UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF MICHIGAN

SOUTHERN DIVISION

WILLARD L. SLOAN, EUGENE J.

WINNINGHAM, and JAMES L. KELLEY, 

on behalf of themselves and a similarly 

situated class, Case No. 09-cv-10918

Hon. Paul D. Borman

Plaintiffs, Magistrate Mona K. Majzoub

v. Class Action

BORGWARNER, INC., BORGWARNER 

FLEXIBLE BENEFITS PLANS and

BORGWARNER DIVERSIFIED 

TRANSMISSION PRODUCTS, INC.,

Defendants.

_____________________________________________________________________________/

EXHIBIT 25 

TO 

PLAINTIFFS’ MOTION 

FOR SUMMARY JUDGMENT

AS TO LIABILITY

2:09-cv-10918-PDB-MKM Doc # 104-10 Filed 05/14/12 Pg 1 of 4 Pg ID 5733
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Q4I BOI'9Warner 

IRi Automotive 

5401 Munclo 

KlllIOI'o Indiana 

I 

A ••• ue 47304 

I. T 

(GENERAL SUMMARV OF OFTEN ASKED 

OR EMPHASIZED ITEMS COVERED WITH 

EMPLOYEES UPON APPLICAnON FOR 

RETIREMENT) 

Covering employeN In the bargaining Unit repre.ented 

by the International Union, United Automobile 

Aerolpac"e and Agrucl.llturallmplament Workars 

of America (UAWI and It I Local 287. 

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ADDRESS CHANGES 

PIONSION INfORMATION 

(Refer to Booldet for Details) 

After retirement. ptease keep the Pension and Insurance Depanment advised 

at aU times of any change of address. so our records will be currenL You may 

also noIifV the Nonhem Trust Company in Chicago of any change. 

PENSION PAYMENTS SENT TO BANK 

If you want your pension sent direct to your bank. we have forms that must be 

completed. After completion, forms should be returned to the Pension 

Depanment. 

T~ (Federal and State only) 

You may have both federal and state taxes deducted from your pension check. 

This is a voluntary request which can be based upon exemption or you may 

indicate an exact amount to be deducted each month. By completing the 

proper forms your tax deductions can be increased or decreased at any time. 

SURVIVOR OPTION 

At the timeofyour retirement. you may electa survivor option foryourspouse. 

In the event of your death, a benefit would be paid to your spouse for hislher 

lifetime. To reject the automatic election of the survivor option, the consent for 

rejection must come from the employee's spouse in writing and notarized or 

witnessed be a member of the Pension Board. 

Your survivor option deduction can be restored if your spouse precedes you 

in death or there is a dissolution of marriage. Please refer to your Pension 

Agreement Booklet. 

HEALTH INSURANCE FOR SURVIVORS 

If your surviving spouse will .......w.. a survivor option retirement benefit: 

Your spouse can elect to keep the health insurance coverage which, at the 

present time, is paid by the Companv. In event of remarriage the survivor 

option retirement benafit will continue, but the insurance benefit wilt be 

cancelled. 

If your surviving spousewill Dot receivea survivor option retirement benefit: 

Your spouse can elect to keep the health insurance coverage by paying the full 

premium. In the event of remarriage the insurance benefit will be cancelled. 

EARNINGS UMIT 

If you are receiving a Supplemental Benefit in your pension payment you will 

be under an earnings limit for three fuR years following your retirement date 

or until age 62. This limit will be $10,000 per year. 

You will be sent a 'Statement ofEamings-fonn eachyeartobecompletedand 

returned to the Pension Department with your taxes. If you exceed the 

earnings limit. you will haveto pay a penalty of $2 fcreach $1 you exceed the 

limit. However. if you know you will exceed the earnings limit. you can have 

yourSupp!emental Benefitstopped at anytime priorto exceeding thelimitand 

have it restored the first of the following year. TheTequests must be in writing 

thirty (30) days prior to the cancellation or reinstatement date. 

DI5A8fUTY SOCIAL SECURITY (with EARl.Y RETlREMENTI 

If you retire under Early Retirement and receive a Regular or Interim Supplemental Benefit. then become totally disabled and receive Disability Social 

Security.contacta memberofyour Pension Boardorthe Pension Department 

immediately. An adjustment must be made to your Supplemental Benefit 

retroactive to the date of entitlement of Social SeaJrity. 

