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The Information Contained Throughout This Report is Confidential and Proprietary THE VALUE OF BLUE. SM DELIVERING THE BEST LOCAL HEALTH PLANS NATIONWIDE.

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Presentation on theme: "The Information Contained Throughout This Report is Confidential and Proprietary THE VALUE OF BLUE. SM DELIVERING THE BEST LOCAL HEALTH PLANS NATIONWIDE."— Presentation transcript:

1 The Information Contained Throughout This Report is Confidential and Proprietary THE VALUE OF BLUE. SM DELIVERING THE BEST LOCAL HEALTH PLANS NATIONWIDE. Blue Labor Basics Online Learning Program Taft Hartley Overview

2 Section Overview

3  Why Health & Welfare Funds Were Established

4 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics

5 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries

6 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage

7 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed

8 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators

9 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators  Required Documentation

10 Section Overview  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators  Required Documentation  Coverage Eligibility

11 Why Trust Funds were Established

12  To provide health and welfare benefits for their participants.

13 Trust Fund Coverage  Private Sector workers  Union or non-union

14 Trust Fund Coverage  Private Sector workers  Union or non-union  Include or exclude retirees

15 Trust Fund Coverage  Private Sector workers  Union or non-union  Include or exclude retirees  Metropolitan, regional, statewide, national

16 Trust Fund Coverage  Union or non-union

17 Trust Fund Coverage  Union or non-union  Include or exclude retirees

18 Trust Fund Coverage  Union or non-union  Include or exclude retirees  Metropolitan, regional, statewide, national

19 Taft-Hartley Act of 1947 - Purpose  Restore balance  Ensure workers would receive benefits

20 Taft-Hartley Act of 1947 - Attributes  Contributions held in trust

21 Taft-Hartley Act of 1947 - Attributes  Contributions held in trust  Only for benefit of eligible recipients

22 Taft-Hartley Act of 1947 - Attributes  Contributions held in trust  Only for benefit of eligible recipients  Established and regulated by Federal Law

23 Taft-Hartley Act of 1947 - Attributes  Contributions held in trust  Only for benefit of eligible recipients  Established and regulated by Federal Law  Exempt from state insurance laws

24 Taft-Hartley Act of 1947 – Benefits  Allow small companies to provide cost effective healthcare

25 Taft-Hartley Act of 1947 – Benefits  Allow small companies to provide cost effective healthcare  Leverage economies of scale

26 Taft-Hartley Act - ERISA  Employment Retirement Income Security Act (ERISA)

27 Taft-Hartley Act - ERISA  Employment Retirement Income Security Act (ERISA) –Passed in 1974

28 Taft-Hartley Act - ERISA  Employment Retirement Income Security Act (ERISA) –Passed in 1974 –Established standards of national uniformity to regulate employee benefits

29 Taft-Hartley Act - ERISA  Employment Retirement Income Security Act (ERISA) –Passed in 1974 –Established standards of national uniformity to regulate employee benefits  ERISA regulates: –Health benefit plans

30 Taft-Hartley Act - ERISA  Employment Retirement Income Security Act (ERISA) –Passed in 1974 –Established standards of national uniformity to regulate employee benefits  ERISA regulates: –Health benefit plans –Pension benefit plans

31 Taft-Hartley Basics – 5 Characteristics

32 1.One or more employers contribute to the fund

33 Taft-Hartley Basics – 5 Characteristics 1.One or more employers contribute to the fund 2.The fund is collectively bargained with each participating employer

34 Taft-Hartley Basics – 5 Characteristics 1.One or more employers contribute to the fund 2.The fund is collectively bargained with each participating employer 3.The fund and its assets are managed by a joint board of trustees equally representative of management and labor

35 Taft-Hartley Basics – 5 Characteristics 4.Mobile employees can change employers without losing coverage provided the new job is with an employer who participates in the same Taft-Hartley fund.

36 Taft-Hartley Basics – 5 Characteristics 4.Mobile employees can change employers without losing coverage provided the new job is with an employer who participates in the same Taft-Hartley fund. 5.Assets are placed in a trust fund, legally distinct from the union and the employers, for the sole, and exclusive benefit of the employees and their families

37 Taft-Hartley Basics  Fund is provider of benefits; not employer or union

38 Taft-Hartley Basics  Fund is provider of benefits; not employer or union  Individuals covered through a fund are referred to as members or participants; not employees –NOTE: they need not be employees of the fund to receive benefits

39 Taft-Hartley Basics  Funds are: –Maintained pursuant to collective bargaining agreement(s)

40 Taft-Hartley Basics  Funds are: –Maintained pursuant to collective bargaining agreement(s) –Supported by contributing employers

