Ascension Healthcare Pension Plan

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Ascension HealthcarePension PlanPlan SummaryRevision Date: January 1, 2019

For Information About Your BenefitsThere are several resources available in addition to this Summary if you have questions about yourAscension Healthcare Pension Plan benefits.Access Online Ascension Pension ServicesOnline services for any frozen pension benefits you may have at Ascension, including yourAscension Healthcare Pension Plan benefits, are available through Benefit Connect atwww.ascension.org/pensioninfo. This website is available 24/7 and offers many online tools,including, for example, an online estimator for calculating your pension benefits (based on differentretirement ages and forms of payment). You can also request a retirement application, change yourBeneficiary, send specific questions to Ascension Pension Services via the Message Center and more! When you first visit www.ascension.org/pensioninfo, follow the prompts to enter this logininformation:‒‒‒‒‒ Your Social Security Number (SSN) with no dashesYour date of birthYour ZIP codeYour year of hire (if you have more than one hire date, any year during which you werehired will work)Your email address and your phone numberOnce you enter your login information, you will receive two access codes via email. Followthe email instructions to create your personal login and then log in to the site. After you arelogged in for the first time, you may want to log out and then log back in a second time.During the second login, if you prefer to not receive an access code each time you visit thesite, check “remember this device.”Remember that www.ascension.org/pensioninfo only provides information and services for yourfrozen pension benefits. For information about your Ascension Healthcare Retirement SavingsProgram benefits, go online to the associate portal at www.myascension.org or to Transamerica’swebsite at www.transamerica.com/portal/ascension/. You may also call 877-346-7284 and follow theprompts to speak to a Transamerica representative.Contact Ascension Pension Services Call 877-346-7284 and follow the prompts to speak with an Ascension Pension Servicesrepresentative Email pensionservices@ascension.org Send correspondence to Ascension Pension Services at one of the following addresses:4600 Edmundson RoadSt. Louis, MO 63134orPO Box 45998St. Louis, MO 63145-5998Revised January 1, 2019Ascension Healthcare Pension Plan Summary1

ContentsFOR INFORMATION ABOUT YOUR BENEFITS . 1CONTENTS . 2SECTION 1: INTRODUCTION . 5THIS DOCUMENT IS A SUMMARY .5SECTION 2: PARTICIPATION AND VESTING . 6PARTICIPATION .6Current Employees .6New Employees .6Pre-Conversion Vested Terminated Employees.7VESTING SERVICE .7BREAKS IN SERVICE .8SECTION 3: YOUR PLAN BENEFITS . 9PLAN BENEFIT FOR CURRENT EMPLOYEES .9Amount of Benefit .9Converting Your Pension Earned as of the Transition Effective Date .9Pension Benefits from the Transition Effective Date to the Freeze Date .10PLAN BENEFIT FOR NEW EMPLOYEES .12Amount of Benefit .12Pension Benefits from Your Hire Date to the Freeze Date .12MINIMUM LUMP SUM BENEFIT .14PLAN BENEFIT FOR PRE-CONVERSION VESTED TERMINATED EMPLOYEES.14OTHER BENEFITS .14Match Account .14Employee Contributions .15A CLOSER LOOK AT CREDITED SERVICE, EARNINGS AND AGE ADJUSTMENTS .15Credited Service After the Transition Effective Date up to the Freeze Date .15Credited Service Before the Transition Effective Date.16Highest Average Earnings (HAE) .16Age Adjustment Factor .17SECTION 4: RECEIVING YOUR BENEFITS . 18IF YOU RETIRE .18Retirement at Age 55 and Fully Vested .18Normal Retirement (Age 65).18Retirement After Age 65 .18IF YOU TERMINATE EMPLOYMENT BEFORE AGE 55 .19IF YOU ARE A PRE-CONVERSION VESTED TERMINATED EMPLOYEE .19IF YOU HAVE A MATCH ACCOUNT AND/OR EMPLOYEE CONTRIBUTIONS .19SECTION 5: NAMING A BENEFICIARY . 20SECTION 6: CHOOSING A FORM OF PAYMENT . 21Married Participants .21Single Participants.21Revised January 1, 2019Ascension Healthcare Pension Plan Summary2

