Home > Active Health SPD > Statement of ERISA Rights
STATEMENT OF ERISA RIGHTS
You, as a participant, have a right to full information about your Plan, how it operates and the benefits to which you and/
or your eligible dependents are entitled under the terms of the Plan.
As a U.A. Local No. 447 Pipe Trades Health and Welfare Trust Fund participant, the Employee Retirement Income
Security Act of 1974 (ERISA) provides that you are 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 plan documents, 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 Employee Benefits Security 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.
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.
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 other person, may fire you or otherwise discriminate against you in any way to prevent you from obtaining
a benefit or exercising your rights under ERISA.
Enforce Your Rights
If your claim for a welfare benefit is denied 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 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 and you have followed and exhausted
the claims and appeals procedure on page 48, you may file suit in 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 and you have brought the matter to the Board of Trustees for their review, and you are dissatisfied with their decision,
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 legal fees. If you lose, the court may require you to pay
these costs and legal fees; for example, if the court 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 Employee Benefits Security Administration, U.S. Department of
Labor, listed in your telephone directory or the Division of Technical Assistance and Inquiries, Employee Benefits Security
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
Employee Benefits Security Administration.