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.") In no event will any of these Administrators pay, on behalf of the JPMorgan Chase benefit programs, any benefit that may be illegal under the law of the State in which the benefit is provided or performed.
|
Plan Name/ Number
|
Insurer
|
Payment of Benefits
|
Type of Administration
|
|
The JPMorgan Chase Medical Plan/502
|
Aetna and Cigna
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 Medical Plan/502
|
Kaiser HMO
|
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses and telephone numbers for the Medical Plan and the Prescription Drug Plan.
|
Fully-Insured
|
|
The JPMorgan Chase Medical Plan/502
|
Hawaii Medical
|
See "Contacting the Claims Administrators: Plans Subject to ERISA" for names, addresses and telephone numbers for the Medical Plan and the Prescription Drug Plan.
|
Fully-Insured
|
|
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 Children's Centers LLC
2 Wells Avenue Newton, MA 02459 |
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.