| 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
55 Broadway, 27th Floor
New York, NY 10006
212-766-5700 |
|
| Plan Administrator |
MILA-MHCTF
55 Broadway, 27th Floor
New York, NY 10006
212-766-5700 |
|
| Plan Sponsor |
MILA-MHCTF
55 Broadway, 27th Floor
New York, NY 10006
212-766-5700 |
|
| Trustees |
As listed here.
|
|
| Agent for Service of Legal Process |
MILA-MHCTF
55 Broadway, 27th Floor
New York, NY 10006
212-766-5700 |
|
|
Claim Administrators
|
Medical:
|
Cigna HealthCare
Connecticut General Life Insurance Co.
P.O. Box 182223
Chattanooga, TN 37422-7223 |
|
|
Mental Health and Substance Abuse:
|
Cigna HealthCare
Connecticut General Life Insurance Co.
P.O. Box 182223
Chattanooga, TN 37422-7223 |
|
|
Prescription:
|
CVS Caremark
P.O. Box 52136
Phoenix, AZ 85072-2136 |
|
|
Dental:
|
Aetna
P.O. Box 14094
Lexington, KY 40512 |
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|
Vision:
|
FAA/EyeMed Vision Care LLC
Attn: Quality Assurance Dept.
4000 Luxottica Place
Mason, OH 45040-7111
Fax: 1-513-492-3259 |
|
