Page 117 - 2022 Washington Nationals Flipbook

MLB LWIP & Nationals Welfare
Plans and Summary Plan Description

NO ASSIGNMENT OF BENEFITS

You cannot assign, pledge, encumber or otherwise alienate any legal or beneficial interest in
benefits under the Plan, and any attempt to do so will be void. The payment of benefits
directly to a health care provider, if any, will be done as a convenience to the covered person
and will not constitute an assignment of benefits under the Plan.

QUALIFIED MEDICAL CHILD SUPPORT ORDER (QMCSO)

A QMCSO is a court order giving a child who otherwise might not be eligible for medical or
dental coverage under the Plan a right to such coverage. Normally, such an order is issued
by the court in connection with a divorce or separation. Before the Nationals will comply
with a QMCSO, it must determine that the court order meets the requirements of applicable
law pertaining to QMCSOs. You will be notified if a court order relating to you is received
by the Nationals and the procedure used by the Nationals to determine whether the order is a
QMCSO. You may receive from the Nationals, without charge, a copy of the Plan’s
QMCSO procedures.

STATEMENT OF ERISA RIGHTS

As a participant in the Plan you are entitled to certain rights and protections under ERISA.
ERISA provides that all Plan participants will be entitled to:

 Examine, without charge, at the Plan Administrator’s office and at other specified
locations, such as worksites and union halls, all documents governing the Plan, including
insurance contracts and collective bargaining agreements, and a copy of the latest annual
report (Form 5500) 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) and updated summary
plan descriptions. The Plan 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 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.

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

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