Group Insurance Plan Administration

Plan Sponsor, Plan Administrator and Agent for Service of Legal Process

Williams College, P.O. Box 458, Williamstown, MA, 01267, is the sponsor of the Williams College Group Insurance Plan, and the Vice President for Finance & Administration and Treasurer at Williams College is the Plan Administrator. The Vice President for Finance & Administration and Treasurer has designated the Director of Human Resources to be responsible for enrolling participants, forwarding Plan contributions to the insurance company(ies), and performing other administrative duties, including helping you with questions about Plan provisions, eligibility and participation.

The Plan Administrator may delegate any of its power and duties with respect to the Plan to one or more officers or other employees of the college. Any such delegation will be in writing.

Service of legal process may be made upon the Plan Administrator: Vice President for Finance & Administration and Treasurer, Williams College, P.O. Box 458, Williamstown, MA, 01267, 413-597-4421.

A major responsibility of the Plan Administrator is to make sure that Plan provisions are applied properly and equitably. If you feel that you have been treated unfairly or denied benefits improperly, you are encouraged to seek a review by the Plan Administrator. Any determination by the Plan Administrator concerning the Williams College Group Insurance Plan shall be final and conclusive on all persons, in the absence of clear and convincing evidence that the Plan Administrator acted arbitrarily and capriciously. Decisions by the Plan Administrator are subject to review by the President of the college to ensure that the Plan Administrator does not act arbitrarily or capriciously.

Qualified Medical Child Support Orders

A Qualified Medical Child Support Order (QMCSO) is a court order that generally requires one parent to provide a child with health insurance. If the Plan Administrator receives a QMCSO that relates to you, the Plan Administrator will contact you concerning the Plan’s procedures for such an order. Participants and beneficiaries of the Plan can obtain a copy of these procedures, without charge, from the Plan Administrator.

Plan Records and Plan Year

Plan records are kept on file in the Benefits Office and are kept on a calendar year basis.

Plan Identification Numbers

Employer Identification Number: 04-2104847
Plan Number (assigned by the college): 501

Type of Plan and Administration

The Group Insurance Plan is a welfare benefit plan providing group health benefits, life insurance benefits, accidental death and dismemberment benefits, long term disability benefits, and dependent care benefits. Life insurance benefits, accidental death and dismemberment benefits, long term disability benefits, and insured health benefits are administered by insurers. Dental benefits, the Medical Expense Reimbursement Account, the Dependent Care Reimbursement Account, and the Employee Assistance Program are administered by third parties by contractual agreement. The Extended Outpatient Mental Health Benefit is administered by Williams College.

Certain benefits under the Plan are insured under one or more policies of insurance issued by Blue Cross and Blue Shield of Massachusetts, Inc., and The Principal Insurance Company.

Amendment and Termination of the Plan

While it is expected that the Williams College Group Insurance Plan will continue indefinitely, the college reserves the right to modify or discontinue the Plan at any time. Any amendment or termination of the Plan will not adversely affect any benefit provided by the Plan that is owed prior to such amendment or termination.