FORMS OF PAYMENT FOR CURRENT AND NEW EMPLOYEES .21Lump-Sum Payment.21Monthly Payment Options .21Comparison of Payment Forms for Current Employees .22Distribution of Other Benefits (Current Employees) .23Comparison of Payment Forms for New Employees .23FORMS OF PAYMENT FOR PRE-CONVERSION VESTED TERMINATED EMPLOYEES.24Comparison of Payment Forms for Pre-Conversion Vested Terminated Employees .25Distribution of Other Benefits (Pre-Conversion Vested Terminated Employees) .25DISTRIBUTION OF SMALL BENEFITS .26TAX HIGHLIGHTS .26Lump-Sum Payments .26Monthly Benefits .27ELIGIBLE ROLLOVER DISTRIBUTIONS .27OTHER PAYMENT RULES .27Payment Schedule .27Required Minimum Distributions .28Benefits to Minors and Incompetents .28Mistakes in Benefit Payments .28SECTION 7: PRE-RETIREMENT DEATH BENEFITS . 29PRE-RETIREMENT DEATH BENEFITS FOR CURRENT AND NEW EMPLOYEES .29Married Participants .29Single Participants.30PRE-RETIREMENT DEATH BENEFITS FOR PRE-CONVERSION VESTED TERMINATED EMPLOYEES.30Married Participants .30Single Participants.31SECTION 8: SPECIAL SITUATIONS . 32IF YOU TERMINATE EMPLOYMENT AND ARE LATER REHIRED AFTER RECEIVING ANY PLAN BENEFITS .32IF YOU TERMINATE EMPLOYMENT AND ARE LATER REHIRED BEFORE RECEIVING ANY PLAN BENEFITS .33IF YOU TRANSFER EMPLOYMENT .33IF YOU WERE CONSIDERED “DISABLED” ON OR BEFORE THE FREEZE DATE .33Determining Your Benefit.34Receiving Your Plan Benefit Following Disability .34Recovery and Return to Work .34LEAVES OF ABSENCE .34Leaves of Absence (Other Than for Military Service) .34Uniformed Services Rights (Leaves of Absence Due to Military Service) .34SECTION 9: ADMINISTRATIVE PROVISIONS . 35CLAIM PROCEDURES .35Submitting a Claim .35The Initial Determination .35Appealing a Claim .35PLAN AMENDMENT AND TERMINATION .36QUALIFIED DOMESTIC RELATIONS ORDERS .36PLAN ADMINISTRATOR .36PLAN FIDUCIARIES .36PLAN FUNDING .37LIMITATIONS ON LITIGATION.37SECTION 10: PLAN INFORMATION . 38Revised January 1, 2019Ascension Healthcare Pension Plan Summary3

APPENDIX I: GLOSSARY . 39APPENDIX II: ADDENDA PROVISIONS – PARTICIPATING INSTITUTIONSWITHOUT A POST-TRANSITION EFFECTIVE DATE . 46APPENDIX III: ADDENDA PROVISIONS – PARTICIPATING INSTITUTIONSWITH A POST-TRANSITION EFFECTIVE DATE . 48Revised January 1, 2019Ascension Healthcare Pension Plan Summary4

Section 1: IntroductionBenefit accruals and eligibility under the Ascension Healthcare Pension Plan (“Plan” or “Pension Plan”)were frozen as of the Freeze Date listed for your health ministry (Participating Institution) in Appendix IIor Appendix III. As a result, you stopped accruing additional pension benefits, including Credited Service,as of the applicable Freeze Date.You will not lose any benefits that you haveearned through the Freeze Date if you are Vestedin the Plan. And, if you were not Vested on theFreeze Date, you may continue to earn VestingService.Although you will not earn future benefits in thePlan, the lump-sum value of your benefit willincrease as your age increases and it will remainin the Plan until you are eligible for distribution.See the Glossary for Definitions of TermsMany terms that are defined in the official Plandocument are also used throughout this Summary.Other terms that are not defined in the official Plandocument are used solely for purposes of thisSummary. All of these terms, which are capitalized,are defined in the Glossary provided in Appendix I.Also note that “you” refers to the Participant and“day” or “days” refers to calendar day(s).This Document is a SummaryThis Summary is intended to serve as a summary of the Pension Plan. You should refer to the officialPlan document for details. If there are any discrepancies between the information in this Summary andthe official Plan document, the terms of the Plan document will prevail. The information in thisSummary is intended to be current as of January 1, 2019.This Summary does not constitute a contract of employment or a guarantee of benefits or futureemployment. In addition, your participation in the Pension Plan should not be construed as anemployment contract.An oral representation regarding the Plan will not be binding on the Plan, even if an oral representationis made by an authorized Plan representative.The Plan is a church plan. Ascension Healthcare, the Participating Institutions and the PlanAdministrator are controlled by or associated with the Roman Catholic Church.It is important that you understand that the Plan is well funded. Ascension Healthcare works regularlywith attorneys, actuaries, investment consultants, investment managers and other experts tomaintain the funded status of the Plan. All Plan assets are held in a Trust Fund that is separate fromthe general assets of Ascension Healthcare and can be used only to pay benefits and expenses of thePlan. However, as a church plan, the Plan is not subject to the Employee Retirement Income SecurityAct of 1974 (“ERISA”) or Pension Benefit Guaranty Corporation (“PBGC”) rules. This means that in theunlikely event that the Plan terminates without sufficient assets to pay the value of your Vestedbenefit, the PBGC will not provide any portion of your benefit.Revised January 1, 2019Ascension Healthcare Pension Plan Summary5

Section 2: Participation and VestingParticipationNo new individuals were eligible to become Participants inthe Plan after the Freeze Date. In general, you are aParticipant in the Plan if you were an Employee who met theeligibility requirements of the Plan prior to the applicableFreeze Date and accrued a benefit under the Plan.Whether you are a Participant in the Plan (and how yourAccrued Benefit under the Plan is determined) depends onmany factors, including, but not limited to: The date you were hired; The date you terminate employment; Your Participating Institution’s Transition EffectiveDate and whether your date of hire was before, on orafter your Participating Institution’s TransitionEffective Date; and/or Whether your Participating Institution adopted aPost-Transition Effective Date.Current EmployeesYou are eligible for a Pension Plan benefit as a CurrentEmployee if: You were employed by a Participating Institution onthe day before your Participating Institution’sTransition Effective Date and remained employed onor after the Transition Effective Date; or You were not employed on the Transition EffectiveDate, have credited service under the Pension Plan(or any defined benefit plan of any entity that is partof the Ascension Healthcare retirement program)and, as of any rehire date, have not yet lost creditedservice under the break-in-service rules under thatdefined benefit plan.Important DatesFreeze DateThe date after which Employees of aParticipating Institution no longer earnbenefits in the Pension Plan. Generally,this date is December 31, 2012, unlessotherwise stated in Appendix II. If youwere hired on or after yourParticipating Institution’s Freeze Date,you are not eligible to participate in thePension Plan.Transition Effective DateThe date your Participating Institutionelected to convert benefits to a newPension Plan design, including changingthe benefit formula so that it defines aLump Sum Benefit payable at age 55(instead of a lifetime benefitcommencing at age 65) as the normalform of benefit.Post-Transition Effective DateIf applicable, a date after the TransitionEffective Date but before the FreezeDate adopted by a specific ParticipatingInstitution. Employees hired after aParticipating Institution’s PostTransition Effective Date were noteligible to participate in the PensionPlan. Instead, they became eligible foremployer contributions under theAscension Healthcare RetirementSavings Program.For the specific dates applicable to yourParticipating Institution, see Appendix IIor Appendix III, as applicable.New EmployeesIf your Participating Institution elected the Pension Plan for Employees hired on or after theParticipating Institution’s Transition Effective Date, you are eligible for a Pension Plan benefit as a NewEmployee if you were employed by your Participating Institution on or after the Transition Effective Datebut before the Freeze Date. To determine whether your Employer elected this Plan for New Employees,please see Appendix II and Appendix III, as applicable.Revised January 1, 2019Ascension Healthcare Pension Plan Summary6

Note: A few Participating Institutions adopted a Post-Transition Effective Date. If this applies to you, andyou were hired by your Participating Institution after the Post-Transition Effective Date, you will receiveemployer contributions under the Ascension Healthcare Retirement Savings Program, not under thePension Plan.Pre-Conversion Vested Terminated EmployeesIf you terminated employment with a Participating Institution before its Transition Effective Date andyou were Vested, you are eligible for a Plan benefit as a Pre-Conversion Vested Terminated Employee.Note: If a Pre-Conversion Vested Terminated Employee is reemployed by Ascension or otherParticipating Institution on or after the Participating Institution’s Transition Effective Date, he or she willbe re-classified as a Current Employee.Ascension Healthcare Retirement Savings ProgramIf you are not eligible for a benefit under the Pension Plan, any employer contributions madeon your behalf will instead be made to the Ascension Healthcare Retirement Savings Program.If you are eligible for a benefit under this Plan and were still employed as of the applicableFreeze Date, any employer contributions made on your behalf to the Ascension HealthcareRetirement Savings Program will begin after the applicable Freeze Date.See For Information About Your Benefits at the beginning of this Summary to learn how toaccess information about your Ascension Healthcare Retirement Savings Program benefit.Vesting ServiceVesting refers to your ownership, or your nonforfeitable right to receive, the benefits you earn as aParticipant in the Pension Plan.You earn 1 year of Vesting Service for each calendar year in which you are credited with at least1,000 Hours of Service with a Participating Institution or an Associated Entity. Your Vesting Serviceunder a Prior Plan will count toward your Vesting Service in this Plan.Note: All Hours of Service related to a single payroll period will be credited only to the calendar year thatincludes the pay date related to that payroll period, even if some or all of the hours were actuallyworked in the prior calendar year.Participants can continue earning Vesting Service after the applicable Freeze Date.If you were not Vested on the Freeze Date, you will become Vested in your Accrued Benefit, providedyou are an actively-employed Participant: After earning 5 years of Vesting Service, When you reach age 65, At the time of your death, or As otherwise specified in the Pension Plan.Revised January 1, 2019Ascension Healthcare Pension Plan Summary7

