Summary Annual Report for Fairfield University Group Benefit Plan
SUMMARY ANNUAL REPORT FOR FAIRFIELD UNIVERSITY GROUP BENEFIT PLAN (*For informational purposes only - no action required)
This is a summary of the annual report of the Fairfield University Group Benefit Plan (Employer Identification Number 06-0646623, Plan Number 513) for the plan year 01/01/2021 through 12/31/2021. The annual report has been filed with the Employee Benefits Security Administration, as required under the Employee Retirement Income Security Act of 1974 (ERISA).
Fairfield University has committed itself to pay certain health, flexible spending account, prescription drug, dental, and employee assistance program claims incurred under the terms of the plan.
The plan has insurance contracts with Anthem Health Plans, Inc. and Life Insurance Company of North America to pay certain vision, long-term disability, life insurance and accidental death and dismemberment claims incurred under the terms of the plan. The total premiums paid for the plan year ending 12/31/2021 were $494,317.
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:
1. 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 Fairfield University, the plan administrator, at 1073 North Benson Road, Fairfield, CT 06824 and phone number, 203-254-4080.
You also have the legally protected right to examine the annual report at the main office of the plan: 1073 North Benson Road, Fairfield, CT 06824, 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-1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C. 20210.
For more information, contact Blythe Josovitz, Director, Benefits & Compensation / 203-254-4000 x. 2995 / firstname.lastname@example.org