Article 6 – Administration of
the Plan
6.1 Payment of Administrative Expenses and Use of
Forfeitures
Plan
forfeitures will be used first to pay the administrative expenses of the Plan;
second to credit Individual Accounts for Employer Contributions which are due
but cannot be collected through delinquency collection efforts, and for
reinstating previously forfeited benefits which are recovered pursuant to
Articles 2.5 or 4.3(d); and if additional sums are available, may be allocated
pro rata among the Participants’ Regular Subaccounts.
Any
additional costs of administering the Plan in excess of forfeitures under
the Plan shall be paid from investment earnings of the Plan.
6.2 Valuation of Accounts
The
Trustees shall, at least annually, beginning December 31, 1981, value the Plan
assets at their fair market value as of each Valuation Date. The term
“fair market value” shall mean the value of the assets which takes
into account the fair market value of all the investments of the Trust. The fair
market value of all bonds and all other evidence of indebtedness, which are not
in default as to principal or interest, shall be determined on an amortization
basis running from initial cost at purchase to par value at maturity or earliest
call date.
The
Trustees shall, in their sole discretion, and with the advice of their actuary,
determine the Valuation Factor for any Valuation Date. The Valuation Factor
shall be (1) the fair market value of the Fund (adjusted as necessary for
forfeitures, expenses and the creation of any reserves) as of such date, less
contributions credited to Individual Accounts since the last Valuation Date,
divided by (2) the total amount in the Individual Accounts as of the prior
Valuation Date minus any such Individual Accounts as of the prior Valuation Date
which were forfeited or paid out since the prior Valuation Date.
6.3 Claims and Appeals Procedure
- Claims.
Claims or application for benefits under this Plan must be made in writing to
the Plan Administrator at the address listed in the Plan Booklet on forms
prescribed by the Administrator.
- Denial
of Claim (Other Than Claim for Disability Retirement Benefits). Any person whose
application for benefits (other than Disability Retirement Benefits) under the
Plan has been denied in whole or in part, or whose claim to benefits against the
Fund is otherwise denied, will be notified in writing of the denial within 90
days after the Plan’s receipt of the application or claim. An extension of
time, not to exceed an additional 90 days, may be required by special
circumstances. If so, notice of the extension, indicating the special
circumstances and the date by which a final decision is expected to be rendered,
will be furnished the claimant before the expiration of the initial 90-day
period.
- Denial
of Claim for Disability Retirement Benefits. Any person whose application for
Disability Retirement Benefits is denied in whole or in part will be notified in
writing of the denial within a reasonable period of time, but not later than 45
days after receipt of the claim. This period may be extended for up to 30 days
(to a total of 75 days) if the Plan determines that an extension of time for
making the determination is necessary due to matters beyond the control of the
Plan, and notifies the claimant prior to the expiration of the initial 45-day
period of the circumstances requiring the extension of time and the date by
which the Plan expects to render a
decision.
If
the Plan determines that an additional extension of time for making the benefit
determination is necessary due to matters beyond the control of the Plan, and
notifies the claimant prior to the expiration of the first 30-day extension
period of the circumstances requiring the extension of time and the date by
which the Plan expects to render a decision, then the period for making a
benefit determination may be extended by the Plan for an additional 30 days (to
a total of 105
days).
If
an extension of time is due to the claimant’s failure to submit the
information necessary to decide a claim for Disability Retirement Benefits, the
claimant will be afforded at least 45 days within which to provide the specified
information. The period for making the benefit determination will be tolled from
the date on which the notification of the extension is sent to the claimant
until the date on which the claimant responds to the request for additional
information.
If
an extension is necessary to consider a claim for Disability Retirement
Benefits, the notification of the extension will specifically
provide:
- An
explanation of the standards on which entitlement to a benefit is
based;
- The
unresolved issues that prevent a decision on the claim; and
- The
additional information needed to resolve the issues.
