(1) | Title of each class of securities to which transaction applies: | |||
(2) | Aggregate number of securities to which transaction applies: | |||
(3) | Per unit price or other underlying value of transaction computed pursuant to Exchange Act Rule 0-11 (set forth the amount on which the filing fee is calculated and state how it was determined): | |||
(4) | Proposed maximum aggregate value of transaction: | |||
(5) | Total fee paid: | |||
o | Fee paid previously with preliminary materials: | |||
o | Check box if any part of the fee is offset as provided by Exchange Act Rule 0-11(a)(2) and identify the filing for which the offsetting fee was paid previously. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing. | |||
(1) | Amount Previously Paid: | |||
(2) | Form, Schedule or Registration Statement No.: | |||
(3) | Filing Party: | |||
(4) | Date Filed: | |||
| This is the only transmittal that you will receive regarding these changes. | |
| If you wish to elect to accept this revised offer you must submit an Election and Release no later than the time and date indicated in the enclosed letter. | |
| You will be eligible to separate under the Plan only if your election is approved by the Company. | |
| Questions about this offer and other benefits issues may be directed to the resources provided in the attached revised Benefits Summary Sheet and the Question and Answer document that was sent to you with your original offer letter dated February 6, 2006. |
1. | The sections of the Plan listed below have been amended: |
| Severance Pay (p. 4) | ||
| Regular Stock Option Grants (p. 6) | ||
| Special Stock Option Grants (p. 7) | ||
| Performance Share Grants (p. 7) | ||
| Restricted Stock (p. 8) |
| You have a period of at least forty-five days until April 28, 2006 to consider the terms of this TPPM:V offer and to decide if you want to accept this offer. You are advised to consult with an attorney prior to signing the Election and Release form. By signing the form, you are, among other things, waiving certain claims against BellSouth, as described in the Election and Release. |
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| If you elect to accept this offer, you must complete, sign and fax all pages of the Election and Release form (TPPM:V-1) to BellSouth Force Management at (205) 321-5011 by no later than 6:00 p.m. Eastern Time on April 28, 2006. Please retain the fax confirmation sheet that documents that your form has been received. You will not be notified whether your election has been approved or rejected until after this date. | ||
| If you elect to accept this offer and subsequently change your mind, you may revoke your acceptance within seven calendar days following the date you sign the Election and Release form. To revoke your decision, you must fax a written notice within the 7-day timeframe to (205) 321-5011. Additionally, in the event your election is rejected by the Company, the Election and Release is thereby cancelled. | ||
| If you elect to accept this offer, do not revoke your acceptance, and your election is approved, your projected last day on the payroll is May 15, 2006. | ||
| Your completed years of Net Credited Service (NCS) as of your separation date and your Annual Base Salary as of March 1, 2006 will be used to calculate your severance payment. | ||
| You can generally expect to receive your severance payment within thirty days of your separation date. | ||
| Any changes made to the text or terms of the Election and Release form will invalidate the form and your acceptance of the TPPM:V offer. |
If you resign, retire, are terminated for cause, or otherwise separate from the Company prior to any action by the Company to approve or reject your election, you will irrevocably terminate your eligibility to participate in the Plan and receive any benefits under the Plan. |
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| You are a regular full-time or part-time non-represented employee in Job Grades A50 C59, or equivalent. | |
| You are employed by BellSouth Corporation or a subsidiary which the BellSouth Corporation Vice President Human Resources has approved for participation in the Plan. | |
| You have officially been designated by the BellSouth Corporation Vice President Human Resources as being eligible to participate in the Plan because of a force imbalance in a group (voluntary universe) within your organization. | |
| You receive a TPPM:V severance offer. | |
| You execute a TPPM:V Election and Release form electing to accept a TPPM:V offer and to voluntarily separate from employment, and you do not revoke that election. | |
| Your TPPM:V election is approved by the Company. | |
| You terminate employment on the separation date specified by the Company, or at the conclusion of an approved Transitional Leave of Absence. |
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| Your election to accept the TPPM:V severance offer is rejected by the Company. | |
| Your employment is governed by a collective bargaining agreement. | |
| You separate or have agreed to separate under the provisions of any other severance plan, program, agreement or arrangement. | |
| You are terminated for misconduct, job performance, or for any reason other than as a result of accepting a TPPM:V severance offer. |
Net Credited Service (or NCS) is your term of employment as defined in the BellSouth Personal Retirement Account Pension Plan (PRA), which includes the current period of your continuous service as well as any periods of prior service that have been credited under bridging of service rules, as of your date of separation. |
