ASBESTOS WORKERS PHILADELPHIA HEALTH AND WELFARE PLAN
2014 HORNIG ROAD, PHILADELPHIA, PA 19116

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Organizations Filed Purposes: THE PLAN PROVIDES THE FOLLOWING BENEFITS FOR ELIGIBLE ACTIVE AND RETIRED EMPLOYEES AND THEIR DEPENDENTS:DEATH BENEFITS,OUT-PATIENT DIAGNOSTIC,ACCIDENTAL DEATH AND DISMEMBERMENT,X-RAY AND LABORATORY,MATERNITY,HOSPITAL,MAJOR MEDICAL,SURGICAL,DENTAL CARE,VISION CARE,EXTENDED BENEFITS AFTER TERMINATION OF ELIGIBILITY,PRESCRIPTION DRUGS,VACATION BENEFITS AND ALCOHOL AND DRUG ABUSE TREATMENT.THE HOSPITAL, MEDICAL AND SURGICAL BENEFITS ARE BEING PAID THROUGH AN INSURANCE ARRANGEMENT WITH INDEPENDENCE BLUE CROSS/BLUE SHIELD OF PENNSYLVANIA. THE DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS ARE BEING PAID THROUGH AN INSURANCE ARRANGEMENT WITH UNION LABOR LIFE INSURANCE COMPANY. SELF-INSURED BENEFITS PAID DIRECTLY TO PARTICIPANTS CONSIST PRIMARILY OF PRESCRIPTION DRUGS, VISION, DENTAL, MAJOR MEDICAL, MEDICARE, SICKNESS AND ACCIDENT, EXTENDED BENEFITS AND ALCOHOL AND DRUG ABUSE TREATMENT.

THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN COVERING MEMBERS OF INSULATORS AND ASBESTOS WORKERS LOCAL UNION NOS. 14 AND 89 AND ALL EMPLOYEES WHOSE EMPLOYMENT IS IN A CAPACITY WHICH PROVIDES FOR CONTRIBUTIONS TO THE TRUST OF THE PLAN.

TO PROVIDE MEDICAL, HOSPITAL, DENTAL, VISION, PRESCRIPTION, WEEKLY DISABILITY INCOME, AND DEATH BENEFITS.

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