- Notice
of Denial. The notice of denial will set forth the following in a manner
calculated to be understood by the
claimant:
- The
specific reason or reasons for the denial;
- Specific
reference to pertinent Plan provisions on which the denial is based;
- A
description of any additional material or information necessary for the claimant
to perfect the claim and an explanation of why the material or information is
necessary;
- An
explanation of the Plan’s claim review procedure, and the time limits
applicable to such procedures, and a statement of the claimant’s right to
bring a civil action under ERISA § 502(a); and
- In
the case of a claim for Disability Retirement Benefits, if an internal rule,
guideline, protocol, or other similar criterion was relied upon in making the
adverse determination, either the specific rule, guideline, protocol, or other
similar criterion, or a statement that such a rule, guideline, protocol, or
other similar criterion was relied upon in making the determination and that a
copy of the same will be provided free of charge to the claimant upon
request.
- Notice
of Appeal to Trustees. The claimant may appeal to the Board of Trustees for a
review of the denial. The notice of appeal must be in writing and shall contain
the following
information:
Notice
of
Appeal Notice
is hereby given to the Trustees of the Carpenters Individual Account Pension
Plan that: (claimant’s name, social security number, address and telephone
number) hereby appeals from the decision or action of the Trustees or their
representative (name of representative, if any) in (make a statement clearly
identifying the decision or action being appealed) which decision was made or
action taken on the _____ day of ______________,
200__.
This
appeal is based upon the rights accrued under the Plan by (name, address and
social security number of the employee on the basis of whose accrued rights
under the Plan the appeal is made, if made by a beneficiary other than such
Employee). I
do (not) wish to present my appeal in person or with legal counsel in a hearing
before the Board of
Trustees. Together
with the Notice of Appeal, a claimant shall file with the Trustees a statement
in writing containing the following additional
information:
- A
statement as to each ground on which claimant believes the decision or other
action appealed from to have been in error;
- A
list of the names and addresses of each person on whose testimony claimant will
rely, in whole or in part, in support of the appeal, together with a short
statement of the facts to which each such person is expected to
testify;
- A
list of each document on which claimant will rely in support of the
appeal.
In
the case of a denial of Disability Retirement Benefits, notice must be filed by
the claimant or his duly authorized representative with the Administrator of the
Trust within 180 days after receipt of notice of a denial of Disability
Retirement Benefits, and in the case of all other adverse determinations, within
60 days after receipt of notice of the
determination.
The
failure to file a written notice of appeal within the time period prescribed
will operate as a complete waiver and will bar claimant’s right to appeal,
and the decision or other action of the Trustees will be
final.
- Scheduling
of Appeal. After claimant has filed with the Trustees the required written
statement in support of appeal, the Trustees will set a date for hearing, if
requested by claimant. All hearings will be conducted in accordance with the
Administrative Rules on Appeal. The appeal will be conducted by the Board of
Trustees, or by the Appeals Committee of the Board of Trustees, which has been
allocated the authority for making a final decision in connection with the
appeal.
The
Trustees will review a properly filed appeal at the next regularly scheduled
quarterly meeting of the Appeals Committee, unless the request for review is
received by the Trustees within thirty (30) days preceding the date of such
meeting. In such case, the appeal will be reviewed no later than the date of the
second quarterly meeting following the Trustee’s receipt of the notice of
appeal, unless there are special circumstances requiring a further extension of
time, in which case a benefit determination will be rendered not later than the
third quarterly meeting of the Appeals Committee following the Trustee’s
receipt of the notice of appeal. If such an extension of time for review is
required because of special circumstances, such as a request for a hearing on
the appeal, then prior to the commencement of the extension, the Plan will
notify the claimant in writing of the extension, describe the special
circumstances and the date as of which the benefit determination will be
made.
- Appeal
Procedures. The claimant is entitled to present his position and any evidence in
support thereof, and may appear in person at the appeal hearing. The claimant
may be represented by an attorney or by any other representative of his choosing
at his own expense. The claimant may submit written comments, documents,
records, and other information relating to the claim. The claimant will be
provided upon request and free of charge, reasonable access to, and copies of,
all documents, records and other information relevant to his claim for
benefits.
The
claimant must introduce sufficient credible evidence on appeal to establish,
prima facie, entitlement to the relief from the decision or other action from
which the appeal is taken. The claimant will have the burden of proving his
right to relief from the decision or action appealed, by a preponderance of
evidence. The Trustees will review all comments, documents, records and other
information submitted by the claimant related to the claim, regardless of
whether such information was submitted or considered in the initial benefit
determination. The Trustees will not afford deference to the initial adverse
benefit
determination.
