Teamsters Local 170 Health and Welfare Fund

About

About The Fund

There may be times when you need information about how your Teamsters benefits are administered. For your convenience we have listed the information in this section.

 
Plan Administration and Named Fiduciary

The Teamsters Health and Welfare Fund is administered by a joint Board of Trustees in accordance with the terms of the Agreement and Declaration of Trust of the Teamsters Local 170 Health and Welfare Fund plus this Summary Plan Description, which together compose the official ERISA Plan Document. The Board of Trustees includes three Union representatives and three Employer representatives who serve as the named fiduciaries under ERISA. The Board of Trustees has delegated certain day–today administrative functions to the Administrator of the Fund.

The address and telephone number for the Board of Trustees is:

Board of Trustees
Teamsters Local 170 Health and Welfare
330 Southwest Cutoff
Suite 202
Worcester, MA
01604-2730

Telephone: (508) 791–3416

Agent for Service of Legal Process

If for any reason you wish to seek legal action you may serve legal process upon the Plan Administrator. If your action relates to an HMO included in the program you can also serve legal process on the HMO:

Blue Cross Blue Shield Blue Choice New England Plan 2
Landmark Center
401 Park Drive, 01/08
Boston, MA 02215-3326

Fallon Health & Life Assurance Company
10 Chestnut Street
Worcester, MA 01608

Employer and Plan Identification Numbers

The Board of Trustees’ employer identification number is 04–2219623. The Plan number for all Plans is 501.