2011 Summary Annual Reports
|
|
|
- Kellie Henderson
- 7 years ago
- Views:
Transcription
1 2011 Summary Annual Reports To the Participants in any of the following Employee Benefits Plans: Payless ShoeSource, Inc. Optional Life Insurance Plan Payless ShoeSource, Inc. Company Paid Life Insurance Plan Payless ShoeSource, Inc. Medical Plan Payless ShoeSource, Inc. Dental Care Plan Payless ShoeSource, Inc. Long-Term Disability Plan Payless ShoeSource, Inc. Short-Term Disability Plan Payless ShoeSource, Inc. Business Travel and Accident Plan Payless ShoeSource, Inc. Severance Plan Payless ShoeSource, Inc. 401(k) Profit Sharing Plan Payless ShoeSource, Inc. Profit Sharing Plan for Puerto Rico Associates The following material, along with this cover letter, comprises what is known as the Summary Annual Report for the above listed Employee Benefit Plans of Payless ShoeSource, Inc. and its subsidiaries. Each year an Annual Report is filed with the Employee Benefits Security Administration for each of these plans. This booklet is intended to summarize the contents of these reports. We encourage all Associates to take the time to read this material. Sincerely, Betty Click Senior Vice President, Human Resources-Collective Brands, Inc.
2 PAYLESS SHOESOURCE, INC. OPTIONAL LIFE INSURANCE PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Optional Life Insurance Plan, EIN , Plan No. 507, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Insurance Information The plan has a contract with Hartford Life and Accident to pay life insurance claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2011 were $906,512. insurance information, including sales commissions paid by insurance carriers; of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
3 PAYLESS SHOESOURCE, INC. COMPANY PAID LIFE INSURANCE PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Company Paid Life Insurance Plan, EIN , Plan No. 506, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Insurance Information The plan has a contract with Hartford Life And Accident to pay life insurance claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2011 were $281,156. insurance information, including sales commissions paid by insurance carriers; of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
4 PAYLESS SHOESOURCE, INC. MEDICAL PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Medical Plan, EIN , Plan No. 551, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Payless ShoeSource, Inc. has committed itself to pay certain medical claims incurred under the terms of the plan. Insurance Information The plan has contracts with Combined Insurance Company of America, HMSA - Bluecross Blueshield Of Hawaii, Kaiser Permanente - Northern, Kaiser Permanente - Southern, Cigna Healthcare, Voluntary Limited - Benefits Plans, Triple S, Inc., Takecare and Hartford Life And Accident to pay health, dental, vision, prescription drug, HMO and PPO claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2011 were $6,108,765. Because some contracts are so called experience-rated contracts, the premium costs are affected by, among other things, the number and size of the claims. Of the total insurance premiums paid for the plan year ending December 31, 2011 the premiums paid under such experience rated contracts were $783,552, and the total of all benefit claims paid under these experience-rated contracts during the plan year was $489,665. insurance information, including sales commissions paid by insurance carriers; financial information and information on payments to service providers. of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
5 PAYLESS SHOESOURCE, INC. DENTAL PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Dental Plan, EIN , Plan No. 524, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Payless ShoeSource, Inc. has committed itself to pay all dental claims incurred under the terms of the plan. Financial information and information on payments to service providers. of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
6 PAYLESS SHOESOURCE, INC. LONG-TERM DISABILITY PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Long-Term Disability Plan, EIN , Plan No. 508, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Insurance Information The plan has a contract with Hartford Life and Accident to pay long-term disability claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2011 were $997,737. insurance information, including sales commissions paid by insurance carriers; of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
7 PAYLESS SHOESOURCE INC, GROUP SHORT TERM DISABILITY PLAN This is a summary of the annual report of the Payless ShoeSource Inc, Group Short Term Disability Plan, EIN , Plan No. 509, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Payless ShoeSource, Inc. has committeed itself to pay certain claims incurred under the terms of the plan. Insurance Information The plan has a contract with Hartford Life & Accident to pay temporary disability and indemnity claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2011 were $394,040. financial information and information on payments to service providers; and insurance information, including sales commissions paid by insurance carriers; of Payless ShoeSource Inc. at 3231 SE Sixth Avenue, Topeka, KS 66607, or by telephone at (785) the plan (Payless ShoeSource Inc., 3231 SE Sixth Avenue, Topeka, KS 66607) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
8 PAYLESS SHOESOURCE,, INC. BUSINESS TRAVEL ACCIDENT PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Business Travel Accident Plan, EIN , Plan No. 505, for period February 01, 2011 through January 31, The Business Travel Accident Plan applies to associates of Payless ShoeSource, Inc. and its affiliates authorized to participate in the Plan including The Stride Rite Corporation and Collective Licensing International, LLC. The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Insurance Information The plan has a contract with Ace American Insurance Company to pay Accidental Death & Dismemberment claims incurred under the terms of the plan. The total premiums paid for the plan year ending January 31, 2012 were $27,202. Insurance information, including sales commissions paid by insurance carriers. of Payless ShoeSource, Inc. at 3231 SE Sixth Avenue, Topeka, KS , or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE Sixth Avenue, Topeka, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
9 PAYLESS SHOESOURCE, INC. SEVERANCE PLAN This is a summary of the annual report of the Payless ShoeSource, Inc. Severance Plan, EIN , Plan No. 552, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Payless ShoeSource, Inc. has committed itself to pay all claims incurred under the terms of the plan. of Payless ShoeSource, Inc. at 3231 SE 6th Avenue, Topeka, KS 66607, or by telephone at (785) the plan (Payless ShoeSource, Inc., 3231 SE 6th Avenue, Topeka, KS 66607) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S.