When
deciding an appeal of a claim for Disability Retirement Benefits that is based
in whole or in part on a medical judgment, the Trustees will consult with a
health care professional who has appropriate training and experience in the
field of medicine involved in the medical judgment. Any medical or vocational
expert whose advice was obtained on behalf of the Plan in connection with the
adverse benefit determination will be identified to the claimant. Any health
care professional engaged for the purpose of a consultation will not be an
individual who was consulted in connection with the initial adverse benefit
determination that is the subject of the appeal, nor the subordinate of any such
individual.
- Decision
of Trustees. The Trustees will issue a written decision on review as soon as
possible. In the case of a disability retirement, within five (5) days after the
hearing; and on all other appeals, within sixty (60) days of the hearing. The
decision will
include:
- The
specific reasons for the decision, written in a manner calculated to be
understood by the claimant;
- Specific
references to pertinent Plan provisions on which the decision is
based;
- A
statement that the claimant is entitled to receive upon request and free of
charge, reasonable access to, and copies of all documents, records, and other
information relevant to the claimant’s claim for benefits;
- In
the case of a claim for Disability Retirement, a statement of the
claimant’s right to bring a civil action under ERISA § 502(a);
and
- In
the case of a claim for Disability Retirement, if an internal rule, guideline,
protocol, or other similar criterion was relied upon in making the adverse
determination, either the specific rule, guideline, protocol, or other similar
criterion, or a statement that such a rule, guideline, protocol, or other
similar criterion was relied upon in making the determination and that a copy of
the same will be provided free of charge to the claimant upon
request.
- Arbitration
- Claim
for Disability Retirement Benefits. Following issuance of the written decision
of the Trustees on an appeal of a claim for Disability Retirement Benefits,
there is no further right of appeal to the Trustees or right to arbitration.
Instead, the claimant may bring a civil action under ERISA § 502(a).
- Claim
Other Than for Disability Retirement Benefits. If the claimant is dissatisfied
with the written decision of the Trustees, other than a decision on a claim for
Disability Retirement Benefits, the claimant may request a further appeal by
arbitration in accordance with the Employee Benefit Plan Claims Arbitration
Rules of the American Arbitration Association. However, the request must be
submitted in writing to the Trustees within 60 days of receipt of the
Trustees’ written decision. Failure of the claimant to initiate
arbitration timely shall bar any further consideration of the appeal. If
requested, the administrator will assist the aggrieved person in preparing the
request for arbitration. In the event the matter is submitted to arbitration,
the appeal will be limited to a transcript of witness testimony, the exhibits
and the Findings and Decision of the Trustees (or Appeals Committee of the
Trustees). The arbitrator shall not have the power or authority to add to,
subtract from, or in any way modify the Plan, Trust Agreement, insurance
contracts, if any, or the rules and regulations of the Trust. The question for
consideration by the arbitrator will be whether, in the particular
instance:
- The
Trustees were in error upon an issue of law;
- The
Trustees acted arbitrarily or capriciously in the exercise of their discretion;
or
- The
Trustees’ findings of fact were supported by substantial
evidence.
The
expenses of arbitration will be borne equally by the appealing party, and by the
Trust Fund unless otherwise ordered by the arbitrator. Each party is responsible
for its own attorney fees. The decision of the arbitrator is final and binding
on all parties, and judgment upon the award may be entered in any Court having
jurisdiction
thereof
- Exhaustion
of Remedies. A claimant must exhaust his remedies under the foregoing procedures
as a condition precedent to the commencement of any
suit.
6.4 Construction of the Plan
This
Plan is administered by the Trustees. The Trustees may establish rules for the
transaction of their business and administration of the Plan. The Trustees will
have the exclusive right to construe the provisions of the Plan and to determine
any and all questions arising thereunder or in connection with the
administration thereof, including the right to remedy possible ambiguities and
inconsistencies or omissions, and any such construction or determination by the
Trustees made in good faith shall be conclusive on all persons affected thereby,
provided that in any such construction or determination, the Trustees shall not
discriminate in favor of any employee or class of employees.
6.5 Required Minimum Distributions
- General
Rules
- Effective
Date. The provisions of this Article will apply for purposes of determining
required minimum distributions for calendar years beginning with the 2003
calendar year.
- Precedence.
The requirements of this Article will take precedence over any inconsistent
provisions of the Plan.
