10.1
RESPONSIBILITY FOR ADMINISTRATION.
The Trustees will be the named fiduciary and Plan Administrator of the
Plan, with full power and
authority shall be the sole judges of the standard of proof to determine
all matters arising in the administration and application and interpretation
of the Plan. The determination of any such matters by the Trustees
will be conclusive and binding on all persons. Wherever in the Plan
the Trustees are given discretionary powers, the Trustees shall exercise
such powers in a uniform and non discriminatory manner. The Trustees
will have such duties, powers and discretionary authority as may be
necessary, including, but not by way of limitation to:
(a) construe and interpret the Plan, decide all questions of eligibility
and determine the amount, manner and time of payment of any benefits
hereunder; and
(b) prescribe procedures to be followed by Participants,
Spouses, or Beneficiaries in filing a claim for benefits; and
(c) appoint or employ individuals to assist in the administration
of the Plan and any other
agents it deems advisable, including legal, accounting and actuarial
counsel; and
(d) formulate written procedures to determine the qualified status
of domestic relations orders and to administer payment of benefits
in accordance with such orders as are determined to be qualified;
and
(e) direct the Insurer
or other investment provider, if applicable, to make payment of benefits;
and select the types of investments for self directed accounts; and
(f) determine when a benefit should be paid to a person other than
the Participant or Spouse
pursuant to Article 8.9.
Notwithstanding the foregoing, the Trustees may name, by an instrument
in writing, one or more fiduciaries, including a Plan Administrator,
who individually or severally will have authority to control and manage
the operation and administration of the Plan with the duties and powers
outlined in (a) through (f) above, and the remaining provisions of this
Article 10. The Trustees
may, at their discretion, include in such written instrument an allocation
of fiduciary responsibilities among the fiduciaries named. In addition,
the fiduciaries may delegate to any other person or organization any
of their rights, powers, duties and responsibilities with respect to
the administration of the Plan.
Any such delegation of responsibilities by the named fiduciaries will
be reviewed periodically by the appropriate fiduciary. Nothing in this
Article 10.1 will be construed to prevent an individual from serving
in more than one fiduciary capacity. In the event that no fiduciaries
are named, the Trustees will be deemed to be the named fiduciary.
10.2
CHANGE OF FIDUCIARY AND REALLOCATION OF RESPONSIBILITIES.
The Trustees reserve the right at any time, by an instrument in writing,
to discharge any fiduciary and to appoint a successor fiduciary. Any
fiduciary may resign at any time by giving appropriate written notice
to the Trustees. In addition, the Trustees reserves the right, by a
written instrument, to change any allocation of responsibilities among
named fiduciaries at any time that it is deemed reasonable and prudent
to do so.
10.3 RESPONSIBILITY FOR
APPOINTING TRUSTEE.
The Union's President and Business Manager will be responsible for appointing
the Trustees, and any successor
Trustees as may be required from time to time to fill vacancies created
by the resignation, discharge or removal of a Trustee, unless a named
fiduciary other than the President and Business Manager has been designated
to appoint the Trustees.
10.4
DIRECTIONS TO TRUSTEE.
The Trustee is subject to the direction of the appropriate fiduciary,
named in accordance with Article 10.1. All directions to the Trustee
must be in 'writing'. As used herein, "direction" will include
any certification, notice, authorization or instruction of the fiduciary
appropriately communicated to the Trustee. Direction will be implied
if the fiduciary, having knowledge of the Trust4ee's intentions, fails
to file a written objection within a reasonable time prior to the completion
of procedures contemplated.
10.5
APPOINTMENT OF INVESTMENT MANAGER.
The Trustees or other named fiduciary, may appoint an Investment Manager
to direct the investment and management of the Investment Fund. Such
Investment Manager must be either (1) registered as an investment advisor
under the Investment Advisors Act of 1940, or (b) a bank, as defined
in such Act.
The appointment of such Investment Manager must be in writing. If the
Investment Manager accepts the appointment, his acceptance, and his
acknowledgement that he is a fiduciary with respect to the Employer's
Plan, must be given to the appropriate fiduciary in writing. The Investment
Manager may resign at any time by giving thirty (30) days' prior written
notice to the appropriate fiduciary.
The Trustees or other named fiduciary, may remove the Investment Manager
at any time by giving the Investment Manager thirty (30) days prior
written notice. The Trustees
or other named fiduciary, will deliver a copy of the instruments appointing
the Investment Manager and evidencing his acceptance and acknowledgement
that he is a fiduciary with respect to the Plan,
and a copy of the Investment Manager's current registration under the
Investment Advisors Act of 1940. The Trustees will be fully protected
in relying upon such instruments and certificates until otherwise notified
in writing by the appropriate fiduciary.
All directions given to the Trustees by the Investment Manager will
be in writing. The Trustee will follow the Investment Manager's instructions
concerning the management, investment, and reinvestment of the Investment
Fund. However, the Trustees will not be liable for the acts or omissions
of the Investment Manager, and will be under no obligation to invest
or otherwise manage any asset of the Plan which is subject to the Investment
Manager's direction in the absence of such direction.
10.6
COMMUNICATION TO EMPLOYEES.