10 For COLLECTIVE BRANDS 401(K) PROFIT SHARING PLAN This is a summary of the annual report for COLLECTIVE BRANDS 401(K) PROFIT SHARING PLAN, EIN , Plan No. 002, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Basic Financial Statement Benefits under the plan are provided by a trust fund. Plan expenses were $18,873,285. These expenses included $604,357 in administrative expenses, $18,271,730 in benefits paid to participants and beneficiaries, and ($2,802) in other expenses. A total of 26,418 persons were participants in or beneficiaries of the plan at the end of the plan year, although not all of these persons had yet earned the right to receive benefits. The value of plan assets, after subtracting liabilities of the plan, was $178,326,612 as of December 31, 2011, compared to $186,652,494 as of January 01, During the plan year the plan experienced a decrease in its net assets of $8,325,882. This decrease includes unrealized appreciation and depreciation in the value of plan assets; that is, the difference between the value of the plan's assets at the end of the year and the value of the assets at the beginning of the year or the cost of assets acquired during the year. The plan had total income of $10,547,403, including employer contributions of $1,011,412, employee contributions of $13,537,887, realized losses of ($1,316,612) from the sale of assets, earnings from investments of ($3,012,410), and other income of $327,126. an accountant's report; financial information; information on payments to service providers; assets held for investment; information regarding any common or collective trusts, pooled separate accounts, master trusts or investment entities in which the plan participates; of PAYLESS SHOESOURCE, INC. at 3231 SE SIXTH AVENUE, TOPEKA, KS , or by telephone at (785) The charge to cover copying costs will be $0.00 for the full annual report, or $0.00 per page for any part thereof. you request a copy of the full annual report from the plan administrator, these two statements and accompanying notes will be included as part of that report. The charge to cover copying costs given above does not include a charge for the copying of these portions of the report because these portions are furnished without charge.
11 the plan (PAYLESS SHOESOURCE, INC., 3231 SE SIXTH AVENUE, TOPEKA, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W.,
12 For COLLECTIVE BRANDS PUERTO RICO PROFIT SHARING PLAN This is a summary of the annual report for COLLECTIVE BRANDS PUERTO RICO PROFIT SHARING PLAN, EIN , Plan No. 003, for period January 01, 2011 through December 31, The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Basic Financial Statement Benefits under the plan are provided by a trust fund. Plan expenses were $482,803. These expenses included $8,750 in administrative expenses, and $474,053 in benefits paid to participants and beneficiaries. A total of 837 persons were participants in or beneficiaries of the plan at the end of the plan year, although not all of these persons had yet earned the right to receive benefits. The value of plan assets, after subtracting liabilities of the plan, was $2,659,426 as of December 31, 2011, compared to $2,822,454 as of January 01, During the plan year the plan experienced a decrease in its net assets of $163,028. This decrease includes unrealized appreciation and depreciation in the value of plan assets; that is, the difference between the value of the plan's assets at the end of the year and the value of the assets at the beginning of the year or the cost of assets acquired during the year. The plan had total income of $319,775, including employer contributions of $30,399, employee contributions of $270,318, realized losses of ($18,393) from the sale of assets, and earnings from investments of $37,451. an accountant's report; financial information; information on payments to service providers; assets held for investment; information regarding any common or collective trusts, pooled separate accounts, master trusts or investment entities in which the plan participates; of PAYLESS SHOESOURCE OF PUERTO RICO, INC. at 3231 S.E. 6TH AVENUE, TOPEKA, KS , or by telephone at (785) The charge to cover copying costs will be $0.00 for the full annual report, or $0.00 per page for any part thereof. you request a copy of the full annual report from the plan administrator, these two statements and accompanying notes will be included as part of that report. The charge to cover copying costs given above does not include a charge for the copying of these portions of the report because these portions are furnished without charge.
