This is a summary of the annual report which has been filed with the Employee Benefits Security Administration, as required under the Employee Retirement Income Security Act of 1974 (ERISA) for:
| Plan information | Details |
|---|---|
| Plan Name: | Gettysburg College Health and Welfare Plan |
| Plan Number: | 510 |
| EIN: | 23-1352641 |
| Type of Plan: | Health, Life Insurance, Prescription Drug, Dental, Vision, Temporary Disability, and Long- Term Disability |
| Plan Year: | January 1, 2022 to December 31, 2022 |
Self-Funded Information
Gettysburg College has committed itself to pay certain dental claims incurred under the terms of the Plan.
Insurance Information
The Plan has contracts with ACE American Insurance Company, Hartford Life and Accident, and Highmark Blue Shield to pay certain medical, life insurance, prescription drug, vision, long-term disability and accidental death and dismemberment claims incurred under the terms of the Plan. The total premiums paid for the plan year ending December 31, 2022, were $8,927,444.
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:
- Insurance information including sales commission paid by insurance carriers
To obtain a copy of the full annual report or any part thereof, write or call the office of the Plan Administrator: Gettysburg College
300 North Washington Street
Campus Box 2443
Gettysburg PA; 17325
The charge to cover copying costs will be $2.00 for the full annual report or $.25 per page for any part thereof.
You also have the legally protected right to examine the annual report at the main office of the Plan shown above and at the U.S. Department of Labor in Washington, DC, 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, N-1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, DC 20210.
Additional Explanation
The total dental claims and administrative expenses paid by Gettysburg College for the plan year ending December 31, 2022 were $336,269