Page:United States Statutes at Large Volume 106 Part 4.djvu/305

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PUBLIC LAW 102-486—OCT. 24, 1992 106 STAT. 3041 of the 1950 UMWA Benefit Plan and 1974 UMWA Benefit Plan indicate have the greatest number of eligible beneficiaries as of the enactment date, and such trustee and any successor shall serve until November 1, 1993. "(c) PLAN YEAR,—The first plan year of the Combined Fund shall begin February 1, 1993, and end September 30, 1993. Each succeeding plan year shall begin on October 1 of each calendar year. " SEC. 9703. PLAN BENEFITS. "(a) IN GENERAL.— Each eligible beneficiary of the Combined Fund shall receive— "(1) health benefits described in subsection (b), and "(2) in the case of an eligible beneficiary described in subsection (f)(1), death benefits coverage described in subsection (0. "(b) HEALTH BENEFITS. — "(1) IN GENERAL.— The trustees of the Combined Fund shall provide health care benefits to each eligible beneficiary by enrolling the beneficiary in a health care services plan which undertakes to provide such benefits on a prepaid risk basis. The trustees shall utilize all available plan resources to ensure that, consistent with paragraph (2), coverage under the managed care system shall to the maximum extent feasible be substantially the same as (and subject to the same limitations of) coverage provided under the 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan as of January 1, 1992. "(2) PLAN PAYMENT RATES.— "(A) IN GENERAL.— The trustees of the Combined Fund shall negotiate payment rates with the health care services plans described in paragraph (1) for each plan year which are in amounts which— "(i) vary as necessary to ensure that beneficiaries in different geographic areas have access to a uniform level of health benefits; and "(ii) result in aggregate payments for such plan year from the Combined Fund which do not exceed the total premium payments required to be paid to the Combined Fund under section 9704(a) for the plan year, adjusted as provided in subparagraphs (B) and (C). "(B) REDUCTIONS.— The amount determined under subparagraph (A)(ii) for any plan year shall be reduced— "(i) by the aggregate death benefit premiums determined under section 9704(c) for the plan year, and "(ii) by the amount reserved for plan administration under subsection (d). "(C) INCREASES. — The amount determined under subparagraph (A)(ii) shall be increased— "(i) by any reduction in the total premium pay- ments required to be paid under section 9704(a) by reason of transfers described in section 9705, "(ii) by any carryover to the plan year from any preceding plan year which— "(I) is derived from amounts described in section 9704(e)(3)(B)(i), and