The latest copies of the Plan, announcement material, annual report,
Collective
Bargaining Agreement, Trust Agreement, Contract, or other instruments
under which the Plan was established or is operated, will be made available
for inspection at the office of the Fund to any Participant or Beneficiary
who so requests. Each Participant,
and each Beneficiary receiving benefits under the Plan, will be provided
with announcement material setting forth a statement of the essential
features of the Plan and the rights of Participants and Beneficiaries
under the Plan.
Each Participant, and each Beneficiary who is receiving benefits under
the Plan, will be furnished
with a summary of the latest annual report as of the close of each Plan
Year. In addition, each Participant will receive an annual statement
showing the benefits accumulated under the Plan on his behalf, and either
his Vested Interest in such benefits or the earliest day on which he
will be entitled to a Vested Interest.
10.7
CLAIMS & APPEALS PROCEDURE.
Any Participant or Beneficiary who thinks that he is entitled to receive
a distribution of a benefit under the Plan will have the right to file
with the appropriate fiduciary a written notice of claim for such benefit.
Such notice will state the date on which the distribution is requested
to be made. Within ninety (90) days after the fiduciary's receipt of
a claim, any Participant or Beneficiary whose claim for benefits has
been denied will, unless special circumstances require an extension
of time for processing the claim, be furnished with adequate written
notice of the denial of his claim. Such notice will contain the reasons
for the denial of the claim, with specific references to Plan provisions,
a description of additional material which is needed to complete the
claim and an explanation of the Plan's review procedure.
If an extension of time is required for processing the claim, the fiduciary
will, prior to the end of the initial 90 day period, furnish the claimant
written notice of the extension, stating the special circumstances requiring
the extension and the date by which the fiduciary expects to furnish
a final decision on the claim. Such extension will in no event exceed
a period of 90 days from the end of the initial 90 day period. Within
sixty (60) days after the receipt of a notice that his claim was denied,
the Participant or Beneficiary
will have the opportunity to appeal the denial of his claim to the appropriate
fiduciary. The Trustees, on receipt of the request for review made by
the Claimant, provide for a decision by the Trustees within 60 days,
unless special circumstances exist requiring an extension of time, in
which event the decision shall be rendered not later than 120 days from
the date of receipt of the written request for review.
Each decision made by the Trustees shall be in writing, in plain and
concise language understandable by the applicant, and shall set forth
therein the reason or reasons for the decision made and the pertinent
provision of the Plan and/or Trust
Agreement on which such decision is based.
If a benefit is forfeited because the Participant or Beneficiary cannot
be found, such benefit will be reinstated if a claim is made by the
Participant or Beneficiary.
10.8
DISABILITY BENEFIT PROCEDURES.
For disability benefit claims submitted prior to January 1, 2002, the
rules set forth in Section 10.7 shall apply. For
disability benefit claims submitted on or after January 1, 2002, the
following appeal procedure shall apply:
a) The Claimant shall submit in writing to the Fund such claim on
a form authorized by the Trustees.
b) Unless an extension applies, the Trustees shall issue its decision
in writing to the applicant within 45 days of the claim receipt.
c) The Trustees shall extend a decision for an initial appeal by
two separate periods of 30 days each, provided such extension is due
in part to circumstances beyond the control of the Plan. Such circumstances
shall include a delay in obtaining medical information from a provider
or physician.
d) The Fund shall notify the applicant in writing prior to the end
of the 45 days if the first extension shall be used or prior to 75
days if the second extension shall be used.
e) Any Claimant who has been denied benefits, or his duly authorized
representative shall have the following rights in appealing the initial
decision:
(i) The right to submit additional documentation, including comments
and statements for additional proof of entitlement to benefits.
(ii) The right to examine all relevant documentation in possession
of the Plan free of charge.
(iii) The right within 180 days of receipt of the notice of the
denial of benefits, to appeal the decision to the Trustees by submitting
a written statement setting forth which of the reasons for denial
of the application he disagrees with along with any supporting documents
or additional comments related to his appeal.
(iv) The right to authorize a representative to act on his behalf
The authorization to use a representative must be submitted in writing
to the Fund and shall immediately be forwarded to the Trustees.
(v.) The right within 45 days after the submission of the written
appeal, to receive a decision in writing from the Trustees. If circumstances
require an extension of time the applicant shall be notified within
the 45 day period. A decision shall be rendered no later than 90
days after a receipt of a request for review.
10.9
RESPONSIBILITY FOR FURNISHING INFORMATION.
The Employer or Union, as applicable, will be required to provide any
named fiduciary with such personnel data as is required to carry out
the provisions of the Plan.
The named fiduciary has the right to required submission of all necessary
information before any benefit is paid, including, but not limited to,
records of employment, proofs of dates of birth, disability or death,
and evidence of existence. No benefit dependent in any way upon such
information will be payable unless and until the information so required
has been furnished.
10.10
LIMITATION OF LIABILITY OF FIDUCIARY.
No fiduciary will be liable for any act or failure to act of any other
fiduciary, person, or organization with respect to the carrying out
of a responsibility which has been allocated to such other fiduciary,
person, or organization in accordance with the provisions of this Article
10.