This is the summary annual report for the Cigna Group Life and Accidental Death and Dismemberment Plan, EIN 38-1358014, Plan number 510, for the year ended December 31, 2018. The annual report has been filed with the Employee Benefits Security Administration, as required under the Employee Retirement Income Security Act of 1974 (ERISA).
The plan has contracts with Life Insurance Company of North America to pay claims incurred under the terms of the plan. Total premiums paid during the plan year were $84,300.
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 Kalamazoo College, who is the plan administrator, 1200 Academy Street, Kalamazoo, MI 49006. These portions of the report are furnished without charge.
You also have the legally protected right to examine the annual report at the main office of the plan:
1200 Academy Street
Kalamazoo, MI 49006
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:
U.S. Department of Labor
Employee Benefits Security Administration
Public Disclosure Room
200 Constitution Avenue, N.W.
Washington, DC 20210