This is a summary of the annual report for LOCAL 802 MUSICIANS HEALTH FUND, EIN13-6198844, Plan Number 501, for the period October 1, 2011 to September 30, 2012. The annual report has been filed with the Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA).
BOARD OF TRUSTEES LOCAL 802 has committed itself to pay the following types of claims incurred under the terms of the plan: certain medical, sick pay, prescription drugs and reimbursement claims
The plan has (a) contract(s) with EMPIRE HEALTHCHOICE HMO, INC, GERBER, and EMPIRE HEALTHCHOICE, INC. to pay the following types of claims incurred under the terms of the plan: the total premiums paid for the plan year ending September 30, 2012 were $3,578,663.
Basic Financial Statement
The value of plan assets, after subtracting liabilities of the plan, was $18,370,065 as of September 30, 2012, compared to $15,590,496 as of October 1, 2011. During the plan year, the plan experienced a change in its net assets of $2,779,569. This change includes unrealized appreciation or depreciation in the value of plan assets; that is, the difference between the value of the plan’s assets at the end of the year and the value of the assets at the beginning of the year or the cost of assets acquired during the year. The plan had total income of $12,752,398, which included employer contributions of $9,366,751, employee contributions of $1,622,482, gain/loss of $40,339 from the sale of assets, and earnings from investments of $1,583,514.
Total plan expenses were $9,972,829. These expenses included $1,167,569 in administrative expenses and $8,805,260 in benefits paid to participants and beneficiaries, and $0 in other expenses.
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: an accountant’s report; financial information and information on payments to service providers; assets held for investment; transactions in excess of 5 percent of plan assets; insurance information including sales commissions paid by insurance carriers; and information regarding any common or collective trusts, pooled separate accounts, master trusts, or 103-12 investment entities in which the plan participates.
To obtain a copy of the full annual report, or any part thereof, write or call the office of: Board of Trustees, Local 802 Musicians Health Fund, 322 West 48th St., New York, NY 10036, (212) 245-4802.
The charge to cover copying costs will be $0.25 per page for any part thereof.
You also have the right to receive from the plan administrator, on request and at no charge, a statement of the assets and liabilities of the plan and accompanying notes, or a statement of income and expenses of the plan and accompanying notes, or both. If you request a copy of the full annual report from the plan administrator, these two statements and accompanying notes will be included as part of that report. The charge to cover copying costs given above does not include a charge for the copying of these portions of the report because these portions are furnished without charge.
You also have the legally protected right to examine the annual report at the main office of the plan: Board of Trustees, Local 802 Musicians Health Fund, 322 West 48th St., New York, NY 10036, 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 of Labor 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.