13 the plan (PAYLESS SHOESOURCE OF PUERTO RICO, INC., 3231 S.E. 6TH AVENUE, TOPEKA, KS ) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W.,
2012 Summary Annual Reports
2012 Summary Annual Reports To the Participants in any of the following Employee Benefits Plans: Payless ShoeSource, Inc. Optional Life Insurance Plan Payless ShoeSource, Inc. Company Paid Life Insurance
SUMMARY ANNUAL REPORT For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico,
For CITIBUILDER 401(k) PLAN FOR PUERTO RICO This is a summary of the annual report for Citibuilder 401(k) Plan for Puerto Rico, EIN 66-0177415, Plan No. 002, for period January 01, 2012 through December
SUMMARY ANNUAL REPORT For Seattle University Group Life and AD&D Plan This is a summary of the annual report of the Seattle University Group Life and
For Seattle University Group Life and AD&D Plan This is a summary of the annual report of the Seattle University Group Life and AD&D Plan, EIN 91-0565006, Plan No. 501, for period January 01, 2014 through
SUMMARY ANNUAL REPORT. For Seattle University Group Life and AD&D Plan
For Seattle University Group Life and AD&D Plan This is a summary of the annual report of the Seattle University Group Life and AD&D Plan, EIN 91-0565006, Plan No. 501, for period January 01, 2013 through
Insurance Information
SCHEDULE A (Form 5500) Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Insurance Information This
Windstream Basic Life and AD&D Summary Plan Description
Windstream Basic Life and AD&D Summary Plan Description 1 1. INTRODUCTION Windstream Services L.L.C. sponsors the Windstream Basic Life and Accidental Death and Dismemberment (AD&D) Insurance Plan (the
SUMMARY PLAN DESCRIPTION FOR THE WILLAMETTE UNIVERSITY CONSOLIDATED WELFARE BENEFITS PLAN
SUMMARY PLAN DESCRIPTION FOR THE WILLAMETTE UNIVERSITY CONSOLIDATED WELFARE BENEFITS PLAN TABLE OF CONTENTS INTRODUCTION... 1 Type of Plan... 1 Plan Sponsor... 1 Purpose of the Plan... 1 Purpose of this
HEALTH INSURANCE PROGRAM OF THE DIOCESE OF ROCKVILLE CENTRE. Financial Statements. August 31, 2006. (With Independent Auditors Report Thereon)
Financial Statements (With Independent Auditors Report Thereon) Table of Contents Page(s) Independent Auditors Report 1 Financial Statements: Statement of Net Assets Available for Benefits as of 2 Statement
Colorado Health Insurance Cost Information Summary- Aggregated Company Data. In accordance with 10-16-111(4)(a)(b)&(c), C.R.S.
Colorado Health Insurance Cost Information Summary- Aggregated Data 2013 In accordance with 10-16-111(4)(a)(b)&(c), C.R.S. Division of Insurance Marguerite Salazar Commissioner of Insurance The Division
Annual Return/Report of Employee Benefit Plan
Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Annual Return/Report of Employee Benefit
5500 Series Filing Overview
5500 Series Filing Overview Determine which form you should file. Form 5500-EZ Administrators of one-participant plans (including plans that cover only owners and their spouses) file Form 5500-EZ; however,
Annual Return/Report of Employee Benefit Plan
Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Annual Return/Report of Employee Benefit
Annual Return/Report of Employee Benefit Plan
Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Annual Return/Report of Employee Benefit
THE STATE FARM INSURANCE COMPANIES GROUP HEALTH AND WELFARE PLAN FOR UNITED STATES EMPLOYEES SUMMARY PLAN DESCRIPTION. Effective January 1, 2012
THE STATE FARM INSURANCE COMPANIES GROUP HEALTH AND WELFARE PLAN FOR UNITED STATES EMPLOYEES SUMMARY PLAN DESCRIPTION Effective January 1, 2012 This document, together with the attached documents listed
BOWDOIN COLLEGE EMPLOYEE WELFARE BENEFIT PLAN (Plan #516) Summary Plan Description
BOWDOIN COLLEGE EMPLOYEE WELFARE BENEFIT PLAN (Plan #516) Summary Plan Description Effective January 1, 2015 TABLE OF CONTENTS Page PART I INTRODUCTION...1 Purpose of This Booklet...1 PART II ELIGIBLITY
1. Call to Order... Edward L. Long, Jr. Chairman. 2. 2015 Health and Welfare Benefit Renewals... Otho T. Milbourne Benefits Manager
