Marsh & McLennan Companies HMSA's Health Plan Hawaii Plus HMO

501

This is a welfare plan.

The plan year is January 1 - December 31.

The Plan Sponsor is:

Eligible employees of Marsh & McLennan Companies, Inc. are covered by the employee benefits plan described in this document, as well as eligible employees of any subsidiary or affiliate which:

You may write to the Plan Administrator to learn which employers participate in this plan.

The Plan Administrator is Marsh & McLennan Companies, Inc. Benefits Administration Committee and can be reached at:

The Plan Administrator has full discretion and authority to control and manage the operation and administration of each of the plans except to the extent authority has been granted to the Claims Administrator for adjudication of claims.

The group contract numbers are 96770-1 & 96770-3 (COBRA).

The plan is fully insured through the HMO which administers claims for this plan and is solely responsible for providing medical benefits and determinations.

Contributions are made jointly by the Company and participating employees. These contributions are held in the Marsh & McLennan Companies, Inc. Employer Funded Welfare Benefit Trust by the trustees:

Premium payments to the HMO are payable solely from the trust.

The Company has engaged the services of the Claims Administrator, who is responsible for processing claims for this fully-insured plan.

(Be sure to check your claim form or instructions for the address of the claims processing office.)

For appealing a medical or prescription drug claim:

For COBRA coverage: