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SUMMARY PLAN INFORMATION
The U.A. Local 447 Health and Welfare Plan is a welfare benefit plan which provides medical, dental, prescription drug,
vision, life and AD&D benefits to employees. The Board of Trustees intends that the terms of the Plan shall be legally
enforceable.
Duration of the Plan
It is intended that the Plan will continue indefinitely, but the Board of Trustees reserves the right to change and/or discontinue
the Plan at any time. In addition, this Plan may terminate by agreement of the participating employers and
unions or by operation of the law. If the Plan is terminated, its remaining assets after payment of all expenses will be
used to continue to provide benefits for as long as the Plan assets permit, or else the assets will be transferred to a successor
plan providing health care benefits. In no event will termination of the Plan result in a reversion of any assets to the
contributing employers.
Plan Administrator and Sponsor
The Plan is sponsored and administered by a joint Board of Trustees composed of 14 Trustees, of whom seven are
appointed by management and seven are appointed by labor. The address of the joint Board of Trustees is:
Employer Trustees |
Employee Trustees |
|
Thomas McEvilly
T.M. Construction
P.O. Box 19282
Sacramento, California 95819 |
Harry M. Rotz
5841 Newman Court
Sacramento, California 95819 |
Larry Cook
c/o Airco Mechanical
5720 Alder Avenue
Sacramento, California 95825 |
Richard Bertacchi
5841 Newman Court
Sacramento, California 95819 |
Rod Barbour
Lawson Mechanical and Contractors, Inc.
6090 Watt Avenue
Sacramento, California 95829 |
William S. Haley
5841 Newman Court
Sacramento, California 95819 |
Jeff Goldman
J.D. Goldman Company, Inc.
9901 Kent Street, No. 6
Elk grove, California 95624 |
Lewis Long
5841 Newman Court
Sacramento, California 95819 |
| Scott Strawbridge
Mechanical Contractors Association
1901 Olympic Blvd, Suite 200
Walnut Creek, California 94596 |
Richard Pelfanio
5841 Newman Court
Sacramento, California 95819 |
Clair Donnenworth
APMC
50 Fullerton Court, Suite 100
Sacramento, California 95825 |
Ronald Morgan
5841 Newman Court
Sacramento, California 95819 |
| John O’Connor
c/o Luppen and Hawley
P.O. Box 2008
Sacramento, California 95820 |
Robert Taylor
5841 Newman Court
Sacramento, California 95819 |
The Identification Number assigned by the Internal Revenue Service is 94-1268305 and the Plan Number is 501.
The collective bargaining agreements between U.A. Local 447 and the various employers and employer associations
require each participating employer to contribute to the Plan at a specified rate per hour for hours worked in covered
employment by each of their employees. Employers also may sign participation agreements providing coverage for nonbargaining unit employees and retirees. The Self-Funded Indemnity Medical Plan, prescription drug, EAP, hearing,
vision and dental benefits provided under this Plan are self-funded by the Fund from employer contributions on behalf of
their active employees. The Fund pays premiums for the Life/AD&D insurance provided through The Union Life Insurance
Company and the HMO plan through Kaiser Permanente that are fully insured by those entities respectively.
Kaiser Permanente’s address is:
Kaiser Foundation Health Plan, Inc.
Northern California Region
1950 Franklin Street
Oakland, California 94612
(800) 464-4000
The Union Labor Life Insurance Company’s address is:
The Union Labor Life Insurance Co.
180 Montgomery Street, Suite 1100
San Francisco, California 94104
(866) 795-0680
This booklet is a summary of benefits. The Plan's contracts with insurance providers, other health service providers providing
benefits under the Plan, the Administrative Office, plan consultant, counsel, auditor and investment manager, the
Trust Agreement, collective bargaining agreements providing for contributions to the Plan, and all filings required by the
state and federal governments are hereby incorporated by reference and are available for inspection by Plan participants
and union or employer representatives at the Administrative Office upon reasonable notice.
A complete list of employers maintaining this Plan is available for examination at the Administrative Office or your local
union office. A copy may be obtained upon written request to the Administrative Office. A charge may be made by the
Administrative Office to provide you with this information.
Legal process may be served on:
Plan Administrator
5841 Newman Court
Sacramento, California 95819
Legal process also may be served on any member of the joint Board of Trustees.
Plan Year: July 1 to June 30
No health care provider is an agent or representative of the Plan or of the Board of Trustees. The Plan does not control or
direct the provision of health care services/and or supplies to Plan participants and beneficiaries by anyone. The Plan
makes no representation or guarantee of any kind that any provider will furnish health care services or supplies that are
malpractice-free.
The foregoing statement applies to any and all health care providers, including both preferred and non-preferred providers
under the terms of Plan. The statement also applies to all entities (and their agents, employees and representatives)
that contract with the Plan to offer preferred provider Networks, or health-related services or supplies to participants and
beneficiaries.
Nothing in this Plan affects the ability of a provider to disclose alternative treatment options to a participant or beneficiary.