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December
2005 Mailing |
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1.)
2.)
3.)
4.)
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2004 Summary
Annual Report on the Welfare Fund
Statement on Private Health
Information
Required annual statement
confirming the Plan’s coverage of treatments specified under the
Women’s Health and Cancer Rights Act of 1998
Summary of Your Employee
Assistance Program |
2004 Summary Annual Report
PIPE FITTERS’ WELFARE FUND,
LOCAL 597
This is a summary of the annual report for Pipe
Fitters’ Welfare Fund, Local 597, employer identification number (EIN)
36-2141703, a health and life insurance plan, for the year ended
December 31, 2004. The annual report has been filed with the Department
of Labor, as required under the Employee Retirement Income Security Act
of 1974 (ERISA).
Basic Financial Statement
The value of the Plan assets, after subtracting liabilities of the
Plan, was $36,502,212 as of the end of the Plan year, compared to
$38,601,837 as of the beginning of the Plan year. During the Plan year,
the Plan experienced a decrease in its net assets of $2,099,625. This
decrease included unrealized appreciation or depreciation in the value
of Plan assets; that is, the difference between the value of the Plan’s
assets at the end of the year and the value of the assets at the
beginning of the year or the cost of assets acquired during the year.
During the Plan year, the Plan had total income of $66,693,485 including
employer contributions of $64,283,245, earnings from investments of
$2,220,184 and other income of $190,056.
Plan expenses were $68,793,110. These expenses
included $144,653 in investment expenses, $2,328,304 in administrative
expenses, and $66,320,153 in benefits paid to participants and
beneficiaries.
YOUR
RIGHTS TO
ADDITIONAL INFORMATION
You have the right to receive a copy of the full
annual report, or any part thereof, on request. The items listed below
are included in that report: 1. an accountant’s report; 2. assets held
for investment; 3. transactions in excess of 5 percent of Plan assets;
and 4. insurance information including sales commissions paid by
insurance carriers.
To obtain a copy of the full annual report or any
part thereof, write or call the office of the Board of Trustees, who is
the Plan Administrator, at 45 North Ogden Avenue, Chicago, Illinois
60607, telephone number (312)633-0597. The charge to cover copying
costs will be $.25 per page.
You also have the right to receive from the Plan
Administrator, on request and at no charge, a statement of the assets
and liabilities of the Plan and accompanying notes, or a statement of
income and expenses of the Plan and accompanying notes, or both. If you
request a copy of the full annual report from the Plan Administrator,
these two statements and accompanying notes will be included as part of
that report. The charge to cover copying costs given above does not
include a charge for the copying of these portions of the report because
these portions are furnished without charge.
You also have the legally protected right to
examine the annual report at the main office of the Plan, 45 North Ogden
Avenue, Chicago, Illinois 60607 and at the Employee Benefits Security
Administration, Room N1513, U.S. Department of Labor, 200 Constitution
Avenue, N.W. Washington, DC 20210.
* * * * * * *
* * * * * * * * * * * *
Note: The Welfare Fund’s cash and investments as
of December 31, 2004 totaled $68,229,066 compared to $75,078,751 as of
December 31, 2003.
PRIVATE HEALTH INFORMATION
The
Plan is required to protect the confidentiality of your private
health information under the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) and the rules issued by the U.S.
Department of Health and Human Services. The privacy rules are
effective as of April 14, 2003. Pipe Fitters’ Local 597 Welfare
Fund is compliant with the privacy rules. If you have any
questions, or would like additional information regarding the
privacy rules, please contact the Fund Office.
WOMEN’S
HEALTH AND CANCER RIGHTS ACT OF 1998
Under
federal law, group health plans, insurers and HMOs that provide
medical and surgical benefits in connection with a mastectomy must
provide benefits for certain reconstructive surgery effective for
the first Plan year beginning on or after October 21, 1998. In the
case of a participant or beneficiary who is receiving benefits under
the plan in connection with a mastectomy and who elects breast
reconstruction, federal law requires coverage in a manner determined
in consultation with the attending physician and the patient, for:
- Reconstruction of the breast on which the
mastectomy was performed;
- Surgery and reconstruction of the other breast
to produce a symmetrical appearance; and
- Prostheses sand treatment of physical
complications at all stages of the mastectomy,
including lymphedemas.
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This
coverage is subject to the Plan’s annual deductibles and coinsurance
provisions. These provisions generally described in the Plan’s
Summary Plan Description (SPD).
If
you have any questions about the Plan’s coverage for mastectomies or
reconstructive surgery, please contact the Fund Office.
Your Employee Assistance
Program
All of us
experience problems in our life at one time or another. Most of the
time, we manage perfectly well on our own. However, occasionally we may
need additional help dealing with home and/or work place challenges that
can disrupt our life as well as the lives of our family. Knowing where
to turn when these problems arise can be difficult.
For that reason, we introduced a new Employee
Assistance Program (EAP) effective January 1, 2005. The Welfare Fund’s
EAP provides you with access to free counseling services designed to
help you and your family deal with a variety of situations, such as;
- Alcohol and drug abuse;
- Marital and family problems;
- Adolescent and child difficulties;
- Divorce and separation adjustment;
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- Job-related stress;
- Legal and financial difficulty;
- Death of a loved one; and
- Other personal and emotional problems.
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The Welfare Fund has contracted with Employee
Resource Systems (ERS) to administer the EAP. ERS counselors are
licensed mental health professionals with experience dealing with these
issues. ERS counselors will work with you or your family member, either
over the phone or in person when possible, to identify and evaluate your
concerns.
Under the Fund’s EAP program, you and or your
eligible dependent can receive up to three free counseling sessions per
incident with an ERS counselor; there is no cost to you for these
sessions. If the ERS counselor believes an issue cannot be addressed in
three sessions or if a more intensive level or care is required, you or
your dependent will be referred to a licensed mental health
practitioner, which may include a licensed psychologist, clinical social
worker, clinical professional counselor, or marriage or family
therapist.
An ERS counselor can help you or your dependent
outline a course of action to get the services you need to treat your
problem. However, you decide what you want to do and which source of
help you will use. The cost of additional services to treat your
problem, beyond the sessions provided by the EAP, will be your
responsibility. However, remember that our Welfare Fund provides mental
health and substance abuse benefits; so benefits will be provided as
long as they are Covered Expenses under the Welfare Fund.
When you or a family member has a personal problem,
you can contact an ERS counselor by calling 1-800-292-2780. ERS
counselors are available to you and your family 24-hours-a-day,
7-days-a-week. Local ERS representatives are available from 8:30 a.m.
until 5:30 p.m., Monday through Friday. For after standard business
hours emergency services, ERS phones are answered directly by clinical
professionals who can provide immediate assistance.
Confidentiality is key. In general, all services
provided by the EAP are completely confidential and your records will
not be released without your written permission. However, in extreme
circumstances, such as child abuse, suicide, or homicide threats, the
EAP may have to take action to protect the life and safety of those
believed to be in harm’s way.
If you have any questions about the EAP or your
benefits in general, please contact the Fund Office. |