Summary Plan Description

Plan Identification

• Plan Name: Maple Manufacturing Group Health Plan
• Type of Plan: welfare benefit plan — a wrap plan comprising the benefits listed in the “Benefits Offered” section
• Plan Sponsor: Maple Manufacturing, LLC
• Plan Sponsor EIN: 38-0000000
• Plan Number: 501
• Plan Year: January 1 – December 31
• Original Effective Date: January 1, 2026

Statement of ERISA Rights

As a participant in the Plan you are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). ERISA provides that all Plan participants shall be entitled to: Examine, without charge, at the Plan Administrator's office and at other specified locations, such as worksites, all documents governing the Plan, including insurance contracts, and a copy of the latest annual report (Form 5500 Series), if any, filed by the Plan with the U.S. Department of Labor.

Claims and Appeals Procedure

The Plan follows the claims procedures required by ERISA Section 503 and U.S. Department of Labor regulations. You will receive written notice of a claim decision within the time limits those rules set for the type of claim involved (with shorter deadlines for urgent-care and pre-service health claims). If a claim is denied in whole or in part, the notice will state the specific reasons for the denial, reference the plan provisions on which it is based, describe any additional information needed and why, and explain the review procedures and time limits.