LIFE INSURANCE & VSP Information

February 2001

To: Active Eligible Participants in the I.A.T.S.E. Local 857 Welfare Fund
From: Administrative Office

The Administrative Staff would like to take this opportunity to thank all of our participants for the kindness and patience extended to us during the transition between administrative offices and insurance carriers.

In connection with the recent changes, the Board of Trustees has entered into agreements with Prudential Insurance Company and Vision Service Plan to provided life and vision benefits respectively. Please review the following information and feel free to contact the Administrative Office should any questions arise.

LIFE INSURANCE BENEFIT EFFECTIVE 12/1/00 –

As a result of the Maxicare (Western Alliance) termination, the Board of Trustees has purchased life insurance coverage through The Prudential Insurance Company of America.

The benefits to all active eligible participants remains unchanged and is as follows:

Life Insurance (Member Only) $25,000.00
AD&D (Member Only) $25,000.00

Enclosed is a Life Insurance Enrollment Form for your completion. Once you have completed sections 1 & 3, please be sure to sign the form and return it to the Administrative Office in the envelope provided.

VISION BENEFITS EFFECTIVE 3/1/01 -

In addition, to the above, the Board of Trustees are pleased to announce that effective March 1, 2001, vision benefits will be offered solely through Vision Service Plan. (Additional information will be forthcoming under separate cover).

The following briefly outlines the benefits purchased:

Benefit Co-payment Frequency
Examination $10.00 Every 12-months
Lenses $25.00 Every 12-months
Frames $25.00 Every 12-months

To locate a VSP provider or to obtain general information about your vision coverage, you may contact them at (800) 877-7195 or via their website at www.vsp.com.

ADDITIONAL INFORMATION –

It has been brought to our attention that claims issues may exist regarding medical, vision & dental services rendered prior to September 1, 2000.

If you are aware of any outstanding claims issues, please advise the Administrative Office in order that we may be of assistance in addressing the situation.