INTRODUCTION – Your Employer is providing health benefits to you through the self-funded Orange-Ulster School Districts Health Plan (the OU Plan). This booklet is your plan document and summary plan description, and it provides information on your Plan benefits and your responsibilities to provide information to the Plan for proper administration of your medical claims. Any apparent conflict between this document and any other publication or presentation involving this Plan will be resolved by reference to this Plan document.
School Districts Participating in the Plan:

Chester Union Free School District Cornwall Central School District
Eldred Central School District Florida Union Free School District
Goshen Central School District Greenwood Lake Union Free School District
Highland Falls Central School District Kiryas Joel Village School District
Marlboro Central School District Middletown City School District
Minisink Valley Central School District Monroe-Woodbury Central School District
Orange-Ulster BOCES Pine Bush Central School District
Port Jervis City School District Tuxedo Union Free School District
Valley Central School District Warwick Valley School District
Washingtonville School District
Board of Directors –The Board of Directors, which is the governing committee of the OU Plan, consists of the Superintendent (or his designee) from each of the participating Employer School Districts.

Executive Director/Plan Administrator– The Plan Administrator and the Executive Director is Ike Lovelass, with offices at 163 Harriman Heights Road, Monroe, New York 10950. Phone: 845-781-4890; fax: 845-781-8174.
PPO Networks and Other Service Vendors – See Appendix “A.” Privacy/Security Official – The Plan’s Privacy and Security Official is the Executive Director of the Plan (see above).
Plan Effective Date – This Restated Plan’s Effective date was January 1, 2007. Plan Year – Jan 1 through Dec 31.
Fiscal Year; Calendar Year – The Fiscal and Calendar year each end on December 31st. Agent for Service of Process – Service of process may be made upon the Chairman of the Board of Directors, and/or the Plan Administrator or Executive Director, Orange-Ulster School Districts Health Plan, 163 Harriman Heights Road, Monroe, New York 10950.
Coverage Under the Group Plan – The OU Plan provides the benefits described in this document to eligible Employees and Retirees, as well as their eligible Dependents. Many of these benefits are currently mandated by New York State Insurance Law and Regulation. If State law or regulations change in the future, certain benefits described herein may be increased, reduced or even eliminated by way of plan amendments adopted by the OU Plan’s Board of Directors, and approved by the State Insurance Department. Gender and Number – All singular terms used in the document are meant to be interchangeable with the plural and vice versa, and terms representing the masculine gender are meant to be interchangeable with the feminine gender, unless the context or usage clearly requires that only the specific terminology used should apply.