Human Resources and Labor Relations Committee - I. Call to Order - Edward Long, Chairperson DISTRICT OF COLUMBIA WATER AND SEWER AUTHORITY Board of Directors Human Resources and Labor Relations Committee
St. Louis Community College Summary of Insurance Benefits Effective June 1, 2013
St. Louis Community College Summary of Insurance Benefits Effective June 1, 2013 Employees are eligible to enroll on the first day of employment and coverage becomes effective on the date the enrollment
Macalester College Business Accident Insurance Plans
MACALESTER COLLEGE BUSINESS TRAVEL ACCIDENT INSURANCE PLAN SUMMARY PLAN DESCRIPTION Introduction The Macalester College Business Travel Accident Insurance Plan (the Plan ) provides benefits to eligible
Your Rights and Responsibilities
This Benefits Summary is the summary plan description (SPD), effective January 1, 2014, for: The Stryker Corporation Welfare Benefits Plan (which includes Stryker s medical, prescription drug, dental,
ADVANCED PROSPECTING WITH THE FORM 5500. Brought to you by:
ADVANCED PROSPECTING WITH THE FORM 5500 Brought to you by: What is FreeERISA.com Signing Up The Form 5500 The 5500 is the annual DOL disclosure Form required for all ERISA qualified benefit plans Filed
HEALTH INSURANCE. Types of Health Plans and How They Operate. Reimbursement and Fixed Allowance Insurance Plans (Department of Insurance Jurisdiction)
HEALTH INSURANCE Illness for non-work related injuries can be financial devastating. Insurance can help protect against disastrous health care expenses and lost wages. If you have a job, your employer
Carpenters Health and Security Plan of Western Washington
Carpenters Health and Security Plan of Western Washington COBRA Coverage Election Notice This notice contains important information about your right to continue your health care coverage in the Carpenters
Health Pool Comparison Matrix NLC-RISC Trustees Conference, Newport, Rhode Island
Pool Size - Member groups - Covered lives - Annual premium - Current surplus 590 covered entities 56,655 covered lives $404.5 million annual contributions $88.7 million current surplus 265 member groups
your Benefits in Brief
your Benefits in Brief Salaried and Non-Union Non-Exempt Employees of Kaiser Foundation Health Plan, Inc. and Kaiser Foundation Hospitals Northern California Kaiser Permanente is committed to providing
Summary Plan Description NEA Complimentary Life Insurance (DUES-TAB) (Revised September 2008)
NEA Members Insurance Trust The National Education Association sponsors the NEA Members Insurance Trust Summary Plan Description NEA Complimentary Life Insurance (DUES-TAB) This is to certify that, as
Retiree Considerations Medicare 101. June 26, 2012
Retiree Considerations Medicare 101 June 26, 2012 Agenda Goal: Present information regarding Medicare and related products to assist you in evaluating options Key Topics: Eligibility Rules Enrollment Rules
CERNER CORPORATION GLOBAL LIFE INSURANCE PLAN PLAN NUMBER 515 SUMMARY PLAN DESCRIPTION
CERNER CORPORATION GLOBAL LIFE INSURANCE PLAN PLAN NUMBER 515 SUMMARY PLAN DESCRIPTION TABLE OF CONTENTS PAGE ARTICLE I. INTRODUCTION... 1 1.1 Purpose of Plan.... 1 1.2 Purpose of This Document.... 1 ARTICLE
AURA/Gemini Observatory- Northern Operations Center 2013 Employee Benefit Program Summary
AURA/Gemini Observatory- Northern Operations Center 2013 Employee Benefit Program Summary Table of Contents Medical Insurance 3, 4 Roth Annuity 403(b) 8 Dental Insurance 4 Tuition Assistance 8 Flexible
OFFICE OF LABOR RELATIONS EMPLOYEE BENEFITS PROGRAM 40 Rector Street, 3 RD Floor, New York, N.Y. 10006 nyc.gov/olr
OFFICE OF LABOR RELATIONS EMPLOYEE BENEFITS PROGRAM 40 Rector Street, 3 RD Floor, New York, N.Y. 10006 nyc.gov/olr ROBERT W. LINN Commissioner RENEE CAMPION First Deputy Commissioner GEORGETTE GESTELY
Your Income Protection Plan Benefits
Your Income Protection Plan Benefits Contents Your Income Protection Plan Benefits...1 About This SPD... 1 Getting More Information... 1 Changes to the Plan... 2 Participating in the IPP...3 Eligibility...
