| Administrative Information Chart |
| Official Plan Name |
MILA National Health Plan |
| Employer Identification Number (EIN) |
13-3968546
|
|
| Plan Number |
501
|
|
| Plan Year |
January 1 through December 31
|
|
| Type of Plan |
Welfare
|
|
| Funding of Benefits |
The Plan is funded solely through employer contributions and the
benefits are not insured. In addition, the Plan receives monies from the federal government in partial offset
of its cost to provide prescription drug benefits for retirees who are entitled to benefits under Medicare but
who are not enrolled in Part D.
|
|
| Trust |
MILA-MHCTF 111 Broadway, Suite 502 New York, NY 10006-1901
212-766-5700 |
|
| Plan Administrator |
MILA-MHCTF 111 Broadway, Suite 502 New York, NY 10006-1901
212-766-5700 |
|
| Plan Sponsor |
MILA-MHCTF 111 Broadway, Suite 502 New York, NY 10006-1901
212-766-5700 |
|
| Trustees |
As listed here.
|
|
| Agent for Service of Legal Process |
MILA-MHCTF 111 Broadway, Suite 502 New York, NY 10006-1901
212-766-5700 |
|
|
Claim Administrators
|
Medical:
|
CIGNA HealthCare
Connecticut General Life Insurance Co.
900 Cottage Grove Road
Bloomfield, CT 06152 |
|
|
Mental Health and Substance Abuse:
|
CIGNA HealthCare
Cigna Behavioral Health Corporation
900 Cottage Grove Road
Bloomfield, CT 06152 |
|
|
Prescription:
|
Caremark® Inc P.O. Box 659576
San Antonio, TX 78265-9576 |
|