If the Committee needs more than 90 days to review your claim for benefits, you will be advised in writingwithin 90 days after the Committee receives your claim. The notice will tell you why the Committee needsmore time (which cannot exceed an additional 90 days), and the date by which you can expect a decision.Appeal of DenialIf you disagree with the decision, you may appeal the denial to the Committee. IMPORTANT: You mustsubmit this appeal to the Committee within 60 days of the date that you receive the Committee's responseto your initial claim. For purposes of the review, you have the right to:• Submit written comments, documents, records and other information relating to the claim for benefits;• Request, free of charge, reasonable access to, and copies of all documents, records and otherinformation relevant to your claim for benefits; and• A review that takes into account all comments, documents, records, and other information submittedby you relating to the claim, regardless of whether the information was submitted or considered in theinitial benefit decision.The denied claim will be reviewed by the Committee and within 60 days after receipt of the request forreview, you will receive a written notice of the Committee's decision. The notice will:• Provide the specific reason(s) for the denial;• Refer to the provisions of the <strong>Plan</strong> on which the denial is based;• Contain a statement that you are entitled to receive, upon request and free of charge, reasonableaccess to, and copies of, all documents, records, and other information relevant to your claim; anddescribe any voluntary appeal procedures offered by the <strong>Plan</strong> and your right to obtain informationabout the procedures, and a statement of your right to bring an action under Section 502(a) ERISA.If the Committee needs more than 60 days to review the denied claim, you will be advised in writing within60 days after the Committee receives the request for review. The notice will tell you why the Committeeneeds more time (which cannot exceed an additional 60 days), and the date by which you can expect adecision.If you do not agree with the decision of the Committee, you may bring legal action in Federal DistrictCourt. You cannot bring legal action unless your claim has been reviewed and denied by the Committee.Burden of Proof Regarding RecordsThe <strong>Plan</strong>'s records, including but not limited to an individual's employment status, compensation, service,elections, distributions, and all other matters affecting eligibility for and amount or payment of benefits, arecontrolling in all cases. If you believe that the <strong>Plan</strong>'s records are incomplete or incorrect, the burden ofproof is on you to provide written documentation of the additional information that you believe is relevant.Whether such documentation is satisfactory to override the <strong>Plan</strong>'s records will be determined by theCommittee in its sole and absolute discretion, subject to the <strong>Plan</strong>'s claims and appeals procedure. Youmay review the <strong>Plan</strong>'s records applicable to you by contacting the Committee or the <strong>Plan</strong>'s recordkeeper inaccordance with the <strong>Plan</strong>'s procedures.18
General Information<strong>Plan</strong> Name:Retirement <strong>Plan</strong> of the Hospital of the University of Pennsylvania, Presbyterian Medical Center and thePennsylvania Hospital<strong>Plan</strong> SponsorThe Trustees of the University of Pennsylvania3401 Walnut Street, Suite 527APhiladelphia, PA 19104IRS Identification Number of <strong>Plan</strong> Sponsor: 23-1352685<strong>Plan</strong> Number: 006Type of <strong>Plan</strong>: <strong>Defined</strong> <strong>Benefit</strong> <strong>Pension</strong> <strong>Plan</strong>Type of Administration: The Executive Committee of the Trustee Board of the University ofPennsylvania Health System has appointed a committee to administer the <strong>Plan</strong>.<strong>Plan</strong> AdministratorCommittee3930 Chestnut StreetPhiladelphia, PA19104 (215) 615-2675UPHS <strong>Benefit</strong>s OfficeSame address and phone number as the Committee.Agent for the Service of Legal Process: Legal process on matters pertaining to the <strong>Plan</strong> may be servedin the name of the <strong>Plan</strong> on the <strong>Plan</strong> Administrator at the address listed above. Service may also be madeon the Trustee.<strong>Plan</strong> TrusteeState Street Bank & Trust Co.P.O. Box 1992Boston, MA 02105<strong>Plan</strong> YearThe <strong>Plan</strong> Year is July 1 through June 30.19