouses Health Fund provides Medical & Prescription benefits for certain Pensioners & Surviving Spouses.

For further information, please refer to the Summary Plan Description.

The Southern California Pipe Trades Pensioners & Surviving Spouses Health & Welfare Fund teamed up with Blue Shield of California to reduce plan costs while expanding the network of providers available to Plan Participants.

Blue Shield offers one of the largest provider networks in California and has been able to negotiate substantially lower rates for our members. Blue Shield is a San Francisco-based, not-for-profit health plan with nearly 65 years of experience. As a not-for-profit entity, Blue Shield is guided by their mission – to ensure all Californians have access to quality health care at a reasonable price.

For more information on Blue Shield of California and the SCPT Pensioners & Surviving Spouses Health & Welfare Fund, click on one of the following:


Is a program designed to improve the overall health & well-being of Southern California Pipe Trades Trust Fund Participants and their families. It promotes and supports the adoption of healthy lifestyles, control healthcare cotsts for Participants & the Fund and educate Participants & their families on the healthcare services available to them through their health plan.

Visit My Pipeline to Wellness at


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Summary Plan Description & Supplements

Summary Plan Description - July 2013

Supplement #1 - Jul 2013
(Health Benefits Coverage of Spouses of Same Sex Marriages and Domestic Partners)

Supplement #2 - Jul 2013
(Benefits for Aqua Therapy)

Supplement #3 - Jul 2013
(Improved Coverage for Out-of-Network Emergency Services
Effective April 1, 2013)

Supplement #4 - Jul 2013
(Re-enrollment in Pensioners & Surviving Spouses Health Plan)

Supplement #5 - Aug 2013
(Benefits for Genetic Testing)

Supplement #6 - Nov 2013
(Prescription Drug Coverage Improvement)

Supplement #7 - Nov 2014
(No Change in 2015 Monthly Premiums)

Supplement #8 - Mar 2015
(Health Coverage for Disabled Retirees)

Supplement #9 - Sept 2015
(New Dental Benefit)

Supplement #10 - Nov 2015
(Change in 2016 Monthly Premiums)

Supplement #11 - Nov 2015
(Physical Therapy)

Supplement #12 - Nov 2015
(Food Allergy Testing)

Supplement #13 - Nov 2015
(Prescription Drug Increase)

Supplement #14 - Nov 2015
(Anesthesia and Surgery Benefits Clarification)

Supplement #15 - Nov 2015
(Supplement Limitations on Action)

Supplement #16 - Feb 2016
(Change in Spousal Enrollment Rules to Permit Delayed Enrollment and Re-Enrollment)

Supplement #17 - Feb 2016
(No Assignment of Benefits)

Supplement #18 - Nov 2016
(Benefits for Home Health Services)

Supplement #19 - Nov 2016
(Benefits for Acupuncture)

Supplement #20 - Nov 2016
(Benefits for Gender Reassignment)

Supplement #21 - Nov 2016
(Benefits for Ambulance Services)

Supplement #22 - Nov 2016
(No Change in 2017 Monthly Premiums)


Enrollment & Beneficiary Form

Surviving Spouse Medical & Dental Enrollment Form

SCPT Patient Claim Form

HIPAA Authorization Form

HIPAA Cancellation Form

Request for PHI Form

Change of Address Form


CIGNA Dental HMO Option 1 Benefit Summary

CIGNA Dental HMO Option 2 Benefit Summary





Southern California Pipe Trades Administrative Corporation | 501 Shatto Place, 5th Floor | Los Angeles | CA 90020 | (800) 595-7473 | Press Option "2" for Member Services | Outside US (213) 385-6161 | Fax (213) 383-0725