41 Taft-Hartley Basics - Statistics  2,500 multi-employer Taft-Hartley funds  9 million participants  700,000 contributing employers

42 Taft-Hartley Basics – Portability  Plan members/participants can change jobs and maintain coverage, for example:

43 Taft-Hartley Basics – Portability  Plan members/participants can change jobs and maintain coverage, for example:  Construction workers  Seasonal workers

44 Taft-Hartley – Manufacturing Industry

45  Food and confectionary

46 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades

47 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades  Printing and publishing

48 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades  Printing and publishing  Leather

49 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades  Printing and publishing  Leather  Lumber and wood

50 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades  Printing and publishing  Leather  Lumber and wood  Furniture

51 Taft-Hartley – Manufacturing Industry  Food and confectionary  Apparel and needle trades  Printing and publishing  Leather  Lumber and wood  Furniture  Metal work

52 Taft-Hartley – Non-Manufacturing Industry

53  Mining

54 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)

55 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation

56 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation  Wholesale and retail trades

57 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation  Wholesale and retail trades  Services

58 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation  Wholesale and retail trades  Services  Entertainment

59 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation  Wholesale and retail trades  Services  Entertainment  Communication

60 Taft-Hartley – Non-Manufacturing Industry  Mining  Building & construction trades (about 1,500 funds)  Motor transportation  Wholesale and retail trades  Services  Entertainment  Communication  Public utilities

61 Taft-Hartley – Basic Coverage  Medical benefits  Hospitalizations  Prescription drugs (Rx)  Mental health services  Vision  Dental

62 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages:

63 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions

64 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries

65 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits

66 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance

67 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance –Vacation, holiday and severance benefits

68 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance –Vacation, holiday and severance benefits –Apprenticeship or training plans

69 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance –Vacation, holiday and severance benefits –Apprenticeship or training plans –Scholarship funds

70 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance –Vacation, holiday and severance benefits –Apprenticeship or training plans –Scholarship funds –Childcare

71 Taft-Hartley – Additional Coverage  Some Taft-Hartley funds may offer additional coverages: –Retirement/Pensions –Occupation illnesses and injuries –Unemployment benefits –Life insurance, disability, and sickness insurance –Vacation, holiday and severance benefits –Apprenticeship or training plans –Scholarship funds –Childcare –Legal services

72 Health & Welfare Fund – Financing  How funds are financed:

73 Health & Welfare Fund – Financing  How funds are financed: –Primary funding from employers

74 Health & Welfare Fund – Financing  How funds are financed: –Primary funding from employers –Plan participants may contribute

75 Health & Welfare Fund – Financing  How funds are financed: –Primary funding from employers –Plan participants may contribute –Determine benefit level

76 Health & Welfare Fund – Financing  How funds are financed: –Primary funding from employers –Plan participants may contribute –Determine benefit level –Purchase health coverage

77 Health & Welfare Fund – Financing  How funds are financed: –Primary funding from employers –Plan participants may contribute –Determine benefit level –Purchase health coverage –Contributions can differ between employers

78 Taft-Hartley – Fund Financing

79  typically fixed for the term of the collective bargaining agreement

80 Taft-Hartley – Fund Financing  typically fixed for the term of the collective bargaining agreement –unions have negotiated for escalators if costs exceed a specified level, or for

81 Taft-Hartley – Fund Financing  typically fixed for the term of the collective bargaining agreement –unions have negotiated for escalators if costs exceed a specified level, or for –scheduled increases at specified times

82 Taft-Hartley – Fund Financing  typically fixed for the term of the collective bargaining agreement –unions have negotiated for escalators if costs exceed a specified level, or for –scheduled increases at specified times  rarely required in multi-employer plans

83 Taft-Hartley – Fund Financing  typically fixed for the term of the collective bargaining agreement –unions have negotiated for escalators if costs exceed a specified level, or for –scheduled increases at specified times  rarely required in multi-employer plans  earnings (i.e., investment earnings) are reinvested back in to the fund

84 Taft-Hartley – Fund Financing  typically fixed for the term of the collective bargaining agreement –unions have negotiated for escalators if costs exceed a specified level, or for –scheduled increases at specified times  earnings (i.e., investment earnings) are reinvested back in to the fund

85 Taft-Hartley – Fund Financing

86  Collecting Delinquent Contributions

87 Taft-Hartley – Fund Financing  Collecting Delinquent Contributions –employers that withdraw from fund are liable for future contributions under the Multi-employer Pension Plan Amendments Act of 1980 (MPPAA)

