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Introduction

Who Is Eligible

For Retirees of New Participating Subsidiaries and/or Participating Employers

Plan Amendments

Certificates of Coverage

Administrative and Contact Information

General Information

Type of Plan

Plan Sponsor

Employer Identification Number of Plan Sponsor

Plan Name and Number

Plan Year End

Agent for Service of Legal Process

Benefits Committee and Plan Administrator

Eligibility Administration

Claims Administrator

Claims Administrator for Eligibility Claims

Allocation and Delegation of Fiduciary Responsibilities by the Benefits Committee

Trust and Insurance

Right of Recovery

Insured Benefits

Retired Employees’ Group Life Insurance Program

Administrative and Contact Information

Right of Recovery

If, for any reason, the Group Benefits Plan pays a benefit for any individual who is not eligible for coverage under the Program, or that is larger than the amount allowed, the Plan has the right to recover the excess amount from the person or agency that received it. The recipient must produce any instruments or papers necessary to ensure this right of recovery.

RR Donnelley Retired Employees’ Group Life Insurance Program
January 1, 2005