Plan Information

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 CIGNA Dental PPO. You can get a copy of a directory by calling CIGNA at 800-797-3381 or reviewing their website at www.cigna.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.