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DePauw University Employee Benefit Plan (The Plan) has been established to provide welfare benefits for its employees. The Employee Retirement Income Security Act of 1974 (ERISA) requires that the Plan Administrator provide you with a Summary Plan Description which discloses required information about the employee benefit plan. The following section entitled "Summary Plan Description" is not part of the Group Insurance Policy. The information in the Summary Plan Description is provided by the Policyholder and is included in this Certificate for your convenience. Sun Life Assurance Company of Canada assumes no responsibility for the accuracy or sufficiency of the information in the Summary Plan Description. SUMMARY PLAN DESCRIPTION Plan Sponsor: DePauw University 313 S Locust St Greencastle, IN 46135 Plan Administrator: DePauw University 313 S Locust St Greencastle, IN 46135 The Plan Administrator has authority to control and manage the operation and administration of the Plan. Agent for Service of Legal Process: DePauw University 313 S Locust St Greencastle, IN 46135 Employer Identification Number (EIN): 35-0869045 Plan Number: 502 End of Plan Year: December 31st Type of Administration: The Plan is administered by the Plan Administrator. The benefits provided by the Group Insurance Policy issued by Sun Life Assurance Company of Canada are included in the Plan. Participants: The insured employees described in the Sun Life Assurance Company of Canada Certificate. Plan Changes and Termination: The Plan Administrator may amend, modify or terminate the Plan. Contributions: The cost of your benefits under the Plan includes the cost of any insurance premiums contributed by you. Funding: Sun Life provides the Plan Administrator with certain insurance benefits in connection with the Plan. Those insurance benefits are described in your Certificate. Claims Procedure: When you or your beneficiary wish to file a claim under the Plan, you should contact your personnel office for claim forms and instructions for filing. Your Certificate explains the procedure for filing a claim under the Group Insurance Policy. If your claim for benefits is denied in whole or in part, you will receive a written notice within the time required by ERISA from the date you filed your claim, stating the reasons why your claim was denied. You will then have the right, upon written notice from you or your authorized representative, to review that claim denial. The claim denial notice will include the name and address of the person you may ask for

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