Page 102 - 2022 Washington Nationals Flipbook

MLB LWIP & Nationals Welfare
Plans and Summary Plan Description

was determined to be a “full-time employee” under the ACA during a preceding
measurement period (as determined by the Board in accordance with 26 C.F.R. §
54.4980H-3);
 the date you cease to be an active employee for any reason, except for absences covered
by vacation or sick leave; or
 the date the Plan terminates.

Under certain circumstances, your coverage under the Plan may continue after the date
coverage would otherwise end. Please see the section of this booklet entitled
CONTINUATION OF COVERAGE UNDER COBRA for details. In addition, the Nationals may
continue coverage during certain periods of absence, such as a leave of absence under the
Family and Medical Leave Act of 1993, military leave, or disability in accordance with its
written personnel policies and practices. The Nationals may require contributions during
periods of absence in accordance with its personnel policies and practices. See the
Appendices for cessation of participation information specific to the Nationals.

Notwithstanding the above, the Board may, in its sole discretion, terminate your, your
spouse’s or domestic partner’s, or your dependent’s coverage under the Plan if you, your
spouse or domestic partner, or your dependent provides false information or makes
misrepresentations in connection with a claim for benefits; permits a non-participant to use a
membership or other identification card for the purpose of wrongfully obtaining benefits; or
obtains or attempts to obtain benefits by means of false, misleading or fraudulent
information, acts or omissions. Please see the Special Rules Relating to Rescissions of
Coverage subsection in the section of this booklet entitled BENEFITS for additional details.

ELECTIONS AND CONTRIBUTIONS

As an eligible employee under the Plan, you may enroll in the benefit options described in
Appendixes A, C, D, E, and F. Unless noted in the applicable Appendix, there are four types
of coverage under the Plan: (1) individual coverage; (2) employee and child(ren) coverage;
(3) employee and spouse coverage; and (4) family coverage. If you have individual
coverage, only your expenses are covered, not those of other members of your family. If you
have the employee and child(ren) coverage, only the expenses of you and your enrolled
dependent children are covered. If you have the employee and spouse coverage, only the
expenses of you and your enrolled spouse are covered. If you have family coverage, only the
expenses of you, your enrolled spouse, and enrolled dependent children are covered.

To receive benefits under the Plan, you must elect coverage for you, your spouse or domestic
partner (if the Nationals offers this benefit – see Appendix A for details), and your eligible
dependent children by completing and returning the necessary forms identifying your spouse
or domestic partner and any eligible dependent children in accordance with the rules
established by the Nationals.

You must pay also the portion of the premium designated by the Nationals.

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