Page 169 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

Continuation Coverage Rights Under COBRA

Please see the section of this booklet entitled CONTINUATION OF COVERAGE 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 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) are as follows:

Plan Name: Washington Nationals Baseball Club LLC Dental Plan
Plan ID #: 502
Plan Type: This Plan is a welfare benefit plan providing dental benefits.
Plan Year: Begins on January 1 and ends on December 31.

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

Type of Administration. The Washington Nationals have contracted with United Concordia to
provide dental benefits and claims services under the Plan. Benefits are paid entirely by United
Concordia in accordance with the terms of the Plan and are guaranteed under the contract. For
more information, contact:

United Concordia
P.O. Box 69421
Harrisburg, PA 17106-9421
Customer Service: (800) 332-0366

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