SECTION
TWELVE: Important Information About Your Plan
The
Plan is administered by a joint Board of Trustees, consisting of four
(4) Union representatives and four (4) Employer representatives who
serve without pay. Together they manage the overall direction of the
Fund. At their sole discretion, they decide whether to change, add or
delete benefits.
The
Fund Office staff carries out the day-to-day operations of the Plan.
These benefit professionals make sure all eligible members are enrolled,
monitor Employer contributions, answer questions about Plan benefits,
and refer benefit-related issues to the Trustees to be resolved.
| Name
of Plan |
Teamsters
Local 251 Health Services and Insurance Plan |
| Type
of Plan |
Health
and Welfare Plan |
| Name
of Plan Sponsor |
Board
of Trustees of the Teamsters Local 251 Health Services and Insurance
Plan |
| Agent
for Legal Process |
The
Board of Trustees |
| Type
of Administration |
Collectively
Bargained, jointly Trusteed Labor Management Trust |
| Plan
Number |
501
|
| IRS
Employer Identification Number |
05-0367950
|
| Plan
Year |
July
1 to June 30 |
| Sources
of Plan Financing |
All
contributions to the Plan are made by employers in accordance
with the Collective Bargaining Agreements with Local Union 251
of the International Brotherhood of Teamsters. Participants may
make contributions as provided by COBRA, the federal law, for
a limited period of time.
Benefits
are provided from the Fund's assets that are accumulated under
the provisions of the Collective Bargaining Agreement and Trust
Agreement and held in a Trust Fund for the purpose of providing
benefits to covered participants and defraying reasonable administrative
expense. Some of the benefits are provided through insurance policies.
The
Fund Office will provide, upon written request, the information
as to whether a particular Employer is contributing to the Plan
on behalf of participants working under a collective bargaining
agreement. |
Right
to Amend or Terminate the Plan
Nothing
in this Summary Plan Description is meant to interpret or extend or
change in any way the provisions expressed in the Plan. The Trustees
reserve the right to amend, modify or discontinue all or part of this
Plan whenever, in their judgment, conditions warrant.
No
Local Union Officer, Business Agent, Local Union Employee, Employer
Representative, or Fund Office personnel, consultant or attorney is
authorized to speak for or on behalf of, or to commit the Trustees of
this Plan on any matter relating to that Plan without the express authority
of the Trustees.
Only
the Trustees of the Plan have the authority to determine eligibility
for benefits and the right to participate in the Plan. This includes:
- the manner in which hours are credited,
- eligibility for any benefits,
- discontinuance of benefits,
- status as covered or non covered employee,
the level of benefits, and
- interpretation and application of rules
and regulations to a particular claim or application.
These
determinations are final and binding.
Your ERISA Rights
As
a participant in the Teamsters Local 251 Health Services and Insurance
Plan, you are entitled to certain rights and protections under the Employee
Retirement Income Security Act of 1974 (ERISA). ERISA provides that
all Plan participants shall be entitled to:
Receive
Information About Your Plan and Benefits
Examine, without charge, at the Plan Administrator's office and
at other specified locations, such as worksites and union halls, all
documents governing the Plan, including insurance contracts and collective
bargaining agreements, and a copy of the latest annual report (Form
5500 Series) filed by the Plan with the U.S. Department of Labor and
available at the Public Disclosure Room of the Pension and Welfare Benefit
Administration.
Obtain, upon written request to the Plan Administrator, copies
of documents governing the operation of the Plan, including insurance
contracts and collective bargaining agreements, and copies of the latest
annual report (Form 5500 Series) and updated summary plan description.
The Administrator may make a reasonable charge for the copies.
Receive a summary of the Plan's annual financial report. The Plan
Administrator is required by law to furnish each participant with a
copy of this summary annual report.
Prudent
Actions By Plan Fiduciaries
In addition to creating rights for Plan participants ERISA imposes
duties upon the people who are responsible for the operation of the
employee benefit plan. The people who operate your Plan, called "fiduciaries"
of the Plan, have a duty to do so prudently and in the interest of you
and other Plan participants and beneficiaries. No one, including your
employer, your union, or any other person, may fire you or otherwise
discriminate against you in any way to prevent you from obtaining a
welfare benefit or exercising your rights under ERISA.
Continue
Group Health Plan Coverage
Continue health care coverage for yourself, spouse or dependents
if there is a loss of coverage under the plan as a result of a qualifying
event. You or your dependents may have to pay for such coverage.
Review this summary plan description and the documents governing
the plan on the rules governing your COBRA continuation coverage rights.
Reduction or elimination of exclusionary periods of coverage for
preexisting conditions under your group health plan, if you have creditable
coverage from another plan. You should be provided a certificate of
creditable coverage, free of charge, from your group health plan or
health insurance issuer when you lose coverage under the plan, when
you become entitled to elect COBRA continuation coverage, when your
COBRA continuation coverage ceases, if you request it before losing
coverage, or if you request it up to 24 months after losing coverage.
Without evidence of creditable coverage, you may be subject to a preexisting
condition exclusion for 12 months (18 months for late enrollees) after
your enrollment date in your coverage.
Enforce
Your Rights
If your claim for a welfare benefit is denied or ignored, in whole
or in part, you have a right to know why this was done, to obtain copies
of documents relating to the decision without charge, and to appeal
any denial, all within certain time schedules.
Under ERISA, there are steps you can take to enforce the above
rights. For instance, if you request a copy of the Plan documents or
the latest annual report from the Plan and do not receive them within
30 days, you may file suit in a Federal court. In such a case, the court
may require the Plan Administrator to provide the materials and pay
you up to $110 a day until you receive the materials, unless the materials
were not sent because of reasons beyond the control of the Administrator.
If you have a claim for benefits that is denied or ignored, in whole
or in part, you may file suit in a state or Federal court. In addition,
if you disagree with the Plan's decision or lack thereof concerning
the qualified status of a domestic relations order or a medical child
support order, you may file suit in Federal court. If it should happen
that Plan fiduciaries misuse the Plan's money, or if you are discriminated
against for asserting your rights, you may seek assistance from the
U.S. Department of Labor, or you may file suit in a Federal court. The
court will decide who should pay court costs and legal fees. If you
are successful the court may order the person you have sued to pay these
costs and fees. If you lose, the court may order you to pay these costs
and fees, for example if it finds your claim is frivolous.
Assistance
with Your Questions
If you have any questions about your Plan, you should contact the
Plan Administrator. If you have any questions about this statement or
about your rights under ERISA, or if you need assistance in obtaining
documents from the Plan Administrator, you should contact the nearest
office of the Pension and Welfare Benefits Administration, U.S. Department
of Labor, listed in your telephone directory or the Division of Technical
Assistance and Inquiries, Pension and Welfare Benefits Administration,
U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington
D.C. 20210. You may also obtain certain publications about your rights
and responsibilities under ERISA by calling the publications hotline
of the Pension and Welfare Benefits Administration.