Checklist Item #14 Application for Approval of a Suspension of 

Benefits Under MPRA

Iron Workers Local 17 Pension Fund EIN: 51-0161467

Plan No.: 001

Does the application 

include a copy of the 

actual notices (including 

redacted sample 

calculations) that meet 

the requirements under 

§432(e)(9)(F).

See section 4.05(1).

The Trustees for the Iron Workers Local 17 Pension 

Fund prepared the Notice of Application based upon 

the Model document provided in Revenue Procedure 

2015-34. A Notice will be mailed to all participants, 

beneficiaries and Alternate Payees on the fourth (4th) 

business day after the filing of this Application on 

December 23, 2015. A copy of the Notice is provided 

at pages IW17PF_213 - 216. 

In addition, the Trustees have prepared nine separate 

Individual Estimate formats that cover the following 

category of participants, beneficiaries and Alternate 

Payees. Redacted sample Individual Estimates are 

provided as follows: 

1. Active Participants (Participant A -page

IW17PF_217);

2. Terminated Vested Participants (Participant B -

page IW17PF_218);

3. Retired Participants in Pay Status who did not

elect a survivorship interest upon retirement

(Participant C - page IW17PF_219);

4. Retired Participants in Pay Status who elected

a survivorship interest upon retirement

(Participant D - page IW17PF_220);

5. Beneficiaries in Pay Status receiving a

survivorship interest or death benefit

(Participant E - page IW17PF_221);

6. Beneficiaries with a future right to receive a

survivorship interest or death benefit

(Participant F - page IW17PF_222);

7. Alternate Payees under a QDRO in Pay Status

(Participant G - page IW17PF_223);

8. Alternate Payees under a QDRO with a future

right to receive a benefit (Participant H - page

IW17PF_224);

9. Exempted Participants (Participant I - page

IW17PF_225).

IW17PF_212
IW17PF_213
IW17PF_214
IW17PF_215
IW17PF_216
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant A]

[Address]

How the proposed reduction in benefits would affect you as a current Active Participant in the Iron 

Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is 

projected to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, 

your benefit would be reduced to the monthly PBGC-guaranteed level. Your estimated monthly PBGCguaranteed level at age 65 is $1,465.75. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit accrued as of 

May 1, 2015, payable at age 65 is proposed to be reduced from $4,512.50 to $2,952.00.

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant 

is now $72.00 per Benefit Credit; and

[X] The elimination of any benefit credits over 1 per year. 

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This 

estimate of the proposed reduction is based on an assumed effective date for the benefit reduction of 

December 1, 2016 (this date may be subject to change, but in no event will the proposed reduction be 

effective earlier). If the proposed reduction is effective at a later date, then the amount of the reduction 

to your benefit might change. This estimate is also based on the following information:

Years of Benefit Credit: 50.25

Revised Years of Benefit Credit: 41.00

Current Average Benefit Accrual Rate: $89.80

Revised Average Benefit Accrual Rate: $72.00

Age as of December 1, 2016 Proposed Reduction Date: 63 years 3 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be 

different than the amounts in this notice due to additional work history, changes in status as an active, 

terminated or retired participant, changes in marital status, and approval of a new QDRO or changes to 

an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is 

incorrect, please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086.

IW17PF_217
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant B] 

[Address]

How the proposed reduction in benefits would affect you as a current Terminated Vested Participant 

entitled to a future benefit from the Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is 

projected to be insolvent and unable to pay benefits when due 2025. If the Plan becomes insolvent, your 

benefit would be reduced to the monthly PBGC-guaranteed level. Your estimated monthly PBGCguaranteed level at age 65 is $1,027.81. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit accrued as of 

May 1, 2015, payable at age 65 is proposed to be reduced from $3,050.00 to $2,070.00. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant 

is now $72.00 per Benefit Credit; and

[X] The elimination of any benefit credits over 1 per year. 

