Sponsor's Health and Welfare Plan for Employees of ACHIEVA for annual reporting purposes. The Plan is effective July 1, 1992 amended and restated effective July 1, 2024. Your Plan's records are maintained on a fiscal period known as the Plan Year. Each Plan Year will run from July 1 through June 30. 10.2 Employer Information The Plan Sponsor's name, address, and identification number are: ACHIEVA 711 Bingham Street PITTSBURGH, Pennsylvania 15203 E.I.N.: 25-1505216 10.3 Plan Administrator Information The name, title, address, and business telephone number of your Plan Administrator is: ACHIEVA 711 Bingham Street PITTSBURGH, PA 15203 (412) 995-5000 The Plan Administrator keeps the records for the Plan and is responsible for the administration of the Plan. The Plan Administrator will also answer any questions you may have about the Plan. 10.4 Service Of Legal Process The name and address of the Plan's agent for service of legal process is: ACHIEVA 711 Bingham Street PITTSBURGH, PA 15203 10.5 Type Of Administration The Plan is administered by the Plan Administrator, who may delegate administrative duties to a third-party administrator from time to time. As applicable, the Plan Administrator will notify you who the third-party administrator is, and any applicable contact information, when you join the Plan. The Plan Administrator may change the third-party administrator from time to time, and you will be notified of any such change. The third-party administrator designated by the Plan Administrator is: UPMC Benefit Management Service PO Box 2784 Fargo, ND 58108 Telephone: (844) 220-4785 XI. ADDITIONAL PLAN INFORMATION 11.1 ERISA Rights And Protections Your Rights Under ERISA As a participant in the Plan, you are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). ERISA provides that all Plan participants are entitled to: (i) Examine, without charge, at the Plan Administrator's office and at other specified locations, such as worksites and union halls, all documents governing the Plan, including insurance contracts and collective bargaining Page 15
Summary Plan Description for Achieva Section 125 and FSA Plan Page 14 Page 16