Laborers' Metropolitan Detroit Health Care Fund

December 2000

TO: All Eligible Participants

RE: Summary of Material Modifications

Dear Participant:

After reviewing the significant medical costs associated with smoking and tobacco use, we recently approved benefits for smoking/tobacco cessation. Effective January 1, 2001, the Fund will pay a maximum lifetime benefit of five hundred dollars ($500) per person for smoking/tobacco cessation classes and products as follows:

• For smoking/tobacco cessation classes sponsored by a licensed health care facility, the American Lung Association, the American Heart Association or the American Cancer Society. You must show proof of completion of the classes before reimbursement will be made. You must be eligible for Fund benefits when you take the classes.

• For Nicotine Replacement Therapy (NRT) products such as patches, gum, nasal spray and/or inhaler. Your physician must write a letter recommending the therapy and you must produce a dated cash register receipt to be eligible for reimbursement. Of course, you must be eligible for Fund benefits at the time you purchase the NRT product to be eligible for this benefit.

• Acupuncture treatment will be covered if performed by a person that has been certified by the National Certification Commission for Acupuncture and Oriental Medicine. You must be eligible for Fund benefits when you receive the acupuncture treatment.

If you have any questions regarding the above, please do not hesitate to contact the Fund Office.

Sincerely,

Laborers’ Metropolitan Detroit Health Care Fund

Board of Trustees

/mkm