Summary Annual Report


Health Benefits Program for Eligible Employees of the University of Pennsylvania

This is a summary of the annual report of the Health Benefits Program for Eligible Employees of the University of Pennsylvania, EIN 23-1352685, Plan No. 503, for the period January 1, 1999 through December 31, 1999. The annual report has been filed with the U.S. Department of Labor's Pension and Welfare Benefits Administration, as required under the Employee Retirement Income Security Act of 1974 (ERISA).

Insurance Information

The plan has contracts with Aetna/USHealthcare, Inc. and subsidiaries, UPHS Point of Service, Independence Blue Cross/Pennsylvania Blue Shield and Keystone Health Plan East to pay medical claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 1999 were $35,828,863.

Because some are so-called "experience-rated" contracts, the premium costs are affected by, among other things, the number and size of claims. Of the total insurance premiums paid for the plan year ending December 31, 1999, the premiums paid under such "experience-rated" contracts were $30,754,401 and the total of all benefit claims paid under these experience-rated contracts during the plan year was $30,605,751.

Your Rights to Additional Information

You have the right to receive a copy of the full annual report, or any part thereof, on request. Insurance information, including sales commissions paid by insurance carriers, is included in that report. To obtain a copy of the full annual report, or any part thereof, write to the Trustees of the University of Pennsylvania, 3401 Walnut Street, Suite 527-A, Philadelphia, PA 19104-6228, (215) 898-3539.

You also have the right to receive from the plan administrator, on request and at no charge, a statement of the assets and liabilities of the plan and accompanying notes, or a statement of income and expenses of the plan and accompanying notes, or both. If you request a copy of the full annual report from the plan administrator, these two statements and accompanying notes will be included as part of that report.

You also have the legally protected right to examine the annual report at the main office of the plan (Trustees of the University of Pennsylvania, 3401 Walnut Street, Suite 527-A, Philadelphia, PA 19104-6228) 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 N-5638, Pension and Welfare Benefits Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C. 20210.

--Division of Human Resources


Almanac, Vol. 47, No. 6, October 3, 2000

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