88 Trust Fund – Fund Management

89  Multi Employer Fund Provisions:

90 Trust Fund – Fund Management  Multi Employer Fund Provisions: –Must function for the sole and exclusive benefit of the participants

91 Trust Fund – Fund Management  Multi Employer Fund Provisions: –Must function for the sole and exclusive benefit of the participants –Labor and management must be equally represented

92 Trust Fund – Fund Management  Multi Employer Fund Provisions: –Must function for the sole and exclusive benefit of the participants –Labor and management must be equally represented –The employer contributions paid to the fund must be used for paying specified benefits

93 Trust Fund – Fund Management  Multi Employer Fund Provisions: –Must function for the sole and exclusive benefit of the participants –Labor and management must be equally represented –The employer contributions paid to the fund must be used for paying specified benefits –Funds are ERISA Plans unless they are single employer government only plans or church plans

94 Trust Fund – Documentation

95  Fund must have a Trust Agreement/Plan Document

96 Trust Fund – Documentation  Fund must have a Trust Agreement/Plan Document  Annual audits are required

97 Trust Fund – Documentation  Fund must have a Trust Agreement/Plan Document  Annual audits are required  Fund must provide each participant with a comprehensive Summary Plan Description (SPD)

98 Trust Fund – Documentation  Fund must have a Trust Agreement/Plan Document  Annual audits are required  Fund must provide each participant with a comprehensive Summary Plan Description (SPD)  Failure to provide information to a participant may result in financial penalties

99 Trust Fund – Trustee & Administrator Roles

100  The fund trustees are the decision makers

101 Trust Fund – Trustee & Administrator Roles  The fund trustees are the decision makers  The trustees are not paid by the fund

102 Trust Fund – Trustee & Administrator Roles  The fund trustees are the decision makers  The trustees are not paid by the fund  The trustees have a fiduciary responsibility to operate the fund in a prudent manner –to benefit the fund’s participants

103 Trust Fund – Trustee & Administrator Roles  The fund trustees are the decision makers  The trustees are not paid by the fund  The trustees have a fiduciary responsibility to operate the fund in a prudent manner –to benefit the fund’s participants  Trustee meetings are required to be held on a consistent basis –usually monthly, but at least quarterly

104 Trust Funds – Trustee Roles & Responsibilities

105  Balancing the interests

106 Trust Funds – Trustee Roles & Responsibilities  Balancing the interests  Financial management

107 Trust Funds – Trustee Roles & Responsibilities  Balancing the interests  Financial management  Fiduciary status

108 Trust Funds – Trustee Roles & Responsibilities  Balancing the interests  Financial management  Fiduciary status  Attending trustee meetings

109 Trust Funds – Trustee Roles & Responsibilities  Balancing the interests  Financial management  Fiduciary status  Attending trustee meetings  Exercising prudence in the selection of professional experts such as

110 Trust Funds – Trustee Roles & Responsibilities  Balancing the interests  Financial management  Fiduciary status  Attending trustee meetings  Exercising prudence in the selection of professional experts such as –Benefit/actuarial consultants –Attorneys administrator –Benefits vendors –Financial managers –Accountants, etc

111 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection

112 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection  Ensuring that employer contributions are paid –Timeliness and accuracy

113 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection  Ensuring that employer contributions are paid –Timeliness and accuracy  Ensuring funds are handled properly, including disbursement to vendors

114 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection  Ensuring that employer contributions are paid –Timeliness and accuracy  Ensuring funds are handled properly, including disbursement to vendors  Ensuring participants eligibility is properly determined

115 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection  Ensuring that employer contributions are paid –Timeliness and accuracy  Ensuring funds are handled properly, including disbursement to vendors  Ensuring participants eligibility is properly determined  Ensuring participants of the Fund receives a SPD

116 Trust Funds – Trustee Roles & Responsibilities  Plan design implementation, including carrier selection  Ensuring that employer contributions are paid –Timeliness and accuracy  Ensuring funds are handled properly, including disbursement to vendors  Ensuring participants eligibility is properly determined  Ensuring participants of the Fund receives a SPD  Ensuring participants receive benefits fairly and properly

117 Taft-Hartley Fund Board of Trustees  Appointment and Removal of Trustees

118 Taft-Hartley Fund Board of Trustees  Appointment and Removal of Trustees –Appointment/removal of trustees is contained in the fund agreement and declaration of trust that governs the plan

