Directory of Plans
The benefit plans listed on the following table are technically described by the U.S. Department of Labor as welfare plans or pension plans. Individual plan names, plan numbers, plan sponsor and plan administrator are listed in the directory.
| NAME AND TYPE OF PLAN |
PLAN |
PLAN SPONSOR |
PLAN ADMINI-
STRATOR |
INSURER,
TRUSTEE OR
ADMINISTRATOR OF SERVICES |
FUNDING
ARRANGEMENT |
| CDHP Basic, Select, and Premier Plans |
501 |
Canon Medical Systems |
Canon Medical Systems |
Anthem Blue Cross
P.O. Box 4310
Woodland Hills, CA
91365-4310 |
Self-Insured |
| HMSA Plans |
501 |
Canon Medical Systems |
Canon Medical Systems |
Hawaii Medical Service Assoc.
818 Keeaumoku St.
P.O. Box 860
Honolulu,
HI 96808-0860 |
Insured |
| Dental Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Delta Dental of CA
P.O. Box 997330
Sacramento, CA 95899-7330 |
Self-Insured |
| Vision Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
VSP
3333 Quality Drive
Rancho Cordova, CA 95670 |
Insured |
| Employee Assistance Program |
501 |
Canon Medical Systems |
Canon Medical Systems |
Aetna
151 Farmington Ave.
Hartford, CT 06156 |
Insured |
| Out-of-California Short-Term Disability Plan |
507 |
Canon Medical Systems |
Canon Medical Systems |
Lincoln Financial
P.O. Box 8700, Dover, NH 03821-8700
Memphis, TN 38120 |
Self-Insured |
Life Insurance
and Accidental
Death &
Dismemberment
Insurance |
501 |
Canon Medical Systems |
Canon Medical Systems |
ReliaStar Life Insurance Company (Voya)
P.O.Box 20 Minneapolis, MN 55440 |
Insured |
| Business Travel Accident Plan |
510 |
Canon Medical Systems |
Canon Medical Systems |
Chartis Accident
& Health Division
777 S. Figueroa Street,
Suite 1800
Los Angeles, CA 90017 |
Insured |
| NAME AND TYPE OF PLAN |
PLAN |
PLAN SPONSOR |
PLAN ADMINI-
STRATOR |
INSURER,
TRUSTEE OR
ADMINISTRATOR OF SERVICES |
FUNDING
ARRANGEMENT |
|
401(k) Plan
|
010 |
Canon Medical Systems |
Canon Medical Systems |
T. Rowe Price Trust Company, Inc.
100 East Pratt Street
Baltimore,
Maryland 21202 |
N/A |
| NAME AND TYPE OF PLAN |
PLAN |
PLAN SPONSOR |
PLAN ADMINI-
STRATOR |
INSURER,
TRUSTEE OR
ADMINISTRATOR OF SERVICES |
FUNDING
ARRANGEMENT |
|
Cash Balance Plan
|
001 |
TAI |
TAI |
Citibank, N.A.
111 Wall Street
New York,
NY 10043 |
N/A |
| NAME AND TYPE OF PLAN |
PLAN |
PLAN SPONSOR |
PLAN ADMINI-
STRATOR |
INSURER,
TRUSTEE OR
ADMINISTRATOR OF SERVICES |
FUNDING
ARRANGEMENT |
| Accident Insurance Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Reliastar Life Insurance Company (Voya)
P.O. Box 20
Minneapolis, MN 55440
|
Insured |
| Hospital Insurance Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Reliastar Life Insurance Company (Voya)
P.O. Box 20
Minneapolis, MN 55440
|
Insured |
| Commuter Benefit Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Voya Financial
P.O. Box 929
Manchester, NH 03105
|
N/A |
| Critical Illness Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
UNUM
1 Fountain Sq.
Chattanooga, TN 37402 |
Insured |
| Flexible Spending Accounts |
501 |
Canon Medical Systems |
Canon Medical Systems |
Optum
P.O. Box 30516
Salt Lake City, UT 80516
|
N/A |
| Long Term Disability Benefit Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Lincoln Financial
P.O. Box 8700
Dover, NH 03821-8700 |
Insured |
| Section 125 Premium Conversion Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Canon Medical Systems USA, Inc.
2441 Michelle Drive
Tustin,
CA 92780 |
N/A |
| Legal Insurance Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
ARAG
400 Locust Street, Suite 480
Des Moines, IA 50309 |
Insured |
| Self-Insured Short Term Disability Benefit Plan |
501 |
Canon Medical Systems |
Canon Medical Systems |
Lincoln Financial
P.O. Box 8700, Dover, NH 03821-8700 |
Self-Insured |