Page 16 - PWH 2018 Plan Documents
P. 16

SUMMARY PLAN DESCRIPTION FOR
                                                    Positrol Workholding Benefit Plan

Introduction:

          Positrol Workholding (the “Employer”) maintains the Positrol Workholding Benefit Plans for the
          exclusive benefit of the participants and their eligible dependents as defined by the underlying
          insurance certificates(s) of coverage.

          This information goes with your summary of benefits AND/OR certificate of coverage to give you
          important information about your benefits under the Positrol Workholding Benefit Plan, called the
          “Plan”. These documents, together, make up the “summary plan description” or “SPD” for the
          Plan.

          This summary plan description is merely a summary of plan terms and conditions. The Plan is
          governed by an official plan document, and in the case of any ambiguity between the summary
          plan description and the official plan document, the official plan document will control.

          The Plan provides benefits through the following component benefit programs:
                • Medical Benefit Plan
                • Life Benefit Plan
                • Dental Benefit Plan
                • Vision Benefit Plan
                • Short Term Disability Benefit Plan
                • Long Term Disability Benefit Plan
                • Life & AD&D Benefit Plan
                • Voluntary Life & AD&D Benefit Plan

Plan Name: Positrol Workholding Health Plan

Type of Plan: Welfare plan providing benefits as detailed above.

Plan Administrator and Named Fiduciary:

          The name address and telephone numbers of the Plan Administrator is:

          David Weber
          Positrol Workholding
          3890 Virginia Ave
          Cincinnati, OH 45227
          (513) 272-0500

          The contact person for day to day administration of the plan is:
          Deborah Kerlin
          Positrol Workholding
          3890 Virginia Ave
          Cincinnati, OH 45227
          (513) 272-0500

Sponsor information:
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