Retired Employees’ Group Life Insurance Program
Wrap Document
January 2005
Contents
Introduction3
Who Is Eligible5
For Retirees of New Participating Subsidiaries and/or Participating Employers5
Plan Amendments7
Certificates of Coverage8
Administrative and Contact Information9
General Information9
Type of Plan9
Plan Sponsor9
Employer Identification Number of Plan Sponsor9
Plan Name and Number9
Plan Year End9
Agent for Service of Legal Process9
Benefits Committee and Plan Administrator10
Eligibility Administration11
Claims Administrator11
Claims Administrator for Eligibility Claims11
Allocation and Delegation of Fiduciary Responsibilities by the Benefits Committee12
Trust and Insurance12
Right of Recovery12
Insured Benefits12