Page 134 - 2022 Washington Nationals Flipbook

MLB LWIP & Nationals Welfare
Plans and Summary Plan Description

ELECTIONS AND CONTRIBUTIONS

You are not required to contribute towards the cost of this coverage.

BENEFITS
This program pays 60% of your pre-disability earnings (minimum monthly benefit of
$100; maximum monthly benefit of $12,500) once you have been unable to work in your
own occupation due to a disability for a period of 90 days. If your pre-disability annual
earnings are less than $90,000, you must be unable to work in any occupation for the
benefits to continue after 24 months of benefit payments. In general, benefits may
continue until age 65, but special rules apply. Benefits will be reduced to the extent you
earn certain other income while disabled.

Please refer to the benefits booklet for more information.

ADDITIONAL INFORMATION

Plan Sponsor Information. The Plan Sponsor is the Washington Nationals Baseball Club,
LLC. The address and telephone number as well as the employer identification number
assigned to the Plan Sponsor by the Internal Revenue Service are as follows:

Address: 1500 S. Capitol St, SE, Washington, DC 20003
Telephone: 202.640.7000
Employer ID #: 20-5145890

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

Plan Name: Washington Nationals Baseball Club LLC Group Life Insurance and
Group Long Term Disability Insurance and Vision Plan
Plan ID #:
Plan Type: 501
This Plan is a welfare benefit plan providing life, disability and
vision benefits.

Type of Administration. The Plans are administered by the Plan Sponsor except for the
functions delegated to the various insurers as described in the underlying contracts,
certificates of coverage, and benefits booklets.

Agent For Legal Process. The agent for the service of legal process for the Plan is Damon
Jones at the address set forth above.

Page 36