2016 Benefits at a Glance PART-TIME EMPLOYEES
2016 Benefits at a Glance Important Note CNA Benefits at a Glance provides highlights of the employee benefit programs available to you as a CNA employee. Neither this document nor Company policies and
2015 BRIEF BENEFITS SUMMARY FOR FULL-TIME EMPLOYEES
2015 BRIEF BENEFITS SUMMARY FOR FULL-TIME EMPLOYEES Health Insurance, Rx, and Vision We offer two choices for medical insurance. All plans include prescription drug and vision benefits. Dependent children
Benefits Handbook Date March 1, 2009. Contact Information MMC
Date March 1, 2009 MMC For questions not answered in this handbook, or to follow up on a claim, learn more about a network, etc., please use the contact information below. Benefits Handbook Date March
Purpose of This Document
Notice to Employees of AstraZeneca Pharmaceuticals LP and AstraZeneca LP, of Application for Authorization Under Prohibited Transaction Exemption 96-62, as Amended Purpose of This Document You are hereby
FREQUENTLY ASKED QUESTIONS ABOUT THE CONTINUATION COVERAGE REQUIREMENTS IN THE AMERICAN RECOVERY AND REINVESTMENT ACT February 2009
FREQUENTLY ASKED QUESTIONS ABOUT THE CONTINUATION COVERAGE REQUIREMENTS IN THE AMERICAN RECOVERY AND REINVESTMENT ACT February 2009 Introduction On February 17, 2009, President Obama signed into law the
YOUR GROUP INSURANCE PLAN BENEFITS EDUCATIONAL SERVICE UNIT #13 CLASS 0004 AD&D, LIFE
YOUR GROUP INSURANCE PLAN BENEFITS EDUCATIONAL SERVICE UNIT #13 CLASS 0004 AD&D, LIFE The enclosed certificate is intended to explain the benefits provided by the Plan. It does not constitute the Policy
Aetna Affordable Health Choices SM Plan Brochure
Aetna Affordable Health Choices SM Plan Brochure CoWorx Staffing Services, LLC Affordable Premiums Family Coverage Available Enroll Today! Call SRC toll-free at 1-888-772-9682 Monday-Friday, 8 a.m. to
Continuation of. Health Insurance Benefits
Continuation of Health Insurance Benefits 1 Consolidated Omnibus Budget Reconciliation Act (COBRA) Coverage may be continued for up to 18 months through COBRA for the same or reduced coverage You will
A Comprehensive Look. Updated 8/15/2012
Retiree Healthcare Benefits: A Comprehensive Look Presented by The Benefits Team Montgomery County Government Office of Human Resources (OHR) Updated 8/15/2012 1 In This Presentation 1. Acronyms and terms
November 11, 2013 through November 22, 2013
Dear Georgia Tech Retiree, Open enrollment is the one opportunity provided each year to make changes to your existing benefit coverage. The 2014 benefit open enrollment period will be held November 11,
Retiree Benefits Book
A guide to your Wells Fargo benefits Retiree Benefits Book Effective January 1, 2015 Page intentionally left blank Contents Chapter 1: An Introduction to Your Retiree Benefits 1-1 Contacts 1-2 The basics
Healthcare Services Group, Inc. (HCSG) EXPRO Submission No. E-00758. Notice to Interested Persons Reinsurance Arrangement
Purpose of this Document Healthcare Services Group, Inc. (HCSG) EXPRO Submission No. E-00758 Notice to Interested Persons Reinsurance Arrangement You are hereby notified that HCSG and HCSG Insurance Corp.
Group Basic Life Insurance FOR ACTIVE MEMBERS OF THE STATE OF NEVADA PUBLIC EMPLOYEES BENEFITS PROGRAM
Group Basic Life Insurance FOR ACTIVE MEMBERS OF THE STATE OF NEVADA PUBLIC EMPLOYEES BENEFITS PROGRAM Answers to your questions about coverage from Standard Insurance Company STANDARD INSURANCE COMPANY
Important U. S. Benefits Transition Information & Contacts Brochure. Active Union
Important U. S. Benefits Transition Information & Contacts Brochure Active Union Creating Two New Companies September 21, 2012 Introduction Kraft Foods Group, Inc. (Kraft Foods Group) will be spun-off
Illness or Disability
Illness or Disability There is no formal accrual of sick leave for academics. In the contract units, however, sick leave credit is assumed to accrue only to substantiate an official record for receipt
PHYSICIAN S GUIDE TO BENEFITS
PHYSICIAN S GUIDE TO BENEFITS OVERVIEW The comprehensive benefits and compensation package offered by the Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they
Contents. ISP for Mid-Atlantic Associates (01/2001)
Contents Your Income Security Plan Benefits... 2 About This SPD... 2 Getting More Information... 3 Changes to the Plan... 3 Participating in the Plan... 4 Eligibility... 4 Conditions for Benefit Eligibility...
Laborers Health & Welfare Bulletin
What Is An EOB Notice? An Explanation of Benefits notice (EOB) is a summary of your recent medical benefit claim that has been processed for payment. The notice will show the dates and what types of services
EMPLOYEE BENEFITS SUMMARY
NONAPPROPRIATED FUNDS EMPLOYEE BENEFITS SUMMARY Your Employer of Choice www.usmc-mccs.org MEDICAL & DENTAL BENEFITS Benefits are available to employees immediately upon hire in an eligible position, No
AT&T New-Hire Benefits Guide H000075616. Welcome to AT&T
AT&T New-Hire Benefits Guide H000075616 Welcome to AT&T We re pleased to have you with us and to introduce you to the benefits offerings available to you. What s Inside Getting Started............................................