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1. | Severance Pay | |
Except as otherwise provided below, if you separate under the provisions of TPPM:V, you will receive severance pay based on your Net Credited Service as of your date of separation and on your Annual Base Salary. | ||
Annual Base Salary is your annual base salary rate in effect as of March 1, 2006. Annual Base Salary includes (if applicable) geographical location allowances, but excludes all other differentials, overtime, bonuses, and other payments or special allowances (such as salary protection allowances). Annual Base Salary for those employees covered under a sales compensation plan includes base salary plus the benefit incentive amount. | ||
Computation of TPPM:V payments | ||
If you separate under TPPM:V, you will receive a severance payment calculated as follows: | ||
The greater of: (a) fifty percent (50%) of your Annual Base Salary, or (b) seven percent (7%) of your Annual Base Salary multiplied by your completed years of Net Credited Service (NCS), not to exceed one hundred fifty percent (150%) of Annual Base Salary. | ||
For purposes of calculating your severance benefit, only completed years of NCS will be used (e.g., six years and eight months of actual NCS equals six years of completed NCS for purposes of calculating your severance payment). | ||
TPPM:V severance payments are subject to the appropriate withholding of federal, state and local income taxes, social security (FICA), and Medicare taxes, and are reported on IRS Form W-2. | ||
2. | Transitional Leaves of Absence for Personal Retirement Account Pension Plan Participants | |
If you are within three (3) years of reaching eligibility to retire with a service pension under the terms of the BellSouth Personal Retirement Account Pension Plan (PRA) as of the date of your separation under TPPM:V, you will be eligible to apply for a Transitional Leave of Absence to reach such pension eligibility. |
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3. | Outplacement Services for TPPM:V Participants | |
If you separate under the provisions of TPPM:V, you will be eligible for the LHH@HOME career transition program provided through Lee Hecht Harrison. | ||
4. | Educational Assistance for TPPM:V Participants | |
If you separate under the provisions of TPPM:V, you will be eligible to receive reimbursement under the BellSouth Educational Assistance Program for qualifying courses that you complete by no later than two (2) years following your date of separation. You will be limited to the annual maximum reimbursement set forth under the Program. | ||
5. | Telephone Concession for TPPM:V Participants | |
If you separate under the provisions of TPPM:V, and as of your separation date, you are not eligible to retire with a service pension under the BellSouth Personal Retirement Account Pension Plan (PRA), but you have at least ten (10) years of Net Credited Service and the sum of your whole years and whole months of age and your whole years and whole months of Net Credited Service equals or exceeds sixty-five (65) (i.e., you meet the Rule of 65), you will be afforded the same treatment with regard to telephone concession as that afforded employees in your participating company who retire with a service pension as of that date. | ||
6. | Group Medical and Dental Coverage | |
Your post-termination medical and dental coverage depends on your pension status at the time of separation. | ||
If you are eligible to retire with a service pension under the BellSouth Personal Retirement Account Pension Plan (PRA) at the time of separation, you are eligible for coverage under the BellSouth Retiree Medical Assistance Plan and the BellSouth Retiree Dental Assistance Plan, subject to the provisions and limitations of such plan(s) in effect on the date of your retirement, and any amendments thereafter made to these plans, and subject to the service-related medical premium and the medical premium associated with the capped amount, as applicable to you. (This coverage applies regardless of your participation in TPPM:V.) | ||
Rule of 65 Retiree Medical Benefits: If you separate under the provisions of TPPM:V and, at the time of separation, you are not eligible to retire with a service pension under the BellSouth Personal Retirement Account Pension Plan (PRA), but you have at least ten (10) years of Net Credited Service and the sum of your whole years and whole months of age and your whole years and whole months of Net Credited Service equals or exceeds sixty-five (65) (i.e., you meet the Rule of 65), you will be eligible for retiree medical and dental coverage under the BellSouth Retiree Medical Assistance Plan and the BellSouth Retiree Dental Assistance Plan, subject to the provisions and limitations of such plan(s) in effect on the date of your separation, and any amendments thereafter made to these plans, and subject to the service-related medical premium and the medical premium associated with the capped amount, as applicable to you. |