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This 

estimate of the proposed reduction is based on an assumed effective date for the benefit reduction of 

December 1, 2016 (this date may be subject to change, but in no event will the proposed reduction be 

effective earlier). If the proposed reduction is effective at a later date, then the amount of the reduction 

to your benefit might change. This estimate is also based on the following information:

Years of Service: 31.75

Revised Years of Benefit Credits: 28.75

Current Average Benefit Accrual Rate $96.06

Revised Average Benefit Accrual Rate: $72.00

Age as of December 1, 2016 Proposed Reduction Date: 57 years 6 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be 

different than the amounts in this notice due to additional work history, changes in status as an active, 

terminated or retired participant, changes in marital status, and approval of a new QDRO or changes to 

an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is 

incorrect, please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086.

IW17PF_218
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant C] 

[Address]

How the proposed reduction in benefits would affect you as a current Retiree in the Iron Workers Local 17 

Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is projected 

to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, your benefit would 

be reduced to the monthly PBGC-guaranteed level. Your estimated monthly PBGC-guaranteed level is $1,170.81. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be reduced 

from $3,511.00 to $1,645.50. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant is now 

$72.00 per Benefit Credit; 

[X] The reduction of the subsidy provided for retirees under the 30 and Out Service Pension prior to age 62, 

so all early retirees now have a minimum of a 1.5% per year reduction for each year the retiree retired 

prior to age 62; and

[X] The elimination of any benefit credits over 1 per year.

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This estimate 

of the proposed reduction is based on an assumed effective date for the benefit reduction of December 1, 2016

(this date may be subject to change, but in no event will the proposed reduction be effective earlier). If the 

proposed reduction is effective at a later date, then the amount of the reduction to your benefit might change. 

This estimate is also based on the following information:

Years of Benefit Credit: 41.75

Revised Years of Benefit Credit Earned Prior to November 1, 2004: 29.00

Revised Years of Benefit Credit Earned On and After November 1, 2004: 3.75

Current Average Benefit Accrual Rate: $95.21

Revised Average Benefit Accrual Rate: $72.00

Early Retirement Factor Applied under the Suspension for Benefits Accrued prior to November 1, 2004: 

89.500% 

Early Retirement Factor Applied under the Suspension for Benefits Accrued on and after November 1, 

2004: 58.00% 

Adjustment for Lump Sum Payment Received: $380.00

Age as of December 1, 2016 Proposed Reduction Date: 64 years 3 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be different 

than the amounts in this notice due to additional work history, changes in status as an active, terminated or retired 

participant, changes in marital status, and approval of a new QDRO or changes to an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is incorrect, 

please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086. 

IW17PF_219
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant D] 

[Address]

How the proposed reduction in benefits would affect you and your Surviving Spouse as a current Retiree in the 

Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is projected 

to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, your benefit would be 

reduced to the monthly PBGC-guaranteed level. Your estimated monthly PBGC-guaranteed level is $1,197.63. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be reduced from 

$3,010.00 to $2,016.50. The amount of your spouse’s survivor annuity is proposed to be reduced from $1,505.00

to $1,317.39. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant is now 

$72.00 per Benefit Credit;

[ ] The reduction of the subsidy provided for retirees under the 30 and Out Service Pension prior to age 62, 

so all early retirees now have a minimum of a 1.5% per year reduction for each year the retiree retired 

prior to age 62; and

[X] The elimination of any benefit credits over 1 per year.

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This estimate 

of the proposed reduction is based on an assumed effective date for the benefit reduction of December 1, 2016

(this date may be subject to change, but in no event will the proposed reduction be effective earlier). If the 

proposed reduction is effective at a later date, then the amount of the reduction to your benefit might change. This 

estimate is also based on the following information:

Years of Benefit Credit: 41.25

Revised Years of Benefit Credit Earned Prior to November 1, 2004: 23.75

Revised Years of Benefit Credit Earned On and After November 1, 2004: 9.75

Current Average Benefit Accrual Rate: $87.27

Revised Average Benefit Accrual Rate: $72.00

Early Retirement Factor Applied under the Suspension for Benefits Accrued prior to November 1, 2004: 

100.000% 

Early Retirement Factor Applied under the Suspension for Benefits Accrued on and after November 1, 

2004: 100.000%

Joint and Survivor Factor: 83.60% 

Adjustment for Lump Sum Payment Received: N/A

Age as of December 1, 2016 Proposed Reduction Date: 65 years 1 month

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be different 

than the amounts in this notice due to additional work history, changes in status as an active, terminated or retired 

participant, changes in marital status, and approval of a new QDRO or changes to an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is incorrect, 

please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086. 

