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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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