IRS summary annual report

Vanderbilt University is required to file annual reports with the Internal Revenue Service on each of its insured benefits programs. In addition, a summary of each annual report must be provided to employees and beneficiaries. Following is an insured benefit report. The format, style, and content for this report were designed by the Internal Revenue Service (IRS). The IRS requires employers to strictly follow this format. Employees who would like clarification or additional information should contact the Benefits Division of Human Resource Services, 322-8330.

SUMMARY ANNUAL REPORT
FOR VANDERBILT UNIVERSITY

LONG TERM DISABILITY INSURANCE PROGRAM

This is a summary of the annual report for the Vanderbilt University Long Term Disability Program, Employer Identification Number 62-0476822, Plan Number 508, for Nov. 1, 1998 and ending Oct. 31, 1999. The annual report has been filed with the Internal Revenue Service, as required under the Employee Retirement Income Security Act of 1974 (ERISA).

INSURANCE INFORMATION

The plan has a contract with UNUM Life Insurance Company of America to pay all eligible claims incurred under the terms of the Plan. The total premiums paid for the Plan Year ending Oct. 31, 1999 were $1,381,005 qualifying health claims.

YOUR RIGHTS TO ADDITIONAL INFORMATION

You have the right to receive a copy of the full annual report, or any part thereof, on request. One of the items included in that report is insurance information including sales commissions paid by insurance carriers, if any.

To obtain a copy of the full annual report, or any part thereof, write or call the office of the Plan Administrator, Vanderbilt University, Box 7700, Station B, 213 Peabody Administration Building, Nashville, Tennessee 37203; Telephone Number (615) 322-8330. The charge to cover copying costs will be $.20 per page.

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 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 a charge.

You also have the legally protected right to examine the annual report at the main office of the Plan Administrator 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 should be addressed to Public Disclosure, Room N4677, Pension and Welfare Benefit Programs, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C. 20216.