Page 7 - PWH 2018 Plan Documents

The name of the employer that sponsors this Plan is:

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

Identification numbers:

The federal employer identification number of the Plan sponsor listed above is:
The three digit plan identification number is: 501

Service of process:

The name, title and address of the person upon whom service of legal process may be brought is:

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

Fiscal year:

The Plan’s financial records are maintained on the basis of the twelve-month period ending each
December 31st. The effective date of this SPD is 1/1/2018.

Eligibility and Participation Requirements:

An eligible employee with respect to the Plan will be any common-law employee of the Employer
who is eligible to participate in and receive benefits under one or more of the component benefit
programs. To determine whether you or your family members are eligible to participate in a
component program, please read the eligibility information contained within the Attachments for
the applicable component benefit programs as provided by the insurance company. A summary
of this information is set forth below:

Listed below are the eligibility requirements for each component benefit program:

An eligible employee is a full time employee who is regularly scheduled to work at least 30 hours
per week. The waiting period for each line of coverage is as follows:

For Health, HRA, Life, Dental, & Vision Benefits: 90 days from date of hire

For Short Term Disability, Long Term Disability, Life and AD&D Voluntary Life and
Dependent Life Benefits: 90 days from date of hire

The benefit programs may require that you make an annual election to enroll for coverage.
Information about the enrollment procedures, including your portion of premiums, is found within
the Attachments. If you are an eligible employee, you may begin participating in the Plan upon
your election to participate in a component benefit program in accordance with the terms and
conditions established for that program. You must consult the eligibility requirements and