SUMMARY ANNUAL REPORT
For Washington and Lee University Health and Welfare Plan
This is a summary of the annual report of the Washington and Lee University Health and Welfare Plan, EIN 54-0505977, Plan No. 510, a welfare benefit plan, for period July 01, 2012 through June 30, 2013. 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).
Washington and Lee University has committed itself to pay certain health care claims incurred under the terms of the plan.
The plan has contracts with Anthem Health Plans of Virginia, Inc., Humana Insurance Company, and Life Insurance Company of North America to pay health (includes a PPO), vision, life insurance, long-term disability, and prescription drug claims incurred under the terms of the plan. The total premiums paid for the plan year ending June 30, 2013 were $8,660,919.
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 Washington and Lee University at 204 West Washington Street, Lexington, VA 24450, or by telephone at (540) 458-8920. The charge to cover copying costs will be $5.50 for the full annual report, or $0.25 per page for any part thereof.
You also have the legally protected right to examine the annual report at the main office of the plan (Washington and Lee University, 204 West Washington Street, Lexington, VA 24450) 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.