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Section X: Summary Plan Information
The U.A. Local 447 Health and Welfare Plan is a welfare benefit plan which
provides medical, dental and prescription drug benefits to retired employees.
The Plan provides other benefits to active employees. Those benefits are described
in a separate booklet. 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:
5841 Newman Court
Sacramento, California 95819
Telephone: 916-457-0821
The names and addresses of the persons who currently constitute the Board
of Trustees are as follows:
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Employer
Trustees
Thomas
McEvilly
T.M. Construction
P.O. Box 19282
Sacramento, California 95819
Larry
Cook
c/o Airco Mechanical
5720 Alder Avenue
Sacramento, California 95825
Rod Lawson
c/o Lawson Mechanical
P.O. Box 15224
Sacramento, California 95851
Mark Schroeder
P.O. Box 15900
Sacramento, California 95882
Scott
Strawbridge
Mechanical Contractors Assoc.
1901 Olympic Blvd, Suite 200
Walnut Creek, California 94596
Elaine
J. Rose
APMC
50 Fullerton Court, Suite 100
Sacramento, California 95825
John O’Connor
c/o Luppen and Hawley
P.O. Box 2008
Sacramento, California 95820
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Employee
Trustees
Harry
M. Rotz
5841 Newman Court
Sacramento, California 95819
Richard
Bertacchi
5201 Callister Avenue
Sacramento, California 95819
William
S. Haley
7589 Sycamore Drive
Citrus Heights, California 95660
Ken Boatman
5841 Newman Court
Sacramento, California 95819
Richard
Pelfanio
4520 Candle Court
Elk Grove, California 95758
Ronald
Morgan
1107 Kris Way
Roseville, California 95661
Robert
Haley
7849 Sunrise Blvd., No. 8
Citrus Heights, California 95610
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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 non-bargaining unit employees and retirees. Benefits
provided under this Plan are funded in part by employer contributions on behalf
of their active employees and in part by retiree self-payments.
Benefits provided through The Union Life Insurance Company, PacifiCare/Secure
Horizons, Kaiser Permanente and Delta Dental are 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 |
PacifiCare’s address is:
PacifiCare of California
5995 Plaza Drive, M/S CY20-220
Cypress, California 90630
(800) 624-8822 |
The Union Labor Life Insurance Company’s address is:
The Union Labor Life Insurance Co.
180 Montgomery Street, Suite 1100
San Francisco, California 94104
(415) 391-4554 |
Delta Dental’s address is:
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Delta Dental Plan of California
P.O. Box 7736
San Francisco, California 94120
(415) 972-8456
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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:
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Plan Administrator
5841 Newman Court
Sacramento, California 95819
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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)
which 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.