119 Taft-Hartley Fund Board of Trustees  Appointment and Removal of Trustees –Appointment/removal of trustees is contained in the fund agreement and declaration of trust that governs the plan –Local union (or equivalent) has the power to appoint/ remove the union trustees

120 Taft-Hartley Fund Board of Trustees  Appointment and Removal of Trustees –Appointment/removal of trustees is contained in the fund agreement and declaration of trust that governs the plan –Local union (or equivalent) has the power to appoint/ remove the union trustees –Employer association (or equivalent) has the same power with regard to the employer trustees

121 Taft-Hartley Fund Board of Trustees  Administrator Role

122 Taft-Hartley Fund Board of Trustees  Administrator Role –Responsible for the day-to-day administration of the fund that includes:

123 Taft-Hartley Fund Board of Trustees  Administrator Role –Responsible for the day-to-day administration of the fund that includes:  Collecting employer contributions with appropriate documentation

124 Taft-Hartley Fund Board of Trustees  Administrator Role –Responsible for the day-to-day administration of the fund that includes:  Collecting employer contributions with appropriate documentation  Maintaining work records of participants

125 Taft-Hartley Fund Board of Trustees  Administrator Role –Responsible for the day-to-day administration of the fund that includes:  Collecting employer contributions with appropriate documentation  Maintaining work records of participants  Determining participants’ eligibility for Fund benefits

126 Taft-Hartley Fund Board of Trustees  Administrator Role cont’d  Disbursements of payments to vendors

127 Taft-Hartley Fund Board of Trustees  Administrator Role cont’d  Disbursements of payments to vendors  Reporting eligible participants to vendors

128 Taft-Hartley Fund Board of Trustees  Administrator Role cont’d  Disbursements of payments to vendors  Reporting eligible participants to vendors  Conducting trustees meetings –Recording and distributing minutes to the Trustees

129 Taft-Hartley Fund Board of Trustees  Administrator Role cont’d  Disbursements of payments to vendors  Reporting eligible participants to vendors  Conducting trustees meetings –Recording and distributing minutes to the Trustees  Maintaining vendors contracts/agreements

130 Taft-Hartley Fund Board of Trustees  Attorneys Role –Legal counsel to represent union and management interests

131 Taft-Hartley Fund Board of Trustees  Attorneys Role –Legal counsel to represent union and management interests  Benefit/Actuarial Consultants Role –Evaluate the benefits and the adequacy of the employer contributions –Evaluate overall financial stability of the fund

132 Taft-Hartley Fund Board of Trustees  Financial Managers Role –Maintenance of fund investment activities

133 Taft-Hartley Fund Board of Trustees  Financial Managers Role –Maintenance of fund investment activities  Accountants Role –Evaluate the benefits and adequacy of the employer contributions –Evaluate overall financial stability of the fund

134 Taft-Hartley Fund Board of Trustees  Health Care Benefit Vendors Role

135 Taft-Hartley Fund Board of Trustees  Health Care Benefit Vendors Role –Service the fund including presenting

136 Taft-Hartley Fund Board of Trustees  Health Care Benefit Vendors Role –Service the fund including presenting  Financial statements  Benefit information  Administrative changes  New products  Industry updates

137 Taft-Hartley Fund Board of Trustees  Influencers –Trust fund influencers may vary year to year

138 Taft-Hartley Fund Board of Trustees  Influencers –Trust fund influencers may vary year to year –Regardless, the trustees are decision-makers

139 Taft-Hartley Fund Board of Trustees  Influencers –Trust fund influencers may vary year to year –Regardless, the trustees are decision-makers  Vote on any operational change to the fund, benefits provided, or vendor selections

140 Trustee Documents

141 A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:

142 Trustee Documents A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:  Definitions of employer and employee

143 Trustee Documents A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:  Definitions of employer and employee  Who may participate

144 Trustee Documents A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:  Definitions of employer and employee  Who may participate  Purpose of the trust

145 Trustee Documents A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:  Definitions of employer and employee  Who may participate  Purpose of the trust  How many trustees and how they are appointed

146 Trustee Documents A Trust Document governs the trust activities and the trustees’ authority and responsibilities. It includes:  Definitions of employer and employee  Who may participate  Purpose of the trust  How many trustees and how they are appointed  Amendment and termination of the trust

147 Trustee Documents  Health Plan documents specify in detail the benefits provided by the trust and the eligibility requirements.