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If you separate under the provisions of TPPM:V and, at the time of separation, you are not eligible to retire with a service pension under the BellSouth Personal Retirement Account Pension Plan (PRA) and are not eligible for Rule of 65 retiree medical benefits described above, your current medical coverage (excluding dental coverage) will continue at Company expense, under the same conditions and to the same extent as a comparable employee on the active payroll, until you become eligible to elect to receive other group medical coverage with another employer, or for a maximum of six full months following the end of the month in which you terminate service, whichever comes first, except that during this period, the Company will pay the entire cost of coverage, i.e., there will be no employee contribution (premium amount). This six months of continuation coverage will be concurrent with (and not in addition to) continuation coverage required under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). | ||
Following this six month period, you and your covered dependents would be eligible to elect to continue your medical coverage under COBRA for up to an additional twelve months by paying 102% of the group rate. The extended coverage cannot exceed eighteen months from the date your employment terminates, except as otherwise required by COBRA. At the appropriate time, the Company will provide you with information on how to elect coverage under COBRA. | ||
If you do not elect to pay the premiums under COBRA, medical coverage will terminate at the end of the sixth full month after the date of separation. | ||
Your current dental coverage, if any, will terminate at the end of the month in which your employment terminates. You and your covered dependents are eligible to elect to continue dental coverage under COBRA for a period not to exceed eighteen months from the date your employment terminates. This coverage is available at a cost to you of 102% of the group rate. At the appropriate time, the Company will provide you with information on how to elect continued coverage under COBRA. | ||
7. | BellSouth Stock Plans (The provisions of this Section 7 apply only to the limited group of employees at Job Grade C59 or equivalent who have received grants under the following stock plans.) |
(a) | Regular Stock Option Grants | ||
Under the terms of the plans and agreements under which BellSouth Corporation stock options have been granted, if you separate from employment when you are eligible for a retirement (as such term is used in governing plans and agreements), your vested regular annual stock options are retained and would be exercisable for their full remaining term. Your unvested regular annual stock options would vest as of your retirement date, and also would be exercisable for their full remaining term. | |||
If you separate from employment with BellSouth when you are not eligible for a retirement, your vested regular annual stock option grants remain exercisable by their terms for 90 days following your date of separation. Vested options must be exercised |
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within that 90 day period or they would be forfeited. Unvested regular annual stock option grants normally would be forfeited immediately upon separation. | |||
If you are not eligible for a retirement and you separate under the provisions of TPPM:V, however, you will receive a payment with respect to your regular annual stock option grants that, at the time of your termination of employment, are unvested. The amount of this payment will equal the sum of the values assigned to each such grant determined by multiplying the number of options in a grant by the amount, if any, by which $33.50 exceeds the exercise price of those options. | |||
(b) | Special Stock Option Grants | ||
Special Stock Options are grants that were not made as part of the regular annual long-term award process (normal annual grants and pro rata awards upon hire or promotion), but that were made, for example, as a retention incentive or for special recognition, that do not by their terms become exercisable upon retirement. | |||
Under the terms of the plans and agreements under which BellSouth Corporation stock options have been granted, if you separate from employment when you are eligible for a retirement (as such term is used in governing plans and agreements), your vested Special Stock Options (as defined above) are retained and would be exercisable for their full remaining term. If you separate under TPPM:V, your unvested Special Stock Options (which normally would be forfeited upon your retirement) will be treated in the manner provided in section 7(a) above. | |||
If you separate from employment with BellSouth when you are not eligible for a retirement, your vested Special Stock Options remain exercisable by their terms for 90 days following your date of separation. Vested Special Stock Options must be exercised within that 90 day period or they will be forfeited. If you separate under TPPM:V, your unvested Special Stock Options (which normally would be forfeited upon separation) will be treated in the manner provided in section 7(a) above. | |||
(c) | Performance Share Grants | ||
Under the terms of the plans and grant agreements under which BellSouth Corporation performance shares have been granted, if you separate from employment when you are eligible for a retirement (as such term is used in governing plans and agreements), you would be eligible for a prorated payment at the end of the performance period applicable to each performance share grant. BellSouths performance share award agreements provide that the amount of this prorated payment would equal the sum of the values assigned to each performance share grant determined: |
(i) | by multiplying the number of performance shares earned with respect to each such grant (as determined by the plan administrator based on performance results) by the average share price at the end of the performance period, and | ||
