|
|
 |
|
| |
| ADMINISTRATIVE INFORMATION |
 |
| Plan
Administration |
Many of the plans that make up Valassis' benefits program are subject
to the requirements of the Employee Retirement Income Security Act of
1974 (commonly called ERISA). Each of the following plans is classified
as a welfare plan:
- Medical
- Dental
- Vision
- Short-term Disability Insurance
- Long-term Disability Insurance
- Long-term Care Insurance
- Associate Basic Life Insurance
- Dependent Term Life Insurance
- Accidental Death & Dismemberment (AD&D) Insurance
- Flexible Spending Accounts (FSAs)—before-tax contributions
for medical and dependent care expenses
- Employee Assistance Program (EAP)
This section provides information about the administration of these
ERISA benefit plans. It also explains certain rights that you have under
the plans, for example, what actions you may take if a claim is denied.
Plan Sponsor
The legal plan sponsor for all benefit plans:
Valassis Communications, Inc.
19975 Victor Parkway
Livonia, MI 48152
734-591-3000
Plan Administrator
The day-to-day administration and operation of all benefit plans
is the responsibility of:
Valassis Communications, Inc.
Corporate Benefits
19975 Victor Parkway
Livonia, MI 48152
734-591-3000
Plan Trustee
The Valassis Retirement Savings Plans with JP Morgan are administered
by separate written plans and separate trust agreements, and the trustees
of those agreements are responsible for the management of the plan's
assets.
Plan Year
The plan year for the various plans is January 1 through December 31.
Employer Identification Number
Valassis' employer identification number (EIN) is 38-2760940.
Plan Name and Number
Each plan has an official name, and a description of each is on file
with the U.S. Department of Labor. The plan numbers are listed in the
following table.
Benefit
|
Type of Plan
|
Plan Number |
Health Care
|
- Medical
- Dental
- Vision
- EAP
|
Group: 72519 |
Long-term Security
|
- Short-term Disability
- Long-term Disability
- Long-term Care Insurance
- Basic Life Insurance
- Dependent Term Life Insurance
- Accidental Death & Dismemberment
- Voluntary LTD
|
Disability:
FLK960586
Life & ADD:
LK751009
|
| Flexible Spending Accounts |
- Health Care and Dependent Care
|
|
| Retirement Savings Plan |
|
|
Agent for Service of Legal Process
If for any reason you wish to seek legal action, you may serve
legal process upon the plan administrator or a plan trustee.
Insured Plans
The welfare benefit plans listed below are a combination of self-insured
plans and plans insured through contracts with insurance companies.
Contributions for coverage may be made solely by Valassis or by participating
associates. Some of the plans require joint contributions from participating
associates and Valassis. The insurance companies listed below provide
the coverages and process claims.
| Plan |
Insurance Company |
|
Medical
- Traditional PPO
- Health Choice Savings
|
Blue Cross Blue Shield MI
National Claims Processing Center
PO Box 5124
Southfield, MI 48086-5124
866-262-1180
www.bcbsm.com
|
Dental-
DMO·Insured
Basic/Buy-up
·Self-insured |
Delta Care USA (DMO Plan)
PO Box 1803
Alpharetta, GA 30023
800-422-4234
Website: www.deltadentalins.com
Delta Dental of Michigan (PPO Plans)
PO Box 9085
Farmington Hills, MI 48333-9085
800-524-0149
Website: www.deltadentalmi.com
|
| Vision—Insured |
EyeMed Vision Care
Attn: Out-of-Network Claims
P.O. Box 8504
Mason, OH 45040-7111
866-723-0514
www.eyemedvisioncare.com
|
| Short and Long-term Disability—Insured |
CIGNA Service Center
PO Box 20643
Lehigh Valley, PA 18002-0643
To report a claim: 800-362-4462 Option 1
Group #xxxx
Cigna Online Claim
report
|
| Basic Life Insurance, AD&D Insurance and Dependent
Term Life Insurance—Insured |
CIGNA Claims Office
PO Box 22328
Pittsburgh, PA 15222
Cigna Online
800-362-4462 Option 2
|
| Long Term Care Insurance—Insured |
UNUM Life Insurance Company of America
2211 Congress Street
Portland, ME 04122
800-227-4165
www.unum.com
John Hancock (Closed Plan)
1-800-482-0022
|
|
Flexible Spending Accounts—Self-Insured and Health Savings
Account
|
WageWorks
1100 Park Place, 4th Floor
San Mateo, CA 94403
888.990.5099
www.wageworks.com
|
|
|
Summary Plan Description
The Valassis Benefits Handbook serves as the Summary Plan
Description for most benefits. A 2008 handbook will be issued soon.
|