IW17PF_220
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant E] 

[Address] 

How the proposed reduction in benefits would affect you as a current Beneficiary receiving survivorship

benefit from the Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is 

projected to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, 

your benefit would be reduced to the monthly PBGC-guaranteed level. This is estimated to be $1,501.50.

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be 

reduced from $1,980.00 to $1,728.27. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant 

is now $72.00 per Benefit Credit; 

[X] The reduction of the subsidy provided for retirees under the 30 and Out Service Pension prior to 

age 62, so all early retirees now have a minimum of a 1.5% per year reduction for each year the 

retiree retired prior to age 62; and

[X] The elimination of any benefit credits over 1 per year. 

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This 

estimate of the proposed reduction is based on an assumed effective date for the benefit reduction of 

December 1, 2016 (this date may be subject to change, but in no event will the proposed reduction be 

effective earlier). If the proposed reduction is effective at a later date, then the amount of the reduction 

to your benefit might change. This estimate is also based on the following information:

Years of Benefit Credit: 45.00

Revised Years of Benefit Credit Earned Prior to November 1, 2004: 42.00

Revised Years of Benefit Credit Earned On and After November 1, 2004: 0.00

Current Average Benefit Accrual Rate: $100.00

Revised Average Benefit Accrual Rate: $72.00

Early Retirement Factor Applied under the Suspension for Benefits Accrued prior to November 

1, 2004: 99.125%

Early Retirement Factor Applied under the Suspension for Benefits Accrued on and after 

November 1, 2004: N/A

Joint and Survivor Factor: 88.00%

Your Age as of December 1, 2016 Proposed Reduction Date: 76 years 2 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be 

different than the amounts in this notice. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is 

incorrect, please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086.

IW17PF_221
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant F] 

[Address]

How the proposed reduction in benefits would affect you as a current Beneficiary entitled to receive a 

survivorship benefit from the Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is projected 

to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, your benefit would be 

reduced to the monthly PBGC-guaranteed level. This is estimated to be $307.30. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be reduced from 

$373.00 to $338.03. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant is now 

$72.00 per Benefit Credit; and

[X] The elimination of any benefit credits over 1 per year.

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This estimate 

of the proposed reduction is based on an assumed effective date for the benefit reduction of December 1, 2016

(this date may be subject to change, but in no event will the proposed reduction be effective earlier). If the 

proposed reduction is effective at a later date, then the amount of the reduction to your benefit might change. This 

estimate is also based on the following information:

Years of Benefit Credit: 10.25

Revised Years of Benefit Credit: 10.00

Current Average Benefit Accrual Rate: $86.59

Revised Average Benefit Accrual Rate: $72.00

Joint and Survivor Factor: 84.00%

Your Age as of December 1, 2016 Proposed Reduction Date: 45 years 8 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be different 

than the amounts in this notice. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is incorrect, 

please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086.

IW17PF_222
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant G] 

[Address]

How the proposed reduction in benefits would affect you as a current Alternate Payee receiving a portion of 

your former Spouse’s benefit from the Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is projected 

to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, your former spouse’s 

benefit would be reduced to the monthly PBGC-guaranteed level. This is estimated to be $956.31. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be reduced 

from $332.33 to $207.50. Based upon the terms of the Qualified Domestic Relations Order (QDRO), your share of 

your former spouse’s benefit is allocated as follows:

[ ] A percentage of the benefit earned during the marriage; or

[ ] A specific monthly amount; or

[X] A coverture formula. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant 

is now $72.00 per Benefit Credit; 

[X] The reduction of the subsidy provided for retirees under the 30 and Out Service Pension prior to 

age 62, so all early retirees now have a minimum of a 1.5% per year reduction for each year the 

retiree retired prior to age 62; and

[X] The elimination of any benefit credits over 1 per year. 

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This estimate 

of the proposed reduction is based on an assumed effective date for the benefit reduction of December 1, 2016

(this date may be subject to change, but in no event will the proposed reduction be effective earlier). If the 

proposed reduction is effective at a later date, then the amount of the reduction to your benefit might change. 

