April 28, 2000

TO: ALL ELIGIBLE AND RETIRED PARTICIPANTS

RE: ANNUAL ENROLLMENT FORM

Enclosed please find an Annual Enrollment Form for Plan Year 2000. This form must be completed in full and copies of all necessary documents must be forwarded to the Trust Office in the enclosed envelope before claims for services performed after June 30, 2000 will be paid.

The Trustees of the Plan have a legal responsibility to maintain the financial integrity of the Plan. This means that policies must be in place to assure that Plan benefits are being paid only for eligible participants and their eligible dependents in accordance with the specified rules of the Plan. The Trustees’ obligation in this regard is essentially satisfied through a continuing yearly enrollment update process. Following the transition of the Administrative Manager in the fall of 1999 it was noted that the previous Administrative Office did not maintain a continuing enrollment process.

Annual Enrollment Forms completed by each Plan Member provide the necessary information so that the Plan can be administered to satisfy the Rules of the Plan and to avoid improper payment of benefits which may later subject a member to reimburse the Plan for improper benefits received.

Among other things, the information provided in an Annual Enrollment Form is used to determine (1) whether a person other than a member qualifies for benefits under the rules of the plan as an “eligible dependent” and if so, (2) whether coverage given to an eligible dependent under this plan is primary or secondary to any other medical insurance covering the dependent.

Eligibility Rules exist to assure that benefits are only paid to members and legal dependents of members who have paid for benefits through either their work hour dollar bank or a self-pay program. These rules are set out in the Benefit Plan booklet. Unless a member or dependent meet specific eligibility rules they are not covered under the terms of the plan.

Coordination of Benefit rules, also described in the Benefit Plan booklet, are used to determine whether coverage under this Plan will pay for benefits for an eligible dependent when the dependant is or may be covered under a separate insurance plan. Coordination of Benefit Rules are used by all insurance plans to determine whether a plan is a Primary or a Secondary insurer.

Be sure to provide complete information including full legal names, birthdays and other requested information about any person you claim as a dependent for the purposes of receiving benefits under the Plan.

To receive benefits it is necessary for you to fill out and return the enclosed form and provide the appropriate copies of all applicable documents. Claims received prior to receipt of the completed Enrollment Form and/or supporting documents will not be paid and held in a pending status. If you have submitted a blue annual enrollment form, Marriage Certificates, Birth Certificates or a Divorce Decree to the Trust Office since October 1999 it will be unnecessary for them to be furnished again this year. The Trust Office has records of receipt of such documents.

Eligibility Documentation

Marriage Certificates - The terms of the Plan provide that the “lawful spouse” of an eligible member may be eligible for benefits. In the state of Washington a lawful spouse is one who has been legally married. Non-married cohabitants or common law marriages are not recognized as a “lawful spouse” under the plan. Accordingly, all new members, members who have been plan participants less than three years as of October 1, 1999 and members married less than three years as of October 1, 1999 must provide the Trust Office a copy of a valid marriage certificate to establish eligibility for a spouse.

Proof of Dependency – The terms of the plan provide that an eligible member’s children, step-children, adoptive children or foster children for whom the member is the primary provider of maintenance and support are entitled to plan benefits. Where a claimed dependent has a name different from the member the plan requires certain documentation.

For stepchildren, birth certificates of the child and a marriage certificate between the member and the child’s natural parent must be provided.

For adoptive children, documentation establishing the adoption must be provided.

For foster children documentation from the state establishing that the member is the primary provider of maintenance and support must be provided.

Proof of Other Insurance / Financial Responsibility Information

To properly coordinate the priority of coverage between this plan and another insurance plan covering a dependent, the rules of the plan require that the member provide certain information. This information includes the identity and contact information for any other insurance covering the non-member spouse and other dependents as well as proof of the custodial and financial responsibility status of the dependents.

It is important that a birthdate is provided for each spouse and dependent. Standard insurance coordination of benefit rules use birthdates of the member and spouse to establish which medical insurance plan must provide primary or secondary coverage.

The plan will cover dependent children for services provided only until the date of the child’s 19^th birthday, unless the child is primarily dependent upon the member parent for support and enrolled on a continuing full-time basis at an accredited educational institution. To establish “Student-Status” eligibility of such dependents the member must provide the plan with a completed school enrollment form or certificate which may usually be obtained from the Registrar’s or Admissions Office of the school which the dependent is attending.

Where a member is not the natural parent of a claimed dependent child and the non-member dependent natural parent has divorced or legally separated from the other natural parent, a Certified Copy of the Divorce Decree document must be provided to the plan to allow determination of financial responsibility of the other natural parent for medical insurance coverage. Divorce Decrees are public records. Certified Copies can usually be obtained by contacting the Clerk’s Office of the County Court where the Divorce occurred.

In the case of any of the documentation provided, the Trust Office may require that such documentation be obtained from the issuing governmental authority in Certified form, that is, a copy obtained with the seal of the issuing governmental agency establishing that it is a true and correct copy.