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Directory of Plans

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