121 • Provides information about the Plan. Claims Administrator Claims for medical benefits are processed by the Claims Administrator, which is CareFirst Administrators. Medical claims should be sent to the address on the back of your benefits identification card and inquiries should be made to the phone number on the back of your benefits identification card. The rules and regulations described in this SPD apply to claims incurred on or after January 1, 206. Your claims prior to this date will be processed and reimbursed based on the rules and regulations of the benefits under the Plan in force when the claim was incurred. Selection of Preferred Providers The Board of Trustees may, from time to time, in its sole discretion, enter into written agreements with Preferred Provider Organizations. The use of such Preferred Provider Organizations is solely at your option. The existence of any Preferred Provider agreement does not, in any manner, imply an endorsement of any specific provider, nor does it constitute any guarantee of the services rendered. The Board of Trustees currently has a contract with the following organization for a Preferred Provider network: CareFirst Administrators P.O. Box 14115 Lexington, KY 40512-4115 Phone: 1-866-871-0839 www.cfablue.com The use of Preferred Providers is solely at your option. However, you should note that use of the Preferred Provider network will result in the lowest out-of-pocket expense for you. The existence of a Preferred Provider network does not, in any manner, imply an endorsement of any specific provider, nor does it constitute any guarantee of payment for the services rendered. Prescription Drug Benefits Administration The Board of Trustees has contracted with CVS Caremark for the prescription drug benefit, as part of the Fund’s participation in the Health Care Cost Containment Corporation (HCCCC): CVS Caremark, Inc. 9501 East Shea Blvd. Scottsdale, AZ 85260-6719 Phone: 888-727-5575 Trust Fund The assets of the National IAM Benefit Trust Fund are held in trust by the Board of Trustees. Identity of Source of Benefits All of the types of benefits provided by the Plan are set forth in this SPD. The Trust Fund is the source of the benefits of this Plan.

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