(ii) | calculating for each grant 1/36th of the amount so determined for each calendar month during the performance period during which you have been employed for one or more days, and |
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(iii) | adding to such amount dividend equivalents paid during the performance period on the number of performance shares earned. |
If you separate from employment with BellSouth when you are not eligible for a retirement, performance shares would normally be forfeited. If, however, you separate under the provisions of TPPM:V and are not eligible for a retirement, you will be eligible for a prorated payment at the end of the performance period applicable to each grant of performance shares made before 2006. The amount of such payment shall be determined as provided in your pre-2006 performance share award agreements as if you had been eligible for a retirement (and as summarized above), except that in determining the prorated amount (the fraction described in clause (ii) above), your employment will be deemed to have ceased on May 31, 2006, regardless of your actual separation date. | |||
(d) | Restricted Stock | ||
If you separate under the provisions of TPPM:V and you have at the time of separation unvested shares of BellSouth Corporation restricted stock that were granted before 2006 as part of a regular annual restricted shares award, all such unvested shares of restricted stock shall vest upon your termination of employment. | |||
The additional vesting of shares of restricted stock described in this Section 7(d) shall also apply to any special grants of shares of restricted stock that were not made as part of the regular annual long-term award process (normal annual grants and pro rata awards upon hire or promotion), but that were made, for example, as a retention incentive or for special recognition. |
The payments and vesting described in this Section 7 are subject to appropriate withholding of federal, state and local income taxes, social security (FICA), and Medicare taxes, and are reported on IRS Form W-2. | ||
In the event of any change in outstanding shares of BellSouth Corporation common stock, whether by reclassification, recapitalization, merger, stock split, stock dividend, or otherwise, the BellSouth Corporation Vice President Human Resources shall adjust the formula for assigning a value to such stock option, performance share and restricted stock grants in his reasonable judgment to reflect such event. |
| Gross Severance Payment minus (4% of Gross Severance Payment times the Number of Whole or Partial Months Since Separation) = Amount to be Refunded to Your Former Company |
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| BellSouth has delegated to its Vice President Human Resources the overall fiduciary responsibility for administering TPPM:V. | |
| BellSouth has delegated to the TPPM:V Coordinator, who shall be appointed by the Vice President Human Resources, the fiduciary responsibility to review and to grant or deny claims that are filed under the Plan. | |
| BellSouth has delegated to the TPPM:V Review Committee, a committee of one or more individuals appointed by the Vice President Human Resources, the fiduciary responsibility of affording a full and fair review of all appeals resulting from denied claims or other disputes arising out of the interpretation or administration of the Plan. | |
| BellSouth has delegated responsibility for handling TPPM:V administrative services for eligible participants to: |
1. | Claim Procedure | |
Plan participants, or any person duly authorized by a participant, may file a claim in writing in order to secure benefits under the Plan, or to secure a review of any other matter related to the administration of the Plan. A written claim must be sent to the TPPM:V Coordinator within 60 days of the date of the alleged improper denial of severance benefits, or occurrence of other facts giving rise to the claim. | ||
If the claim is denied, the claimant will receive written notice of the TPPM:V Coordinators decision, including the specific reason(s) for the decision, with reference to pertinent Plan provisions, within 90 days of the date that the claim was received. In some cases, more than 90 days may be needed to make a decision. In such cases, the claimant will be notified (in writing within the initial 90-day period) of the reason more time is needed. An additional 90 days may be taken to make the decision if the claimant is sent such a notice. The extension notice will show the date by which a decision will be sent. |
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2. | Appeals Procedure | |
The appeals procedure which follows provides the rules for appealing a denied claim. | ||
A claimant may use this procedure if: |
(a) | No reply at all is received by the claimant within 90 days after filing the claim (in which case the claim is deemed as being denied); or | ||
(b) | In cases where a notice has extended the time for an additional 90 days and no reply is received within 180 days after filing the claim (in which case the claim is deemed as having been denied); or | ||
(c) | Written denial of the claim for benefits or other matters is received within the proper time limit and the claimant wishes to appeal the written denial. |
If a claim for benefits or review of any other matter related to the Plan is denied, the participant, or another duly authorized person, may appeal this denial in writing within 60 days after it is received, or if no decision is received, within 60 days of the date it is deemed to have been denied. A written request for review of any denied claim should be sent directly to the TPPM:V Coordinator, who will then refer it to the TPPM:V Review Committee. | ||
