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Plan Administrative Information

The following chart shows the information that varies by plan. All of the following plans are governed by ERISA. (The Dependent Care Spending Account, Transportation Spending Accounts, and the Group Personal Excess Liability Insurance Plan are not governed by ERISA and are not listed here. For more information, see "Contacting the Claims Administrators: Plans Not Subject to ERISA.")
Plan Name/ Number
Insurer
Payment of Benefits
Type of Administration
The JPMorgan Chase Medical Plan/502
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses, and telephone numbers for the Medical Plan and the Prescription Drug Plan.
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses and telephone numbers for the Medical Plan and the Prescription Drug Plan.
Self-Insured/Trustee
The JPMorgan Chase Dental Plan/502
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names and addresses for the Preferred Dentist Program (PDP) Option, the Dental Maintenance Organization (DMO) Option, the Dental Health Maintenance Organization (DHMO) Option, and the Expatriate Dental Option.
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses, and telephone numbers for the PDP Option, the DMO Option, the DHMO Option, and the Expatriate Dental Option.
Self-Insured/Trustee:
PDP Option and Expatriate Dental Option
Fully Insured:
DMO Option and DHMO Option
The JPMorgan Chase Vision Plan/502 (Group 1018009)
FAA/EyeMed Vision Care
P.O. Box 8504
Mason, OH 45040-7111
FAA/EyeMed Vision Care
P.O. Box 8504
Mason, OH 45040-7111
Fully Insured
The JPMorgan Chase Basic Life Insurance Plan/502*
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Fully Insured
The JPMorgan Chase Supplemental Term Life Insurance Plan/502*
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Fully Insured
The JPMorgan Chase Accidental Death and Dismemberment (AD&D) Insurance Plan/502
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Metropolitan Life Insurance Company (MetLife)
200 Park Avenue
New York, NY 10017
Fully Insured
The JPMorgan Chase Long-Term Disability Plan's Group (LTD)/502
The Prudential Insurance Company of America
P.O. Box 13480
Philadelphia, PA 19176
The Prudential Insurance Company of America
P.O. Box 13480
Philadelphia, PA 19176
Fully Insured
The JPMorgan Chase Long-Term Disability Plan's Individual Disability Insurance (IDI)/502
Unum
1 Fountain Square
Chattanooga, TN 37402
Unum
The Benefits Center
P.O. Box 100262
Columbia, SC 29202-3262
Fully-Insured
The JPMorgan Chase Group Legal Services Plan/502
MetLife Legal Plans, Inc.
1111 Superior Avenue
Cleveland, OH 44114
MetLife Legal Plans, Inc.
1111 Superior Avenue
Cleveland, OH 44114
Fully Insured
The JPMorgan Chase Employee Assistance Program (EAP)/502
Administrator: Cigna Behavioral Health, Inc.
Attn: Karen Cierzan, President
11095 Viking Drive, Suite 350
Eden Prairie, MN 55344
Insurer: Cigna Health and Life Insurance Company
900 Cottage Grove Rd.
Hartford, CT 06152
Administrator: Cigna Behavioral Health, Inc.
Attn: Karen Cierzan, President
11095 Viking Drive, Suite 350
Eden Prairie, MN 55344
Insurer: Cigna Health and Life Insurance Company
900 Cottage Grove Rd.
Hartford, CT 06152
Fully-Insured (CA & NV—clinical component only)
Pre-Paid Service (all other)
The JPMorgan Chase Back-up Child Care Plan/502
N/A
Bright Horizons Family Solutions
200 Talcott Avenue, South
Watertown, MA 02472
Self-Insured
The JPMorgan Chase Business Travel Accident (BTA) Insurance Plan/506
AIG — National Union Fire Insurance Company of Pittsburgh, PA
17200 West 119 St.
Shawnee Mission, KS 66225
AIG — National Union Fire Insurance Company of Pittsburgh, PA
17200 West 119 St.
Shawnee Mission, KS 66225
Fully Insured
The JPMorgan Chase Health Care Spending Account Plan/510
N/A
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses, and telephone numbers for the Health Care Spending Account Plan
Salary Reduction/ Paid from the general assets of the employer
The JPMorgan Chase Short-Term Disability Plan/548
N/A
Sedgwick Claims Management Services
JPMorgan Chase Leave of Absence Service Center
P.O. Box 14648
Lexington, KY 40512-4648
Self-Insured
The JPMorgan Chase Health & Wellness Centers Plan/559
N/A
JPMorgan Chase Medical Director
JPMorgan Chase & Co.
270 Park Avenue, 11th Floor
Mail Code: NY1-K318
New York, NY 10017-2014
Self-Insured
* The JPMorgan Chase Basic Life Insurance Plan and the JPMorgan Chase Supplemental Term Life Insurance Plan are collectively referred to as the "Life Insurance Plan" in this SPD.