- Requirements
of Treasury Regulations Incorporated. All distributions required under this
Article will be determined and made in accordance with the Treasury Regulations
under Internal Revenue Code § 401(a)(9).
- TEFRA
Section 242(b)(2) Elections. Notwithstanding the other provisions of this
Article, distributions may be made under a designation made before January 1,
1984, in accordance with Section 242(b)(2) of the Tax Equity and Fiscal
Responsibility Act (TEFRA) and the provision of the Plan that relate to Section
242(b)(2) of TEFRA.
- Time
and Manner of
Distribution
- Required
Beginning Date. The Participant’s entire interest will be distributed, or
begin to be distributed, to the Participant no later than the
Participant’s required beginning date, as defined in Article 4.3(b) of the
Plan.
- Death
of Participant Before Distributions Begin. If the Participant dies before
distributions begin, the Participant’s entire interest will be
distributed, or begin to be distributed, no later than as
follows:
- Distributions
to the surviving spouse will begin by December 31 of the calendar year
immediately following the calendar year in which the Participant died, or by
December 31 of the calendar year in which the Participant would have attained
age 70 1/2, if later. (No distribution may be made other than to a surviving spouse
under Article 5.1 of the Plan, if the Participant has a surviving
spouse.)
- If
there is no surviving spouse, but the Participant has designated an eligible
beneficiary under Article 5.3 of the Plan, distribution shall begin by December
31 of the calendar year immediately following the calendar year in which the
Participant died.
- If
there is no surviving spouse, and there is no designated beneficiary,
distributions shall be made to the person entitled to the death benefit provided
for in Article 5 of the Plan, as of September 30 of the year following the year
of the Participant’s death. The Participant’s entire interest will
be distributed by December 31 of the calendar year of the fifth anniversary of
the Participant’s death.
- If
the Participant’s surviving spouse is the Participant’s sole
designated beneficiary, and the surviving spouse dies after the Participant, but
before distributions to the surviving spouse begin, this Article 6.5(b), other
than Article 6.5(b)(1), will apply as if the surviving spouse were the
Participant.
For
purposes of this Article 6.5(b) and 6.5(d), unless Article 6.5(b)(2)(iv) applies, distributions are considered to begin on the Participant’s
required beginning date. If Article 6.5(b)(2)(iv) applies, distributions are
considered to begin on the date distributions are required to begin to the
surviving spouse under Article 6.5(b)(1). If distributions under an annuity
commence to the Participant before the Participant’s required beginning
date (or to the Participant’s surviving spouse before the date
distributions are required to begin to the surviving spouse under Article
6.5.2(a)), the date distributions are considered to begin is the date
distributions actually commence.
- Form
of Distribution. Distributions of installment/annuity payments will be made in
accordance with Articles 6.5(c) and 6.5(d).
- Required
Minimum Distributions During Participant’s
Lifetime
- Amount
of Required Minimum Distribution for Each Distribution Calendar Year. During the
Participant’s lifetime, the minimum amount that will be distributed for
each distribution calendar year is the lesser
of:
- The
quotient obtained by dividing the Participant’s account balance by the
distribution period in the Uniform Lifetime Table set forth in Treasury
Regulation § 1.401(a)(9)-9 using the Participant’s age as of the
Participant’s birthday in the distribution calendar year; or
- If
the Participant’s sole designated beneficiary for the distribution
calendar year is the Participant’s spouse, the quotient obtained by
dividing the Participant’s account balance by the number in the Joint and
Last Survivor Table set forth in Treasury Regulation § 1.401(a)(9)-9, using
the Participant’s and spouse’s attained ages as of the
Participant’s and spouse’s birthdays in the distribution calendar
year.
- Lifetime
Required Minimum Distributions Continue Through Year of Participant’s
Death. Required minimum distributions will be determined under this Article
6.5(c) beginning with the first distribution calendar year and up to and
including the distribution calendar year that includes the Participant’s
date of death.
- Required
Minimum Distributions After Participant’s
Death
- Death
on or After Date Distributions
Begin
- Participant
Survived by Designated Beneficiary. If the Participant dies on or after the date
distributions begin and there is a designated beneficiary, the minimum amount
that will be distributed for each distribution calendar year after the year of
the Participant’s death is the quotient obtained by dividing the
Participant’s account balance by the longer of the remaining life
expectancy of the Participant or the remaining life expectancy of the
Participant’s designated beneficiary, determined as
follows:
- The
Participant’s remaining life expectancy is calculated using the age of the
Participant in the year of death, reduced by one for each subsequent
year.