City State/Province State/Province of Jurisdiction (where corporate headquarters is located)
SMALL CASE OFFERING CLIENT INFORMATION Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 This information initiates Unum processing that ultimately produces your contract,
2015 Benefit Open Enrollment
2015 Benefit Open Enrollment Opens: 8:30 a.m. Friday October 31, 2014 Closes: 5:00 p.m. Thursday, November 13, 2014 2015 Benefit Open Enrollment Guide 1 The guide is divided into six parts to help you
Group Term Life, AD&D, and Dependents Insurance
California Association of Professional Scientists Group Term Life, AD&D, and Dependents Insurance California Association of Professional Scientists STANDARD INSURANCE COMPANY This program is sponsored
2016 Benefits at a Glance FULL-TIME EMPLOYEES
2016 Benefits at a Glance Important Note CNA Benefits at a Glance provides highlights of the employee benefit programs available to you as a CNA employee. Neither this document nor Company policies and
Summary Plan Description for Eaton Employees
EatonBenefits.com Summary Plan Description Effective January 1, 2015 Health and Insurance Benefits Summary Plan Description for Eaton Employees EATON EMPLOYEE BENEFIT PLANS OVERVIEW This Summary Plan Description
A guide to your Wells Fargo benefits. Benefits Book* Effective January 1, 2015. * For benefits-eligible team members on U.S.
A guide to your Wells Fargo benefits Benefits Book* Effective January 1, 2015 * For benefits-eligible team members on U.S. payroll Page intentionally left blank Plan Contacts Health plans Phone Website
MAP-21 SUPPLEMENT TO ANNUAL FUNDING NOTICE
MAP-21 SUPPLEMENT TO ANNUAL FUNDING NOTICE OF THE ACADEMY OF NATURAL SCIENCES OF PHILADELPHIA PENSION PLAN FOR PLAN YEAR BEGINNING JANUARY 1, 2013 AND ENDING DECEMBER 31, 2013 ( Plan Year ) This is a temporary
Summary Plan Description NEA Introductory Term Life Insurance (Effective September 2008)
NEA Members Insurance Trust The National Education Association sponsors the NEA Members Insurance Trust Summary Plan Description NEA Introductory Term Life Insurance (Effective September 2008) This is
2015 Benefits at a Glance PART-TIME EMPLOYEES
2015 Benefits at a Glance Important Note CNA Benefits at a Glance provides highlights of the employee benefit programs available to you as a CNA employee. Neither this document nor Company policies and
Kimberly-Clark Corporation U.S. Pension Plan
Kimberly-Clark Corporation U.S. Pension Plan April 2013 Dear Plan Participant: Here is your Annual Funding Notice for the Kimberly-Clark Corporation U.S. Pension Plan as of December 31, 2012. Also, instructions
It Pays to Think Ahead. 2014 Benefit Summary
It Pays to Think Ahead. 2014 Benefit Summary Benefits Overview Aurora Public Schools is proud to offer a comprehensive benefits package to eligible employees. The complete benefit package is briefly summarized
Your DuPont Benefit Resources. Total and Permanent Disability Income Plan July 2008
Your DuPont Benefit Resources Total and Permanent Disability Income Plan July 2008 TABLE OF CONTENTS DETAILS OF THE PLAN...1 PREFACE...1 INTRODUCTION...1 ELIGIBILITY...1 ENROLLMENT...2 COST...2 PLAN BENEFIT...2
Health Insurance & Benefits
Health Insurance & Benefits Backed by the Best Planned Administrators, Incorporated (PAI) PAI is a wholly owned subsidiary of BlueCross and BlueShield of SC. For more than two decades, PAI has been the
FUNDAMENTALS OF HEALTH INSURANCE: What Health Insurance Products Are Available?
http://www.naic.org/ FUNDAMENTALS OF HEALTH INSURANCE: PURPOSE The purpose of this session is to acquaint the participants with the basic principles of health insurance, areas of health insurance regulation
HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND STATE OF HAWAII. Annual Financial Report. June 30, 2012 and 2011
HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND Annual Financial Report Annual Financial Report Table of Contents Independent Auditor s Report... 1 Management s Discussion and Analysis (Required Supplementary
CenturyLink RETIREE LIFE INSURANCE BENEFIT Legacy CenturyTel Retirees TABLE OF CONTENTS
CenturyLink RETIREE LIFE INSURANCE BENEFIT Legacy CenturyTel Retirees TABLE OF CONTENTS INTRODUCTION...1 FEATURES OF THE LIFE PLANS...2 Your Beneficiary...2 How to File a Claim...2 Recovery of Payments...2
Summary Plan Description BASIC LIFE INSURANCE
Summary Plan Description BASIC LIFE INSURANCE 2015 Table of Contents Introduction... 1 Eligibility and Enrollment... 2 Eligibility... 2 Enrollment... 2 Designating a Beneficiary... 3 Employee Life Insurance...
