CONTENTS
Name of Plan
Electrical Welfare Trust Fund
Type of Plan
Employee Health and Welfare Benefit Plan that provides medical care, pharmaceutical care, dental care, vision care, hearing care, weekly accident and sickness benefits, death benefits and accidental dismemberment and loss of sight benefits to eligible employees and their qualified dependents.
Name of Plan Sponsor
The Board of Trustees of the Electrical Welfare Trust Fund
Agent for Service of Legal Process
Michael McCarron
Fund Administrator
10003 Derekwood Lane, Suite 130
Lanham, MD 20706
Service of legal process also may be made upon the Fund Manager or any member of the Board of Trustees
Type of Administration
Collectively bargained, jointly trusteed labor-management trust
IRS Employer Identification Number
526038507
Plan Number
501
Plan Year
January 1 to December 31
Sources of Plan Financing
The Plan is funded by contributions made by individuals and employers under the provisions of collective bargaining and other agreements and any income earned from investment of employer contributions.
All monies are used exclusively to provide benefits to eligible employees and their dependents, and to pay all expenses incurred with respect to the operation of the Plan. The Board of Trustees periodically reviews the funding status of the Plan.
Sponsoring Organizations
Plan Participants and beneficiaries may receive from the Fund Office, upon written request, a complete list of the employers participating in the Plan.
Healthcare Network
The Plan’s current provider for its healthcare network is UnitedHealthcare Choice Plus Network (UHC). You can see a directory of Participating Providers by viewing the UHC website at http://directory.uhis.com.
Dental Benefits
The Plan’s current provider for dental benefits is United Concordia Dental PPO. You can get a copy of a directory by calling United Concordia at 866-851-7568 or reviewing their website at www.unitedconcordia.com.
Vision Benefits
Vision benefits are provided through Vision Service Plan (VSP). You can reach VSP by calling 1-800-877-7195 or by visiting their website at www.vsp.com.
Prescription Drug Benefits
The Plan’s current provider for Prescription Drug Benefits is CVS Caremark at 1-800-386-0329.
Utilization Review
The Plan’s Utilization Review is handled through UHC CARE Program at 1-850-800-1418.
Employee Assistance Plan (EAP)
The Plan’s current Employee Assistance Program (EAP) provider is Business Health Services (BHS) at 1-800-765-3277.
Supplemental Occupational Accident Benefits
The supplemental occupational accident benefits are provided under an insurance policy with Nationwide Insurance Company. All other benefits are provided on a self-insured basis.
Nationwide Mutual Insurance Company
One Nationwide Plaza
Columbus, OH, 43215
Plan Administrator
The Plan Administrator and Plan Sponsor is the Board of Trustees of the Fund. Fund Manager has been appointed by the Board of Trustees as the day to day administrative manager of this Plan. The name, address and telephone number of the Fund Manager is:
Michael McCarron
Electrical Welfare Trust Fund
10003 Derekwood Lane, Suite 130
Lanham, MD 20706-4811
301-731-1050 or 800-929-3983
Fax: 301-731-1065
Collective Bargaining Agreement
A copy of the Collective Bargaining Agreement(s) pursuant to which participating employers contribute to the Plan may be obtained by participants and beneficiaries upon written request to the Fund Manager.