Page 122 - 2022 Washington Nationals Flipbook
P. 122

MLB LWIP & Nationals Welfare
                                          Plans and Summary Plan Description

CONTINUATION COVERAGE RIGHTS UNDER COBRA

COBRA Contact:
Benefit Coordinators Corporation
Two Robinson Plaza
Suite 200
Pittsburgh, Pennsylvania 15205
1-800-978-7948
enterpriseservice@benxcel.com

ADDITIONAL INFORMATION

Plan Sponsor Information. The Plan Sponsor is the Board of Trustees of the Major League
Baseball League-Wide Insurance Program. The address and telephone number as well as the
employer identification number assigned to the Board by the Internal Revenue Service are as
follows:

Address:                 245 Park Avenue
                New York, NY 10167
Telephone:      (212) 931-7852
Employer ID #:  26-6217877

Plan Administrator Information. The Plan Administrator and named fiduciary is the
Board of Trustees of the Major League Baseball League-Wide Insurance Program. The
address and telephone number are as follows:

Address:                 245 Park Avenue
Telephone:      New York, NY 10167
                (212) 931-7852

Plan Information. The official Plan name, Plan identification number, and Plan Year (fiscal
year used for plan records) for the Plan are as follows:

Plan Name:      Major League Baseball League-Wide Insurance Program
Plan ID #:               501
Plan Year:               Begins on January 1 and ends on December 31.

Type Of Plan. The Plan is a multiple employer welfare benefit plan providing medical and
dental benefits.

CLAIMS ADMINISTRATION AND FUNDING

The Board has contracted with Highmark Blue Cross Blue Shield to provide medical benefits
and claims services under the Plan. Benefits are paid entirely by the insurance company in
accordance with the terms of the Plan and are guaranteed under the policy.

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