Summary
Annual Report
Health Benefits Program for Eligible Employees
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, 2001 through
December 31, 2001. The annual report has been
filed with the 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, 2001 were
$50,548,722.
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, 2001, the premiums paid under
such "experience-rated" contracts were
$28,543,802 and the total of all benefit claims
paid under these experience-rated contracts during
the plan year was $38,124,017.
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 or call the office of the
Plan Administrator, c/o Joanne M. Blythe,
Retirement Manager, University of Pennsylvania,
3401 Walnut Street, Suite 527A, Philadelphia,
PA 19104-6228, (215) 898-9947. The charge
to cover copying costs will be $5 for the
full annual report or 25 cents per page
for any part thereof.
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 under ERISA to examine the
annual reports in the offices
of the Employer at the address
for the Plan Administrator, above,
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