Welfare Summary Plan Description

1.4 SELF-PAYMENT ACCOUNT FOR EMPLOYEES

An eligible Active Employee may choose to deposit personal funds into a Self-Payment Account, for the purpose of automatically having funds available and automatically credited toward self-payments that may be needed to maintain Plan coverage at the employee's Plan Level. The maximum amount in a Self-Payment Account is the cost of one month of coverage at your Plan Level. If you provide funds to be deposited in your Self-Payment Account in excess of the one-month coverage cost maximum, the Trust will deposit the allowed amount into your Self-Payment Account and refund the excess to you.

If you have funds in a Self-Payment Account, and you are eligible to make a partial payment, and those funds are sufficient to allow you to continue coverage at your Plan Level, a deduction from your Self-Payment Account will automatically be made in the amount needed to maintain coverage at your Plan Level.