PO Box 5434
Spokane, Washington 99205
Toll Free: 866-553-8206
generalmail@aseahealth.org
ASEA/AFSCME Local 52 Health Benefits Trust
Board of Trustees Qualifications and Requirements List
- Before being included as an official Trustee candidate: a) applicants must agree that they have read, understand, consent to and sign the "Acceptance of Election as Trustee" document, b) they must also agree in writing that they have read, understand, consent to and sign the "Requirements for Electing the Board of Trustees" document, (both available online at www.aseahealth.org or by calling 866-553-8206) and c) they must agree in writing that they have read and understand the "ASEA/AFSCME Local 52 Health Benefits Trust -Trust Agreement" As Amended and Restated Effective September 28, 2005 as posted on the Trust's website: www.aseahealth.org.
- Nominations can be mailed, emailed, faxed or turned in to: ASEA/AFSCME Local 52 Health Benefits Trust, Attention: Board of Trustees; P.O. Box 5434, Spokane, WA 99205, Email address: generalmail@aseahealth.org, Fax: 509-323-7614, Phone: Toll free: 866-553-8206.
- Applicants should submit a resume or statement of personal qualifications to be a Trustee not to exceed 450 words (hand counted.) In accordance with election criteria established in the "ASEA/AFSCME Local 52 Health Benefits Trust - Trust Agreement" As Amended and Restated Effective September 28, 2005. Statements should provide information on the nominee's credentials for the position of Trustee, taking into consideration the individual's knowledge of employee benefits issues, special training pertaining to benefit plans and/or fiduciary responsibility, and other unique qualifications, training, or knowledge. Any portion that is not related to personal qualifications or which exceeds 450 words (hand counted) will be cut.
I agree, if elected, that I have signed the "Acceptance of Election as Trustee" and "Requirements for Electing Board of Trustee Members for the ASEA/AFSCME Local 52 Health Benefits Trust" documents and agree to follow all administrative policies and procedures approved and set forth by the Board of Trustees. If elected, I am willing to serve the full four-year term. I would like my name printed on the ballot as:
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Further, having read and signed the "Acceptance of Appointment as Trustee" and "Requirements for Electing Board of Trustee Members for the ASEA/AFSCME Local 52 Health Benefits Trust" documents, and the "ASEA/AFSCME Local 52 Health Benefits Trust - Trust Agreement" as Amended and Restated Effective September 28, 2005. I attest that I understand their contents; and if elected, I agree to execute ASEA/AFSCME Local 52 Health Benefits Trust- Trusteeship, accordingly.
Dated this ________ day of ______________________, 2007
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Signature
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Printed Name