5901A Peachtree Dunwoody Rd., Suite 140, Atlanta, Ga., 30328 toll free: 866-488-6582, local 678-443-4003 www.erisapros.com
ERISA COMPLIANT HEALTH & WELFARE PLAN DOCUMENTS Wrap Plan Documents Summary Plan Descriptions (SPD) Form 5500s Summary of Material Modifications (SMM) Summary Annual Reports (SAR) 5901A Peachtree Dunwoody
Group Term Life, AD&D, and Dependents Insurance
Group Term Life, AD&D, and Dependents Insurance Professional Engineers In California Government STANDARD INSURANCE COMPANY This program is sponsored by the Professional Engineers in California Government
April 29, 2016. Dear Colleague,
Loral R. Blinde Vice President People & Employee Services April 29, 2016 Dear Colleague, I am pleased to share the enclosed Annual Funding Notice, which details information about your pension plan, the
Voluntary Employee Benefits
Voluntary Employee Benefits Valuable Protection That Makes a Difference for Your Employees Standard Insurance Company The Standard Life Insurance Company of New York Standard Insurance Company is licensed
Staker Parson. Short Term Disability Income Protection Plan
Staker Parson Short Term Disability Income Protection Plan Effective Date: 01/01/2006 Contact Information Plan Administrator: Address and Telephone #: Claims Administrator: Address and Telephone #: Staker
Medicare Advantage: The Basics
: The Basics Gretchen Jacobson, Ph.D. Associate Director, Program on Policy Kaiser Family Foundation Monday, June 10, 2013 Exhibit 1 More than one quarter of beneficiaries are enrolled in a private plan
What Group Plan Sponsors Need To Know About ERISA
What Group Plan Sponsors Need To Know About ERISA The Employee Retirement Income Security Act (ERISA) was signed in 1974. The U.S. Department of Labor (DOL) is the agency responsible for administering
How To Get A Health Care Plan From Kfhp
Resident Physicians Southern California Region For prospective employees 2015 Kaiser Permanente is committed to providing its employees with a competitive total compensation package that includes more
For Bargaining Unit Members. 2014 Benefits Enrollment Guide
For Bargaining Unit Members 2014 2014 Benefits Enrollment Guide Table of Contents Getting Started...2 Your 2014 Benefits At-A-Glance...3 Participating in the Benefits Program...4 Who is Eligible...4 Coverage
Regis University Page 1 Revised 05/01/2011 W:\HR\Benefits\Employee Communications
BENEFITS OVERVIEW At Regis University, we know that benefits are important to an employee s financial security and sense of well-being. Regis University is pleased to offer employees a competitive benefits
LIFE INSURANCE BENEFITS FOR U.S. EMPLOYEES AND RETIREES. And. ACCIDENTAL DEATH and DISMEMBERMENT INSURANCE BENEFITS FOR U.S. EMPLOYEES.
LIFE INSURANCE BENEFITS FOR U.S. EMPLOYEES AND RETIREES And ACCIDENTAL DEATH and DISMEMBERMENT INSURANCE BENEFITS FOR U.S. EMPLOYEES Under the NATIONAL RAILWAY CARRIERS and UNITED TRANSPORTATION UNION
96.30% 82.88% 93.20% 81.98% 97.73% 85.79% $252,254 $1,357,845 $490,361 $1,477,463 $167,281 $1,193,625 $0 $0 $0 $0 $0 $0 INFORMATION TABLE
SUPPLEMENT TO ANNUAL FUNDING NOTICE OF COLUMBIA UNIVERSITY RETIREMENT PLAN FOR SUPPORTING STAFF ( PLAN ) FOR PLAN YEAR BEGINNING JULY 1, 2014 AND ENDING JUNE 30, 2015 This is a temporary supplement to
Option Twelve Monthly Payment Plan. Short-Term Health Insurance Arizona
Option Twelve Monthly Payment Plan Short-Term Health Insurance Arizona Making the Transition Short-term health insurance from CPIC Life gives you temporary coverage to protect you from the expense of
April 2015. Dear Consolidated Edison Retirement Plan Participant:
Consolidated Edison Company of New York, Inc. 4 Irving Place New York NY 10003-0987 April 2015 Dear Consolidated Edison Retirement Plan Participant: The Consolidated Edison Retirement Plan is subject to
UNITED FIRE GROUP 401(k) PLAN (Full title of the plan)
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 11-K [ X ] ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December
Subject: RIN 1210-AB18 Aon Hewitt Comments on Proposed Regulation Under ERISA Section 101(f) Annual Funding Notice
Submitted via email at: e-ori@dol.gov Office of Regulations and Interpretations Attention: Annual Funding Notice for Defined Benefit Plans (RIN 1210-AB18) Employee Benefits Security Administration Room
Short Term Disability Income Protection Plan
Short Term Disability Income Protection Plan Effective Date: January 1, 2011 Contact Information Plan Administrator: TIB - The Independent Bankers Bank Address and Telephone #: 350 Phelps Drive Irving,
April 30, 2014. TO: University Insurance Association Members (UIA)
April 30, 2014 TO: University Insurance Association Members (UIA) The University Insurance Association (UIA) is managed by a nine member Board of Directors elected for three year staggered terms. Elections
Building Service 32BJ
Building Service 32BJ Health Fund 25 West 18th Street, New York, NY 10011-4676 Telephone 1-212-388-3500 or 1-800-551-3225 The Building Service 32BJ Health Fund is administered by a joint Board of Trustees
Health Law Update: Health Savings Account Provisions in the Medicare Prescription Drug Improvement and Modernization Act of 2003
Health Law Update: Health Savings Account Provisions in the Medicare Prescription Drug Improvement and Modernization Act of 2003 This Update summarizes the provisions of the Medicare Prescription Drug,
We make life better! The Denver Regional Council of Governments (DRCOG) Terrific people Rewarding work Competitive pay Excellent reputation
We make life better! The Denver Regional Council of Governments (DRCOG) Terrific people Rewarding work Competitive pay Excellent reputation Great benefits! Table of Contents Who Receives Benefits? 1 Key
Laborers Funds Administrative Office of Northern California, Inc. 220 Campus Lane, Fairfield, CA 94534-1498 Telephone: 707 864 2800 or 800 244 4530
Laborers Funds Administrative Office of Northern California, Inc. 220 Campus Lane, Fairfield, CA 94534-1498 Telephone: 707 864 2800 or 800 244 4530 ANNUAL FUNDING NOTICE 2014 Plan Year June 1, 2014 May
PROTECTION. COMMITMENT. STABILITY.
