The eligibility and enrollment rules for the U
The eligibility and enrollment rules for the U
The eligibility and enrollment rules for the U
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Retiree Health Care SPD Effective January 1, 2012<br />
exercise of its sole <strong>and</strong> complete discretion has agreed in writing to pay all or some portion of<br />
fees or costs. <strong>The</strong> common fund doctrine or attorneys’ fund doctrine shall not govern <strong>the</strong><br />
allocation of attorney's fees incurred by you or your dependents in connection with any claim or<br />
lawsuit against any o<strong>the</strong>r party <strong>and</strong> no portion of such fees or costs shall be an offset against <strong>the</strong><br />
Plan’s right to reimbursement without <strong>the</strong> express written consent of <strong>the</strong> Claims Administrator.<br />
<strong>The</strong> Plan Administrator may delegate any or all functions or decisions it may have under this<br />
Reimbursement <strong>and</strong> Subrogation section to <strong>the</strong> Claims Administrator.<br />
What May Happen to Your Future Benefits. If you or your dependent(s) obtain a settlement,<br />
judgment, or o<strong>the</strong>r recovery from any person or entity, including your own automobile or<br />
liability carrier, without first reimbursing <strong>the</strong> Plan, <strong>the</strong> Plan, in <strong>the</strong> exercise of its sole <strong>and</strong><br />
complete discretion, may determine that you, your dependents, your attorneys or o<strong>the</strong>r<br />
representatives have failed to cooperate with <strong>the</strong> Plan’s subrogation <strong>and</strong> reimbursement ef<strong>for</strong>ts.<br />
If <strong>the</strong> Plan determines that you have failed to cooperate <strong>the</strong> Plan may decline to pay <strong>for</strong> any<br />
additional care or treatment <strong>for</strong> you or your dependent(s) until <strong>the</strong> Plan is reimbursed in<br />
accordance with <strong>the</strong> Plan terms or until <strong>the</strong> additional care or treatment exceeds any amounts that<br />
you or your dependent(s) recover. This right to offset will not be limited to benefits <strong>for</strong> <strong>the</strong><br />
insured person or to treatment related to <strong>the</strong> injury, but will apply to all benefits o<strong>the</strong>rwise<br />
payable under <strong>the</strong> Plan <strong>for</strong> you <strong>and</strong> your dependents.<br />
Interpretation. In <strong>the</strong> event that any claim is made that any part of this subrogation <strong>and</strong> right of<br />
recovery provision is ambiguous or questions arise concerning <strong>the</strong> meaning or intent of any of its<br />
terms, <strong>the</strong> Claims Administrator shall have <strong>the</strong> sole authority <strong>and</strong> discretion to resolve all<br />
disputes regarding <strong>the</strong> interpretation of this provision.<br />
Plan Administrator <strong>and</strong> Plan Sponsor<br />
U.S. Bancorp is <strong>the</strong> Plan Administrator <strong>and</strong> Plan Sponsor of <strong>the</strong> plans <strong>and</strong> will make<br />
determinations that may be required from time to time in <strong>the</strong> administration of <strong>the</strong> plans.<br />
U.S. Bancorp (or <strong>the</strong> Claims Administrator, to <strong>the</strong> extent <strong>the</strong> claims procedure <strong>for</strong> a benefit<br />
option indicates authority has been delegated to <strong>the</strong> Claims Administrator or independent review<br />
organization) will have <strong>the</strong> sole authority, discretion <strong>and</strong> responsibility to interpret <strong>and</strong> apply <strong>the</strong><br />
terms of <strong>the</strong> plans <strong>and</strong> to determine all factual <strong>and</strong> legal questions under <strong>the</strong> plans, including<br />
<strong>eligibility</strong> <strong>and</strong> entitlement to benefits. Benefits under any plan, Program or option will be paid<br />
only if <strong>the</strong> Plan Administrator (or <strong>the</strong> person or entity to whom it has delegated authority)<br />
decides in its discretion that <strong>the</strong> claimant is entitled to <strong>the</strong>m. Except as noted below <strong>for</strong> insured<br />
benefits, U.S. Bancorp is also responsible <strong>for</strong> answering questions about <strong>the</strong> plans. <strong>The</strong> address<br />
is:<br />
U.S. Bank – EP-MN-R2BN<br />
Benefits Administration<br />
4000 West Broadway<br />
Robbinsdale, MN 55422-2299<br />
Although U.S. Bank is ultimately accountable <strong>for</strong> <strong>the</strong> plans, a third party provides administration<br />
<strong>and</strong> customer service. For general benefits assistance <strong>and</strong> in<strong>for</strong>mation (such as <strong>eligibility</strong> <strong>and</strong><br />
change of address), call <strong>the</strong> U.S. Bank Employee Service Center at 1-800-806-7009. Specific<br />
coverage <strong>and</strong> claim-related questions may be better addressed by calling <strong>the</strong> appropriate<br />
customer service phone numbers listed in <strong>the</strong> “Important Resources” section of this SPD.<br />
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