Page 135 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

MLB League-Wide Insurance Program
Plan and Summary Plan Description

Medical and dental coverage added on special enrollment must take effect no later than the
first day of the month after the enrollment, except for coverage added in connection with a
birth, adoption or placement for adoption, which will take effect retroactive to the date of the
birth, adoption or placement.

COVID-19 Extensions. Due to the COVID-19 pandemic, the 31 and 60-day deadlines to
request special enrollment (as described above), will be disregarded effective March 1, 2020.
This special rule will remain in effect until the date that is 60 days following the end of the
COVID-19 emergency (or such other date announced by the U.S. Department of Labor and
the Internal Revenue Service). Contact the Plan Administrator if you have any questions or
are having trouble enrolling in the Plan.

BENEFITS

Special Note. Benefits under the Plan are solely provided through a contract of insurance
between the Board and an insurer. The rights of each participant, beneficiary, or other person
claiming benefits under the Plan are defined and limited by the insurance policy that is in force
at any particular time for the provision of such benefits. A claimant may enforce rights under
that policy directly against the insurer after exhausting administrative remedies in the section
of this booklet entitled CLAIMS PROCEDURE. The Board also retains the right, as policyholder,
to take action in its discretion to enforce the policy of insurance on behalf of participants and
beneficiaries.

Medical Benefit

This section briefly summarizes the medical benefits available under the Plan and describes
some important rules regarding your annual elections under the Plan. For a more complete
description of the benefits available under your medical option(s), please refer to the separate
descriptive booklet(s) that you have received from the Board, your Employer, insurance
companies, and other organizations with which the Board has contracted to provide benefits.

Your Employer provides the medical option(s) as listed in Appendix A.

You are responsible for making decisions regarding the coverage option you choose (if more
than one option is available to you) and your selection of physicians and other medical
providers. You may use any source of care for health treatment and health coverage that you
select. Neither the Board nor your Employer will have any obligation for the cost or legal
liability for the outcome of such care, or your decision not to seek or obtain care, other than
liability under the Plan for the payment of covered expenses. You also have the option to
waive the medical coverage provided by your Employer.

In addition, you and your physician are responsible for choosing the course of treatment for
(or for choosing not to treat) any illness, injury or other medical condition. The Board and/or
your Employer are not in any way responsible for the outcome of any medical treatment or
health care (or lack of such treatment or care).

You should refer to the benefit booklet(s) distributed to you to answer specific coverage

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