148 Trustee Documents  Health Plan documents specify in detail the benefits provided by the trust and the eligibility requirements.  Summary Plan Document (SPD): ERISA requirement to provide a SPD

149 Trustee Documents  Health Plan documents specify in detail the benefits provided by the trust and the eligibility requirements.  Summary Plan Document (SPD): ERISA requirement to provide a SPD –Containing pertinent plan benefit provisions –Written in plain English –Documents usually long and complex

150 Trustee Documents  Trustee Minutes are reviewed to bring trustees up-to- date on trust business

151 Trustee Documents  Trustee Minutes are reviewed to bring trustees up-to- date on trust business  Annual Audits provides two years of certified financial information

152 Trustee Documents  Trustee Minutes are reviewed to bring trustees up-to- date on trust business  Annual Audits provides two years of certified financial information  Form 5500 is a public document required to be filed each year –Includes participant information and financial data

153 Trustee Documents  Trustee Minutes are reviewed to bring trustees up-to- date on trust business  Annual Audits provides two years of certified financial information  Form 5500 is a public document required to be filed each year –Includes participant information and financial data  Actuarial Reports provide Plan’s funding status from certified actuaries. It contains:

154 Trustee Documents  Trustee Minutes are reviewed to bring trustees up-to- date on trust business  Annual Audits provides two years of certified financial information  Form 5500 is a public document required to be filed each year –Includes participant information and financial data  Actuarial Reports provide Plan’s funding status from certified actuaries. It contains: –Plan participant information –Summary of the funds financial status

155 Trustee Documents  Latest Internal Financial Report –Snapshot of the trust’s financial status (reported by administrator on a cash basis)

156 Trustee Documents  Latest Internal Financial Report –Snapshot of the trust’s financial status (reported by administrator on a cash basis)  Trustee Expense Policy –Rules trustees must follow for incurring and reimbursement of trust-related expenses

157 Trustee Documents  Latest Internal Financial Report –Snapshot of the trust’s financial status (reported by administrator on a cash basis)  Trustee Expense Policy –Rules trustees must follow for incurring and reimbursement of trust-related expenses  Investment Analysis/Annual Report on Fund Performance –Must be published by each fund annually

158 Trustee Documents  Contracts with Professionals and Providers

159 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review

160 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review  Front Page of Fiduciary Policy

161 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review  Front Page of Fiduciary Policy –Provides financial protection in lawsuits against the fund and trustees

162 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review  Front Page of Fiduciary Policy –Provides financial protection in lawsuits against the fund and trustees  Reports on Litigation/Legal Disputes

163 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review  Front Page of Fiduciary Policy –Provides financial protection in lawsuits against the fund and trustees  Reports on Litigation/Legal Disputes –Available in the event of a deadlock

164 Trustee Documents  Contracts with Professionals and Providers –Available for trustees to review  Front Page of Fiduciary Policy –Provides financial protection in lawsuits against the fund and trustees  Reports on Litigation/Legal Disputes –Available in the event of a deadlock –An impartial person makes a decision regarding disputes, or one of the parties may file a suit in federal court

165 Taft-Hartley Fund Coverage Eligibility  Coverage Eligibility –Typically based on total service during a specified period, whether or not the worker is employed continuously Total service in specified time period met Eligible for coverage Temporary Unemployment do not meet total service requirement Ineligible for coverage Withdraw hours from bank to meet total service requirement Bank service beyond eligibility requirements

166 Taft-Hartley Fund - Coverage Eligibility  Reciprocity Agreements

167 Taft-Hartley Fund - Coverage Eligibility  Reciprocity Agreements –Allow members to maintain coverage under their “home plan” while working temporarily for another employer, in a different location, and under a different bargaining agreement

168 Taft-Hartley Fund - Coverage Eligibility  Reciprocity Agreements –Allow members to maintain coverage under their “home plan” while working temporarily for another employer, in a different location, and under a different bargaining agreement  Consolidated Omnibus Budget Reconciliation Act (COBRA)

169 Taft-Hartley Fund - Coverage Eligibility  Reciprocity Agreements –Allow members to maintain coverage under their “home plan” while working temporarily for another employer, in a different location, and under a different bargaining agreement  Consolidated Omnibus Budget Reconciliation Act (COBRA) –A federal law that allows terminated employees to purchase health coverage by paying the full premium plus a 2 percent administrative fee for 18, 29, or 36 months, depending on the qualifying event

170 Section Review

171  Why Health & Welfare Funds Were Established

172 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics

173 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries

174 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage

175 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed

176 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators

177 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators  Required Documentation

178 Section Review  Why Health & Welfare Funds Were Established  The 5 Basic Characteristics  Benefits of Fund for Specific Industries  The Types of Coverage  How Funds are Financed & Managed  The Roles of Trustees and Administrators  Required Documentation  Coverage Eligibility

179 Please complete the quiz and then move forward to the next section


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