Page 4 - KCCU Health & Welfare SPD
P. 4
Participation ...........................................................................................................................17
Benefits Provided ...................................................................................................................17
Source of Payment ................................................................................................................17
Plan Limitations and Exclusions .............................................................................................17
Coverage Continuation ..........................................................................................................17
For More Information .............................................................................................................17
Your Disability Benefits ..........................................................................................................18
Participation ...........................................................................................................................18
Benefits Provided ...................................................................................................................18
Source of Payment ................................................................................................................18
Payment of Benefits ...............................................................................................................18
Offset of Other Benefits..........................................................................................................19
Limitations and Exclusions .....................................................................................................19
Claims and Appeals ...............................................................................................................19
For More Information .............................................................................................................19
Administrative Information .....................................................................................................20
Plan Sponsor and Administrator .............................................................................................20
Plan Year ...............................................................................................................................21
Type of Plan ...........................................................................................................................21
Identification Numbers ...........................................................................................................21
Plan Funding and Type of Administration ...............................................................................21
Insurers/Claims Administrators ..............................................................................................22
Agent for Service of Legal Process ........................................................................................23
No Obligation to Continue Employment .................................................................................23
Non-Alienation of Benefits......................................................................................................23
Severability ............................................................................................................................24
Payment of Benefits to Others ...............................................................................................24
Expenses ...............................................................................................................................24
Fraud .....................................................................................................................................24
Indemnity ...............................................................................................................................24
Compliance with State and Federal Mandates .......................................................................24
Refund of Premium Contributions ..........................................................................................25
Non-discrimination .................................................................................................................25
Future of the Plan ..................................................................................................................25
Claims Procedures/Coordination of Benefits .......................................................................26
Claims and Appeals ...............................................................................................................26
Exhaustion Required..............................................................................................................26
Non-Duplication of Benefits / Coordination of Benefits ...........................................................27
Health Care Coverage Coordination with Medicare ...............................................................27
Subrogation and Reimbursement...........................................................................................27
Your Rights under ERISA .......................................................................................................28
Receive Information about Your Plan and Benefits ................................................................28
Continue Group Health Plan Coverage ..................................................................................28
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