- If
the Partici-pant’s surviving spouse is the Participant’s sole
designated beneficiary, the remaining life expectancy of the surviving spouse is
calculated for each distribution calendar year after the year of the
Participant’s death using the surviving spouse’s age as of the
spouse’s birthday in that year. For distribution calendar years after the
year of the surviving spouse’s death, the remaining life expectancy of the
surviving spouse is calculated using the age of the surviving spouse as of the
spouse’s birthday in the calendar year of the spouse’s death,
reduced by one for each subsequent calendar year.
- If
the Participant’s surviving spouse is not the Participant’s sole
designated beneficiary, the designated beneficiary’s remaining life
expectancy is calculated using the age of the beneficiary in the year following
the year of the Participant’s death, reduced by one for each subsequent
year.
- No
Designated Beneficiary. If the Participant dies on or after the date
distributions begin, and there is no surviving designated beneficiary as of
September 30 of the year after the year of the Participant’s death, the
minimum amount that will be distributed for each distribution calendar year
after the year of the Participant’s death is the quotient obtained by
dividing the Participant’s Account balance by the Participant’s
remaining life expectancy calculated using the age of the Participant in the
year of death, reduced by one for each subsequent year.
- Death
Before Date of Distribution
Begins
- Participant
Survived by Designated Beneficiary. If the Participant dies before the date
distributions begin and there is a designated beneficiary, the minimum amount
that will be distributed for each distribution calendar year after the year of
the Participant’s death is the quotient obtained by dividing the
Participant’s Account balance by the remaining life expectancy of the
Participant’s designated beneficiary, determined as provided in Article
6.5(d)(1).
- No
Designated Beneficiary. If the Participant dies before the date distributions
begin and there is no designated beneficiary as of September 30 of the year
following the year of the Participant’s death, distribution of the
Participant’s entire interest will be completed by December 31 of the
calendar year containing the fifth anniversary of the Participant’s
death.
- Death
of Surviving Spouse Before Distributions to Surviving Spouse Are Required to
Begin. If the Participant dies before the date distributions begin, the
Participant’s surviving spouse is the Participant’s sole designated
beneficiary, and the surviving spouse dies before distributions are required to
begin to the surviving spouse under Article 6.5(b)(2), this Article 6.5(d)(2) will apply as if the surviving spouse were the
Participant.
- Definitions
- Designated
Beneficiary. Designated beneficiary means the individual who is designated as
the beneficiary under Article 5.3 of the Plan and is the designated beneficiary
under Internal Revenue Code § 401(a)(9) and Treasury Regulation §
1.401(a)(9)-1, Q&A 4.
- Distribution
Calendar Year. Distribution calendar year means a calendar year for which a
minimum distribution is required. For distributions beginning before the
Participant’s death, the first distribution calendar year is the calendar
year immediately preceding the calendar year which contains the
Participant’s required beginning date. For distributions beginning after
the Participant’s death, the first distribution calendar year is the
calendar year in which distributions are required to begin under Article 6.5(b) of the Plan. The required minimum distribution for the Participant’s first
distribution calendar year will be made on or before the Participant’s
required beginning date. The required minimum distribution for other
distribution calendar years, including the required minimum distribution for the
distribution calendar year in which the Participant’s required beginning
date occurs, will be made on or before December 31 of that distribution calendar
year.
- Life
Expectancy. Life expectancy means the life expectancy as computed by use of the
Single Life Table in Treasury Regulation § 1.401(a)(9)-9.
- Participant’s
Account Balance. The Participant’s Account balance means the balance as of
the last Valuation Date in the calendar year immediately preceding the
distribution calendar year (valuation calendar year) increased by the amount of
any Contributions made and allocated or forfeitures allocated to the Account
balance as of dates in the valuation calendar year after the Valuation Date and
decreased by distributions made in the valuation calendar year after the
Valuation Date. The Account balance for the valuation calendar year includes any
amounts rolled over or transferred to the Plan either in the valuation calendar
year or in the distribution calendar year if distributed or transferred in the
valuation calendar year.
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