C o n n e c t i c u t C a r p e n t e r s H e a l t h F u n d P l a n

Legal Information

Connecticut Carpenters Health Fund Plan
Legal Information
Name and address	Connecticut Carpenters Health Fund Plan 10 Broadway Hamden CT 06518-2699
Effective Date Amended and Restated	September 1, 1969 April 1, 2001
Plan number assigned by the Board of Trustees	501
Employer Identification Number (EIN) assigned by the Internal Revenue Service (IRS)	23-7032832
Type of plan	Provides life, health and disability benefits to eligible members and their dependents.
Type of administration	Joint Board of Trustees
Plan Administrator	Board of Trustees
Fund Director and Agent for Service of Legal Process	Mr. Richard S. Monarca Connecticut Carpenters Health Fund 10 Broadway Hamden CT 06518-2699
Source of contributions to the Health Fund	Individual contributing employers at rates established by collective bargaining agreements.
Write to the Health Fund Office if you want to: · Find out if a particular employer or employee organization is a contributing employer. · Get the address of the contributing employer. · Get a copy of collective bargaining agreements that may apply to you at a cost to you of $0.25 per page.

Fiduciaries

The people who are responsible for the operation of the Health Fund Plan are called “fiduciaries” of the plan, and they have a responsibility to do so prudently and in the interest of all plan participants and beneficiaries.

Board of Trustees
The Board of Trustees has equal representation from union and management. Any member of the Board is an agent for service of legal process, and may be reached at the address shown below.
Labor Trustees	Management Trustees
Charles Appleby Carpenters Local #24 500 Main Street Yalesville CT 06492	John B. Farnham AGC/CCIA 912 Silas Deane Highway Wethersfield CT 06109
Glenn Marshall Carpenters Local # 210 35 Pulaski Street Norwalk CT 06852	Joseph Epifano Epifano Builders, Inc. 55 Lupes Drive Stratford CT 06497
David Palmisciano Rhode Island Carpenters 14 Jefferson Park Road Warwick RI 02888	Anthony Minervini Nutmeg Interiors, Inc. 91 Southfield Avenue Stamford CT 06902
Joseph Raymond Carpenters Local #43 885 Wethersfield Avenue Hartford CT 06114	Marvin Morganbesser CCIA 912 Silas Deane Highway Wethersfield CT 06109

Plan Termination

The Trustees may change the Health Fund Plan whenever they feel it’s in the best interests of the Health Fund’s participants and beneficiaries to do so. The Health Fund Trust Agreement provides that all amendments must be in writing and adopted by a specified vote of the Trustees. Changes may be made at any time without advance notice to anyone.

Changes might mean that certain groups are excluded from coverage, certain members may have to pay for some or all of their coverage, benefits might be reduced or the Health Fund Plan itself is terminated. No one is entitled to benefits under the Health Fund.

Disclaimer

This book is a summary of the health benefits program offered by Connecticut Carpenters Health Fund. Every attempt has been made to ensure its accuracy. If the summaries of particular plan features, administrative practices or enrollment procedures are in conflict with the formal plan documents, the formal plan documents and approved administrative practices will prevail.

The full Board of Trustees has discretion to interpret the plan and this summary. You should not rely on any individual or unofficial opinion about your coverage. You should not rely on any individual’s opinion as to whether you are covered or what is covered.

The plan and any benefits are subject to amendment, reduction and/or termination without notice at the discretion of the Board of Trustees.

C o n n e c t i c u t C a r p e n t e r s H e a l t h F u n d