BWXT Y•12 - Administrative Information - Other Administrative Facts

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Administrative Information

Other Administrative Facts

Multiple Employer Plans, Participating Employers BWXT Y-12, LLC and UT-Battelle, LLC

Plan Name	Plan Number	Plan Type	Plan Year		Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Retirement Program Plan for Employees of Certain Employers of the U.S. Department of Energy Facilities at Oak Ridge, Tennessee	001	Defined Benefit	Calendar		Northern Trust Company serves as Trustee The Northern Trust Company 50 South LaSalle Street Chicago, IL 60675	Company	Benefits are funded through group annuity contracts and assets in separate investment accounts, all of which are held in one trust
Savings Program for Employees of Certain Employers of the U.S. Department of Energy Facilities at Oak Ridge, Tennessee	009	Defined Contribution and 401(k) Plan	Calendar		State Street Bank and Trust serves as Trustee State Street Bank and Trust P.O. Box 1389 Boston, MA 02104-1389	Employee and Company	Benefits are paid by the Plan Trustee from assets held in the trust
The Group Welfare Benefit Plan for Employees of Certain Employers of the U.S. Department of Energy Facilities at Oak Ridge, Tennessee provides for the following benefits previously provided by separate plans:
Plan Name	Plan Number	Plan Type		Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Group Life Insurance	506	Welfare		Calendar	Metropolitan Life Insurance Company	Employee/Retiree and Company	Benefits are paid from an insurance contract
Business Travel Accident	506	Welfare		Calendar	Life Insurance Company of North America	Company	Benefits are paid from an insurance contract
Special Accident Insurance	506	Welfare		Calendar	Life Insurance Company of North America	Employee	Benefits are paid from an insurance contract
Health Benefits (Medical, Dental, Vision)	506	Welfare		Calendar	Connecticut General Insurance Company (CIGNA) – Medical MetLife – Dental Delta Dental Plan of Tennessee – Dental Vision Service Plan (VSP) – Vision Care Vision Service Plan - Vision Care	Employee/Retiree and Company	Benefits are paid from an insurance contract

Single Employer Plans BWXT Y-12, LLC

Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Long-Term Disability Plan	510	Welfare	Calendar	Company and an outside claims administrator	Company	Company
Cafeteria Plan	511	Welfare	Calendar	Dependent Care Spending Account Health Care Spending Account Medical and Dental Premium Programs	Employee/Retiree (Pre-tax Contributions)	Benefits are paid (through a claims administrator) from employee contributions and general assets of the Company
Employee Assistance Plan	512	Welfare	Calendar	Magellan Behavioral Health	Company	Not applicable
Education Assistance Program	513	Welfare	Calendar	Company	Company	Company
Prescription Drug Plan	515	Welfare	Calendar	Medco	Employee and Company	Benefits are paid (through claims administrator, Medco) from employee contributions and general assets of the Company
Severance Plan for Salaried Employees	517	Welfare	Calendar	Company	Company	Company
Long Term Care Plan	518	Welfare	Calendar	MetLife	Employee/Retiree	Benefits are paid from an insurance contract

Single Employer Plans UT-Battelle, LLC

Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Prescription Drug Plan	501	Welfare	Calendar	Medco	Employee/Retiree and Company	Benefits are paid (through claims administrator, Medco) from employee contributions and general assets of the Company
Cafeteria Plan	502	Welfare	Calendar	Dependent Care Spending Account Health Care Spending Account Pre-tax Medical and Dental Premium Programs	Employee (Pre-tax Contributions)	Benefits are paid (through a claims administrator) from employee contributions and general assets of the Company
Long-Term Disability Plan	503	Welfare	Calendar	Company and an outside claims administrator	Company	Company
Employee Assistance Plan	504	Welfare	Calendar	Magellan Behavioral Health	Company	Company
Education Assistance Program	505	Welfare	Calendar	Company	Company	Company
Severance Plan for Salaried Employees	506	Welfare	Calendar	Company	Company	Company
Long term Care Plan	508	Welfare	Calendar	MetLife	Employee/Retiree	Benefits are paid from an insurance contract