UNION DUES 

At the time of your retirement or any month thereafter, you may sign to have 

$7.00 union dues deducted from your pension. However, if you wish to stop the 

deduction. cancellation can only be effective January 1 51 of each year .. 

MONTHLY PENSION CHECKS 

Pension payments are due on the first of the month for that month. If you do 

not receive your check by the eleventh day of the momb. advise the Pension 

Department. Astop-paymentcould be placed against the check and a replacement check issUed. 

PENSION BOARD 

The Pension BDard is comprised of three Union members and three Company 

members. Pension Board· meetings are held the second T !l8Sday of each 

month. Any requests for changes regarding your pension should be made no 

later than the last day of the month preceding the Pension Board Meeting. 

401 K SAVI NGS PLAN 

Contact the401 K Plan Administrator or call Putman'stoll-free number 1-80D752-8229 concerning your options for distribution. You may wish to contact 

a tax advisor or a financial institution to determine what method of distribution would be best for you. 

LIfE INSURANCE 

New retirees on or after 1211/89-life insurance remains the same as your 

"active coverage" unti age 65. then it is reduced to $6.000. 

DEPENDENT UFE INSURANCE 

Dependent ute Insuraoce is available for active employees only. At retirement 

it is no longer avaBabie to you, but it can be converted to an incflVidua/ porlCY 

with Cigna. if coverage was in effect atthe time you· retired. There would be 

no health exam and the premium is based on your spouse's age at the time 

of your retirement. Contact the Insurance Depanment if you are interested in 

converting. 

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HEALTH INSURANCE 

After retirement you wiJl no longer be eligible for dental or hearing aid 

insurance coverage~ 

Hospital. mealCal.surgery. diagnostic and prescription drug will conven to the 

RetireePE'OHeaIth Plan.At age 65 you will be eligibleforMedicare. Your health 

agreement has automatic integration with Medicare. You will continue to have 

the group insur.mce. however. the MeDlC3I'e payments will be deducted from our normal allowance. Therefore. all claims must be filed with Medicare first. 

Send all Medicare' Explanation of Medicare Benefits"formsto the address on the Cigna insurance claim forms. 

FEDERAL COBRA lAW would give you an alternate choice to continue your 

"active" health coverage including DentaVHearing and you must pay 102% of 

total cost. 

MANAGED CARE 

Pre-<:ertilication for in-patient hospital admissions. This benefit will continue 

for retirees not covered by Medicara 

INTRACORPrnust be contacted for pre-<:ertilication of all hospital admissions. 

For emergency admissions contact INTRACORP within two (2) business days 

of admission. 

P~PTI0N DRUGS 

For persons retiring on or after 611195 the drug deductible will be $9.00 name brand and $5.00 generic when purchased at a RevcoJHooks network pharmacy. Effective 1/1/96 it will $10.00 name and $5.00 generic deductibles. The 

HCS mail order drugs deductible wiD be $4.00 name brand and $3.00 generic 

for a ninety (90) day supply. 

RETIREE STATUS (DEPENDENTS and BENEFICIARlES) 

At the time of your retirement, your records will be verirfied as to number of 

dependents covered undo!< the Group Health Insurance and to make sure the 

beneficiary designation on your fife insurance iscorrect.ln the future. you will 

need to go to the InsUrance Department and sign the proper forms If you have 

changes in your martial status. number of dependents or wish to change your 

beneficiary designation. 

INSURANCE DEPARTMENT 

Insurance claims can be mailed direct to Cigna. If you need insurance forms or direct reimbursement forms for drugs. please call and they will be mailed 

to you. The Insurance Department phone number <s (317) 286-6456. 

Please oaote-Oftice hours for the Insurance and Pension Department: 

Open on Mondays and Fridays, 7:30 a.m. to 4:30 p.m. 

Oased for lunch-1 1 :45 to 12:45 Monday and Friday 

Oased Tuesday. Wednesday. and Thursday 

Fonn OFl487/5-95 

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