International Association of Machinists Motor City Pension Fund

EIN/Plan #: 38-6237143/001

Checklist Item #15 – 4.05(2) Efforts to Contact Eligible Recipients

Does the application include a description of the efforts that are being taken to contact 

participants, beneficiaries in pay status, and alternate payees.

See section 4.05(2).

Document 15.1 provides a brief description of the efforts the Pension Plan has taken to contact 

active participants, retirees, beneficiaries in pay status, and alternate payees. Document 15.2 

provides a copy of the web site and related materials of the Pension Benefit Information, Inc. 

(PBI), the commercial locater service that the Pension Plan uses to assist in its efforts to locate 

missing individuals.
International Association of Machinists Motor City Pension Fund

EIN/Plan #: 38-6237143/001

Checklist Item #15 – 4.05(2) Notification Efforts

Document 15.1

The Pension Plan’s Efforts to Contact

Active Participants, Retirees, Beneficiaries in Pay Status, and Alternate Payees

As required by the IRS regulations, the Pension Plan has provided notice of the proposed 

suspension to the following eligible recipients via regular mail: 

1. All active participants, retirees, beneficiaries of deceased participants, and alternate 

payees, regardless of whether their benefits are proposed to be suspended;

2. Each employer that has an obligation to contribute to the Plan; and

3. Each employee organization that, for purposes of collective bargaining, represents the 

participant employed by each such employer.

Only written notices about the proposed suspension were sent to the recipients. No electronic 

notices were sent out.

Going into this submission, the Plan did not have mailing addresses for one hundred eleven (111) 

individuals. These are generally participants that have been inactive with the Local for many 

years. In an effort to locate them, the Fund Office contacted Pension Benefit Information, Inc. 

(PBI) (see Document 15.2) to assist in its efforts to locate these participants. This service provided 

the Fund Office with mailing addresses on all of these individuals.

A death search was also performed on this same group of 111 individuals. One of the reasons 

why the Plan loses touch with a participant or beneficiary is because he or she passed away. This 

death search identified 8 individuals with social security number and name match that had a date 

of death in the social security database.

If any of the notices come back to the Fund Office as undeliverable, the Plan will conduct 

additional searches to locate up-to-date addresses. Once an updated address is found, the Fund 

Office will resend those benefit suspension notices immediately.

15.1
International Association of Machinists Motor City Pension Fund

EIN/Plan #: 38-6237143/001

Checklist Item #15 – 4.05(2) Notification Efforts

Document 15.2

Information Relating to

Pension Benefit Information, Inc. (PBI)

See the following pages.

15.2
312112017 Pension Benefit Information 1 Death Audit 1 Locate Missing Participants 

0 415-482-9611 0 Info@pbinfo.com D1d you rece1ve LOGIN 

b . ...•... .. P. 1 •••• • • • • research services 

WHO WEARE WHAT WE DO WHYPBI INDUSTRIES WE SERVE NEWS CONTACT 

When Actionable Data Meets Execution 

Just having data to meet your compliance needs is not enough anymore. PBI simplifies your compliance challenges by offering technology and expertise 

that you need to not only stay above water, but to tackle these challenges efficiently. We are an experienced and dedicated team whose objective is to 

make sure your compliance needs are met. We are not only a vendor; we are a partner to your customers. Our goal is to provide you with the support that 

you need to get the job done. 

Q 

,,, ~ 

~ 

LOCATE PARTICIPANTS 

Minimize the cost of retumed mail 

and ensure your data is up-to-date. 

http://www.pbinfo.com/ 

IDENTIFY DEATHS 

PBI's data from multiple sources 

identifies more deaths than anyone 

CLEANSE DATA 

Retrieve accurate data elements to 

remedy incorrect participant data. 

15.3 

~ 

I Ill 

I *' I HI 

~ 

RESEARCH CENTER 

Instantly identify deaths and 

address information. Available 

1/4 
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SPECIAL PROJECTS 

TRANSMITTAL F ORM 

CU2800 

Client Account # (if previously assigned): 62459 

Number of records submitted: 111 

PBI Internal Use Onl 

Date:OJ/17/ 2017 

Please utilize PBI's Secure File Transfer System to upload names & SSNs of lost participants. Contact PBI to request a user profile if you do 

not have one. Email is not secure and cannot be utilized unless it is encrypted. If you do not have the SSN please provide the name and former 

address, an additional fee applies. 

Company Requesting Information (Including Plan Name): 

lAM Motor City Pension 

Pension Benefit Information's data provider uses public records and commercially available data that may contain errors. This data, when used in 

conjunction with other data can provide reasonable dues to locate your partidpant. T77e data should not be relied upon by end users as 

definitively accurate, and is not allowed to be used for adverse action or declination of services. 

I am requesting (check all that apply): 

k8J Address Retrieval (Unconfirmed) D 

(*Note: FEIN Required for SSN Verification) 

*SSN Verification FEIN # of PLAN 

D Address Retrieval w/ Phone D SSN Retrieval 

D Address Verification D Date of Birth Retrieval 

Batch Relative Search k8:l Other s eci : No cost death audit 

Information Access Authorization 

By signing below I acknowledge: 

I am authorizing PBI to act as my designee to utilize commercial, credit, and or government sources to verify or obtain 

information required to service a benefit plan or policy. This information will be used in at least one of the following manners: 

1. To notify an individual of a benefit due them 

2. To verify information submitted by an individual for the purpose of administrating a benefit plan or policy 

3. To obtain information necessary to administrate a benefit plan or policy 

4. To fulfill fiduciary obligations of a benefit plan or policy 

5. To prevent/identify fraud 

I have full understanding of my responsibilities under GLBA (Gramm Leach Bliley)and DPPA (Drivers Privacy Protection) 

My company has industry standard security controls in place and I will protect this information at all times. 

I acknowledge PBI's right to conduct an audit of Permissible use and my obligation to cooperate and respond promptly. 

Employer I Administrator Signature 

Com lAM Motor C Pension 

e=----------~~ 

Send Report to: 

Name: Lili Kozic 

Title: Senior Retirement Services Rep 

Company: Benesys - lAM Motor City Pension 

Address: 700 Tower Drive, Suite 300 

City: Troy State: MI Zip: 48098 

Phone: 248-813-9800 x3157 Fax: 248-721-9678 Email: lili.kozic@benesys.com 

Send Invoice to: (if different) 

Name: 

Title: 

Company: 

Address: 

City: State: Zip: 

Phone: Email: 

Pens1on Benefit Information 711 Grand Ave, Su1te 210, San Rafael, CA 94901 T. 415.482.9611 F. 415.299.8245 www.pblnfo.com 

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