BWXT Y•12 - Administrative Information - Other Administrative Facts

Multiple Employer Plans, Participating Employers BWXT Y-12, LLC and UT-Battelle, LLC

Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Retirement Program Plan for Employees of Certain Employers of the U.S. Department of Energy Facilities at Oak Ridge, Tennessee	001	Defined Benefit	Calendar	Northern Trust Company serves as Trustee The Northern Trust Company 50 South LaSalle Street Chicago, IL 60675	Company	Benefits are funded through group annuity contracts and assets in separate investment accounts, all of which are held in one trust
Savings Program for Employees of Certain Employers of the U.S. Department of Energy Facilities at Oak Ridge, Tennessee	009	Defined Contribution and 401(k) Plan	Calendar	State Street Bank and Trust serves as Trustee State Street Bank and Trust P.O. Box 1389 Boston, MA 02104-1389	Retiree and Company	Benefits are paid by the Plan Trustee from assets held in the trust
The Group Welfare Benefit Plan for Employees of Certain Employers at the U.S. Department of Energy Facilities at Oak Ridge, Tennessee. This newly combined plan provides for the following benefits previously provided by separate plans:
Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Group Life Insurance	506	Welfare	Calendar	Metropolitan Life Insurance Company	Retiree and Company	Benefits are paid from an insurance contract
Health Benefits – Under age 65 Retiree (Medical, Dental, Vision)	506	Welfare	Calendar	Connecticut General Insurance Company (CIGNA) — Medical MetLife — Dental Delta Dental plan of Tennessee — Dental Vision Service Plan — Vision Care	Retiree and Company	Benefits are paid from an insurance contract
Health Benefits – Over age 65 Retiree (Medical, Dental, Vision)	506	Welfare	July to July	UnitedHealthcare Insurance Company — Medical, Dental, Vision	Medical Retiree and Company Dental and Vision Retiree	Benefits are paid from an insurance contract
Single Employer Plans BWXT Y-12, LLC
Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Prescription Drug Plan	515	Welfare	Calendar	Medco	Retiree and Company	Benefits are paid (through claims administrator, Medco) from Retiree contributions and general assets of the Company
Long Term Care Plan	518	Welfare	Calendar	MetLife	Employee/Retiree	Benefits are paid from an insurance contract
Single Employer Plans UT-Battelle, LLC
Plan Name	Plan Number	Plan Type	Plan Year	Insurer, Claims Administrator, or Trustee	Source of Contributions	Source of Benefits
Prescription Drug Plan	501	Welfare	Calendar	Medco	Retiree and Company	Benefits are paid (through claims administrator, Medco) from Retiree contributions and general assets of the Company
Long Term Care Plan	508	Welfare	Calendar	MetLife	Employee/Retiree	Benefits are paid from an insurance contract