You may also be entitled to Vesting Service for your period of employment prior to the date yourParticipating Institution adopted the Pension Plan or for your period of employment with an employerthat was acquired by your Participating Institution. This Vesting Service will be calculated in accordancewith the conditions set forth at the time your Participating Institution adopted the Pension Plan.If you are not Vested upon Termination of Employment, you are not entitled to a benefit under thePension Plan.Disabled Participants who did not meet the Vesting requirements of the Pension Plan as of the FreezeDate automatically became Vested in their benefits earned as of the Freeze Date.Breaks in ServiceThe term “Break in Service” means any calendar year in which you are not credited with more than500 Hours of Service, regardless of whether you are actively employed or have terminated employment.However, an Employee or Participant who has terminated employment will not incur a Break in Servicein the first Plan Year that he or she fails to be credited with more than 500 Hours of Service solelybecause of maternity or paternity absence or absence under the Family and Medical Leave Act of 1993.If you have 5 or more consecutive Breaks in Service at a time when you are not Vested, your years ofVesting Service and Credited Service are forfeited.Breaks in Service before the Transition Effective Date are determined according to the provisions of thePension Plan in effect before that date.Revised January 1, 2019Ascension Healthcare Pension Plan Summary8

Section 3: Your Plan BenefitsThe amount of your Pension Plan benefit at retirement and the formula used to calculate your AccruedBenefit depends on whether you are a Current Employee, New Employee or Pre-Conversion VestedTerminated Employee.Your Accrued Benefit is the benefit you have earned under the Pension Plan as of a specific date. NoEmployee earned any additional Accrued Benefit attributable to Credited Service or Earnings after theFreeze Date.Plan Benefit for Current EmployeesIf you are a Current Employee, the Pension Plan provides a Lump Sum Benefit based on: Your Opening Balance, Your years of Credited Service through the Freeze Date, Your Highest Average Earnings (HAE), which is the average of your highest 5 consecutivecalendar years of Earnings during your last 10 years of employment, up to the Freeze Date, and Your age at the time you request a distribution.Benefits are payable as early as age 55, provided you have terminated employment with all AssociatedEntities.Amount of BenefitAt retirement, your Pension Plan benefit equals the greater of the Accrued Benefit as described in thissection or the minimum lump sum benefit as determined according to the Minimum Lump Sum Benefitsection on page 14. At retirement, your Accrued Benefit takes into account: The lump-sum value of the Accrued Benefit you earned through the day before yourParticipating Institution’s Transition Effective Date, updated thereafter as your Earnings mayhave increased before the Freeze Date, and Any benefit you earned between your Participating Institution’s Transition Effective Date andthe Freeze Date under the lump-sum formula.Your benefit will be adjusted for increases in your age.You may also be eligible for an Account Based Benefit (more commonly known as the Match Account).See Other Benefits later in this Section 3 for details.Converting Your Pension Earned as of the Transition Effective DateYour Accrued Benefit as of the day before your Participating Institution’s Transition Effective Date (thatis, the annual lifetime benefit payable at age 65), was determined using the pension benefit formulathen in effect, your Credited Service, and your Highest Average Earnings (HAE) on the day before theTransition Effective Date.Your Accrued Benefit as of the day before your Participating Institution’s Transition Effective Date wasconverted from a monthly benefit payable at age 65 to a lump-sum amount payable at age 55. Thislump-sum amount became your Opening Balance on the Transition Effective Date.Revised January 1, 2019Ascension Healthcare Pension Plan Summary9

When the lump-sum amount is taken as a percentage of HAE (lump sum amount divided by your HAE)on the day before your Participating Institution’s Transition Effective Date, this creates your OpeningBalance Pe

Ascension Healthcare Pension Plan benefits, are available through Benefit Connect at Online services for any frozen pension benefits you may have at Ascension, including your Access Online Ascension Pension Services St. Louis, MO 63145-5998 PO Box 45998; or St. Louis, MO 63134

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