SUMMARY ANNUAL REPORTFor BELOIT COLLEGE VISION INSURANCE PLAN
This is a summary of the annual report of the BELOIT COLLEGE VISION INSURANCE PLAN, EIN 39-0808497, Plan No. 507, for period January 01, 2010 through December 31, 2010. The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA).
Insurance Information The plan has a contract with VISION INSURANCE PLAN OF AMERICA, INC. to pay Vision claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2010 were $28,891.
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:
- 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 BELOIT COLLEGE BOARD OF TRUSTEES at 700 COLLEGE STREET, BELOIT, WI 53511-5509, or by telephone at (608) 363-2630.
- You also have the legally protected right to examine the annual report at the main office of the plan (BELOIT COLLEGE BOARD OF TRUSTEES, 700 COLLEGE STREET, BELOIT, WI 53511-5509) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C. 20210.
As a participant in the vision insurance plan, you have the right to periodically receive plan booklets, summary financial reports, and other plan information. To reduce the costs of printing and distributing this information, the human resources department is posting announcement of the Summary Annual Report, as required, for all participants.
If you would prefer a printed copy of the document, please send a written request to firstname.lastname@example.org and a copy will be sent to you. Covered employees who do not have access to computers at work will receive printed copies of the documents.
If you have any questions about the plans or your coverage, please call the Beloit College Human Resources Office at 608-363-2630.