This estimate is also based on the following information:

Years of Benefit Credit: 27.25

Revised Years of Benefit Credit Earned Prior to November 1, 2004: 24.25

Revised Years of Benefit Credit Earned On and After November 1, 2004: 2.50

Current Average Benefit Accrual Rate: $95.41

Revised Average Benefit Accrual Rate: $72.00

Early Retirement Factor Applied under the Suspension for Benefits Accrued prior to November 1, 2004: 

89.500%

Early Retirement Factor Applied under the Suspension for Benefits Accrued on and after November 1, 

2004: 58.000%

Adjustment for Lump Sum Payment Received: $210.00

Your Age as of December 1, 2016 Proposed Reduction Date: 61 years 3 months

Benefit Reduction Factor (as applied to both you and your former spouse’s benefit): 62.3529%

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be different 

than the amounts in this notice due to the approval of a new QDRO or changes to an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is 

incorrect, please contact the Plan office at 3250 Euclid Avenue, Room 150, Cleveland Ohio 44115, (216) 241-

1086.

IW17PF_223
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant H] 

[Address]

How the proposed reduction in benefits would affect you as a current Alternate Payee entitled to receive a 

portion of your former Spouse’s benefit from the Iron Workers Local 17 Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is projected 

to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, your former spouse’s 

benefit would be reduced to the monthly PBGC-guaranteed level. This is estimated to be $1,054.63. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is proposed to be reduced by 

multiplying your monthly benefit by the Benefit Reduction Factor shown below. Based upon the terms of the 

Qualified Domestic Relations Order, your benefit is based upon a percentage of your former spouse’s benefit as 

follows:

[ ] A percentage of the benefit earned during the marriage; or

[ ] A specific monthly amount; or

[X] A coverture formula. 

The changes to your benefit are due to the combination of the following plan changes:

[X] The reduction of the benefit accrual rate so the highest average accrual rate for any participant is 

now $72.00 per Benefit Credit; and

[X] The elimination of any benefit credits over 1 per year.

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This estimate 

of the proposed reduction is based on an assumed effective date for the benefit reduction of December 1, 2016

(this date may be subject to change, but in no event will the proposed reduction be effective earlier). If the 

proposed reduction is effective at a later date, then the amount of the reduction to your benefit might change. This 

estimate is also based on the following information:

Years of Benefit Credit: 30.50

Revised Years of Benefit Credit: 29.50

Current Average Benefit Accrual Rate: $85.25

Revised Average Benefit Accrual Rate: $72.00

Your Age as of December 1, 2016 Proposed Reduction Date: 60 years 0 months

Benefit Reduction Factor (as applied to both you and your ex-spouse’s benefit): 81.6923%

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be different 

than the amounts in this notice due to the approval of a new QDRO or changes to an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION

If you believe the information used to calculate your estimate is incorrect, please contact the Plan office at 3250 

Euclid Avenue, Room 150, Cleveland Ohio 44115, (216) 241-1086.

IW17PF_224
INDIVIDUAL ESTIMATE OF EFFECT OF PROPOSED REDUCTION IN BENEFITS 

[Participant I] 

[Address]

How the proposed reduction in benefits would affect you as a Participant in the Iron Workers Local 17 

Pension Fund

The Plan’s actuary has calculated that if the proposed reductions are not implemented, then the Plan is 

projected to be insolvent and unable to pay benefits when due in 2025. If the Plan becomes insolvent, 

your benefit would be reduced to the monthly PBGC-guaranteed level. Your estimated monthly PBGCguaranteed level is $536.25. 

Effective December 1, 2016, once the suspension is approved, your monthly benefit is not projected to 

change based upon your status as an Exempt Participant as defined in the attached notice. 

