Page 27 - 2022 MLB Umpire Benefit Guide Flipbook 1

MLB League-Wide Insurance Program
Plan and Summary Plan Description
is the Plan Administrator's responsibility to interpret the conflicting provisions and
determine what benefits will be provided under the Plan. Also, please keep in mind that the
Plan, any changes to it, or any payments to you under its terms, does not constitute a contract of
employment with the Employer and does not give you the right to be retained in the employment
of the Employer. No one speaking on behalf of the Plan or the Plan sponsor can alter the terms
of the Plan. You and your beneficiaries may obtain copies of the Plan and its related documents
orexamine these documents by contacting the PlanAdministrator at the number and addressset
forth in the ADDITIONAL INFORMATION section of this document.

ELIGIBILITY TO PARTICIPATE

In general, full-time employees of the Baseball-Related Entities are eligible to participate in the
Plan in accordance with the Patient Protection and Affordable Care Act of 2010 (“ACA”), as
described below. See Appendix A for eligibility details specific to your Employer and the date
your benefits begin.

ACAEmployer Mandate. The Board will establish appropriate initial and on-goingmeasurement
periodsfor purposes of determining which ineligible employeesmeet the definition of “full-time
employee” as required by Code section 4980H. If the Board chooses to use a look-back
measurement period, the look-back measurement period may vary in length by category of
employee and may be changed prospectively from year to year at the Board’s discretion and to
the extent permitted by 26 C.F.R. § 54.4980H-3. If an employee meets the definition of “full-
time employee” during the applicable measurement period, as determined by the Board, the
employee will be offered coverage for the duration of the next stability period that begins
immediately following the measurement period and subject to any administrative period
established by the Board. The length of the stability period and administrative period will
comply with 26 C.F.R. § 54.4980H- 3.

Notwithstanding the above, the following individuals are not eligible to participate in the Plan:
(1) employees covered by a collective bargaining agreement other than the Basic Agreement
between the Office of the Commissioner and World Umpires Association effective January 1,
2015, and any predecessor or successor to that agreement; (2) any person performing services
pursuant to an arrangement with a leasing organization, including but not limited to a “leased
employee” within the meaning of section 414(n) of the Internal Revenue Code (“Code”); (3) a
non-resident alien with no U.S.source income; (4) individuals who the Employer classifies as
independent contractors and any other individual the Employer does not treat as an employeefor
purposes of withholding federal employment taxes, regardless of any contrary governmental or
judicial determination relating to such employment statusor tax withholding; (5) any individual
who is eligible for benefits in the Minor League Trust; and (6) any individuals excluded from
participation on Appendix A.

Dependent Coverage. You may also elect coverage for your spouse and your dependent
children. In general, a “spouse” is a person to whom you are legally married in accordance with
the laws of the State or foreign jurisdiction where the marriage was licensed or performed, and
“dependent children” include your legal children (for example, any biological child, adopted
child, or child for whom you are the legal guardian), foster children, or step children who are
under age 26. See Appendix A for dependent eligibility details specific to your Employer.

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