ACS GROUP 10-YEAR LEVEL TERM LIFE Underwritten by New York Life Insurance Company PROTECTION. COMMITMENT. STABILITY. Did you know that half of American households lack adequate life insurance coverage?
from the executive director
IATSE IATSE PENSION 401(k) H T L A E H N A N U I T Y N O I S N E P V A A T How You an Reach Us WINTER 2014/2015 VOLUME 9 ISSUE 2 At the Fund Office, we welcome your questions or requests for information.
SUMMARY PLAN DESCRIPTION FOR HANFORD EMPLOYEE WELFARE TRUST (HEWT) RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
SUMMARY PLAN DESCRIPTION FOR HANFORD EMPLOYEE WELFARE TRUST (HEWT) RETIREE HEALTH REIMBURSEMENT ARRANGEMENT January 1, 2011 Table of Contents INTRODUCTION...1 PART I GENERAL INFORMATION ABOUT THE PLAN...1
RIVERSIDE TRANSIT AGENCY FULL-TIME ADMINISTRATIVE EMPLOYEES NEW HIRE ENROLLMENT OVERVIEW 2015
RIVERSIDE TRANSIT AGENCY FULL-TIME ADMINISTRATIVE EMPLOYEES NEW HIRE ENROLLMENT OVERVIEW 2015 Riverside Transit Agency (RTA) is extremely proud of the package of benefits available to you. The benefits
PROTECTION. COMMITMENT. STABILITY.
ACS GROUP 20-YEAR LEVEL TERM LIFE Underwritten by New York Life Insurance Company PROTECTION. COMMITMENT. STABILITY. Did you know that 2/3 of Americans believe that life insurance gives people peace of
Health and Welfare Handbook
The Johns Hopkins University Health and Welfare Handbook SUMMARY PLAN DESCRIPTIONS June 2015 Contents Chapter 1 The Big Picture... 1 Health and Welfare Benefits-At-A-Glance... 2 Eligibility and Participation...
plans are available to groups from 3 to 99 lives!
Featured Carriers Aetna Building on its 150-year heritage, Aetna is one of the nation s leading providers of health, dental, group, life, disability, and long-term care benefits. They provide benefits
Your Fermilab Benefit Plans. Ann Marie Matthei 2015 New Hire Orientation
Your Fermilab Benefit Plans Ann Marie Matthei 2015 New Hire Orientation Your Fermilab Benefits Medical and Prescription Drug Coverage Dental Plans Medical and Dental Plan Rates Additional Programs from
Benefits Summary. For Regular Employees 20 or more hours per week.
2013 Benefits Summary Argonne National Laboratory is a U.S. Department of Energy laboratory managed by UChicago Argonne, LLC For Regular Employees 20 or more hours per week. TABLE OF CONTENTS Benefit Eligibility
The Retiree Life Insurance Plan Summary Plan Description (A Component of the TECO Energy Group Voluntary Employees Beneficiary Association)
The Retiree Life Insurance Plan Summary Plan Description (A Component of the TECO Energy Group Voluntary Employees Beneficiary Association) The Summary Plan Description (SPD) for The Retiree Life Insurance
SMART SHOPPING TIPS. Annual Enrollment. for 2015 ENROLL OCT. 30 NOV. 18, 2014. Taking enrollment seriously. ACT
SMART SHOPPING TIPS for 2015 Annual Enrollment ENROLL OCT. 30 NOV. 18, 2014 Taking enrollment seriously. ACT WE ARE BNSF. AND WE TAKE ENROLLMENT SERIOUSLY. 1Know What s New That means you need to be a