You are considered exempt because the Plan determined you meet one or more of the following 

criteria:

[ ] Your current monthly benefit is less than 110% of the PBGC guaranteed benefit

[ ] You will be age 80 or older as of December 1, 2016

[X] You retired under a Disability Retirement from the Iron Workers Local 17 Pension Fund

[ ] You are unaffected by the design of the proposed reduction

This is an estimate of your benefit under the proposed reduction. It is not a final benefit calculation. This 

estimate of the proposed reduction is based on an assumed effective date for the benefit reduction of 

December 1, 2016 (this date may be subject to change, but in no event will the proposed reduction be 

effective earlier). If the proposed reduction is effective at a later date, then the amount of the reduction 

to your benefit might change. This estimate is also based on the following information:

Years of Benefit Credit: 15.00

Age as of December 1, 2016 Proposed Reduction Date: 60 years 10 months

In the event that the proposed suspension is approved, the actual effect of the suspension on you may be 

different than the amounts in this notice due to additional work history, changes in status as an active, 

terminated or retired participant, changes in marital status, and approval of a new QDRO or changes to 

an existing QDRO. 

PLAN OFFICE CONTACT INFORMATION: If you believe the information used to calculate your estimate is 

incorrect, please contact the Plan office at PO Box 6327, Cleveland Ohio 44101-1327, (216) 241-1086.

IW17PF_225
Checklist Item #15 Application for Approval of a Suspension of 

Benefits Under MPRA

Iron Workers Local 17 Pension Fund EIN: 51-0161467

Plan No.: 001

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).

The Board of Trustees for the Pension Fund have 

up-to-date records for 97.8 percent of the 

participants and beneficiaries. As of this time, there 

are 47 participants and beneficiaries without good 

addresses out of 2,050 total participants, 

beneficiaries and Alternate Payees in the Pension 

Fund. The listing of missing participants and 

beneficiaries was provided to Small World 

Solutions, the service provider hired by the Pension 

Fund to monitor for participant deaths and locate 

missing participants. They supplied updated 

addresses for all except 20 participants and 

beneficiaries which they were unable to locate. 

However, when the updated addresses were used 

for the most recent mailing to all participants and 

beneficiaries in November 2015, the Pension Fund 

received 27 letters back. Accordingly, at this time, 

the Fund Office is doing additional research to 

locate the outstanding 47 participants in order to 

ensure they receive adequate notice of the filing of 

the application for benefit suspension. 

IW17PF_226
Checklist Item #16 Application for Approval of a Suspension of 

Benefits Under MPRA

Iron Workers Local 17 Pension Fund EIN: 51-0161467

Plan No.: 001

Does the application 

describe the steps the 

plan sponsor has taken to 

ensure that notices 

delivered electronically 

are reasonably accessible 

to the recipients. 

See section 4.05(3)

The Iron Workers Local 17 Pension Fund is a 

multiemployer plan covering the construction 

industry. As such, the participants do not have 

consistent access to computers at their worksites. 

The Pension Fund does not currently use electronic 

means for the delivery of participant notices. The 

Pension Fund will only be mailing the Notice of 

Application and Individual Benefit Estimates via 

USPS First Class Mail. 

IW17PF_227
Checklist Item #17 Application for Approval of a Suspension of 

Benefits Under MPRA

Iron Workers Local 17 Pension Fund EIN: 51-0161467

Plan No.: 001

Does the application 

include a list of each 

employer who has an 

obligation to contribute 

under the Plan and each 

employee organization 

representing participants 

under the Plan. 

See section 4.05(4).

The application for the Iron Workers Local 17 

Pension Fund includes a listing of employers that 

have a valid Collective Bargaining Agreement with 

the International Bridge, Structural, Ornamental and 

Reinforcing Iron Workers Local Union 17 AFL-CIO 

pursuant to our interpretation of ERISA Section 

4212(a). Many employers only work from time-totime in the jurisdiction requiring contributions to the 

Pension Fund and several employers withdrew as 

of April 30, 2013 upon the expiration of the last 

Collective Bargaining Agreement. Accordingly, the 

attached listing includes employers that made 

contributions to the Pension Fund since May 

1, 2013 on pages IW17PF_229-232. 

The International Bridge, Structural, Ornamental 

and Reinforcing Iron Workers Local Union 17 AFLCIO is the only employee organization representing 

participants under the Iron Workers Local 17 

Pension Fund. 

IW17PF_228
IW17PF_229
IW17PF_230
IW17PF_231
IW17PF_232