Unless the TPPM:V Review Committee sends notice in writing that the claim is a special case requiring more time, the Committee must conduct a review and resolve the appeal of the denied claim within 60 days after receipt of the written request for review. In special cases, when more time is needed to make a decision, the TPPM:V Review Committee will send notice in writing that there will be a delay and give the reason(s) for the delay. In such cases, the TPPM:V Review Committee may have 60 days more, or a total of 120 days, to make its decision. | ||
If the claimant, or another individual designated by the claimant to represent him/her, submits a written request for review of the denied claim, such person has the right to: |
(a) | Review pertinent Plan documents which may be obtained by following the procedures described in Plan Documents. | ||
(b) | Submit to the TPPM:V Review Committee a written statement of the issues and any other documents in support of the request for TPPM:V benefits or any other matter under review. |
The TPPM:V Review Committees decision shall be given to the claimant in writing within 60 days, or if extended, 120 days, and shall include the specific reasons(s) for the decision, with reference to pertinent plan provisions. If the TPPM:V Review Committee does not give its decision on review within the appropriate time span, the claimant may consider the claim denied. |
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The TPPM:V Review Committee has been delegated the sole and complete discretionary authority to resolve benefit claim appeals under TPPM:V and to interpret and enforce the provisions of the Plan. Its determinations and interpretations of the Plan are final and are not subject to further administrative review. | ||
3. | Time Limit for Filing Civil Action for Denied Claims | |
As a participant in the plan, you have the right under ERISA to file a civil action in court, but you are first required to exhaust the claim and appeals procedures described above. However, no legal action may be commenced or maintained against the plan or its administrators more than 180 days after the date that the TPPM:V Review Committee issues its final written response pursuant to the appeals procedure. |
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# |
58-1533433 | Employer Identification Number (assigned by the IRS) | ||||
#
|
604 | Plan Number (assigned by BellSouth Corporation) |
| Examine, without charge, at the plan administrators office and at other specified locations, all documents governing the plan, including a copy of the latest annual report (Form 5500 Series), if any, filed by the plan with the U.S. Department of Labor and available at the Public Disclosure Room of the Pension and Welfare Benefit Administration. | ||
| Obtain, upon written request to the plan administrator, copies of documents governing the operation of the plan, including copies of the latest annual report (Form 5500 Series), if any, and updated summary plan description. The administrator may make a reasonable charge for the copies. |
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Print Name |
Social Security
Number |
(1) | I hereby fully waive, discharge, and release any and all claims relating to or arising out of my employment, of whatever nature, known or unknown, I may have against BellSouth Corporation, its subsidiaries and affiliated companies, and in the case of all such entities, their respective owners, representatives, officers, directors, attorneys, agents, employees, successors and assigns (hereinafter collectively referred to as BellSouth) as a result of actions or omissions occurring through this date, subject to the provisions set forth below. Specifically included in this waiver and release are any and all claims of alleged employment discrimination, either as a result of my separation from employment or otherwise, under the Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. Section 621, et seq., Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C. Section 2000e, et seq., and any and all other claims relating to or arising out of my employment, under any federal, state, or local statute, common law, or regulation, including the Employee Retirement Income Security Act of 1974, 29 U.S.C. Section 1001, et seq. |
(a) | I acknowledge and understand that a race-discrimination class action has been filed against BellSouth Corporation and is currently pending in federal court in Alabama. The caption of the pending case is Jenkins, et al. v. BellSouth Corporation, 2:02-cv-01057-VEH (N.D. Ala. filed Apr. 29, 2002) (hereinafter the Jenkins action). The proposed class action includes only current and former employees of BellSouth Telecommunications, Inc. (BST). I acknowledge and understand that, if I am an African-American employee who has held or currently holds a position at or below Job Grade C59 at BST, I am a potential member of the alleged class in this action. The case involves allegations that BST discriminated against African-American employees in management pay and opportunities for promotion to management. BellSouth denies these allegations. I understand that if I elect to sign this Release, it will not bar me from receiving any remedies that I may be awarded through the Jenkins action, subject to the following conditions: |
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Print Name |
Social Security
Number |
(i) | Any monetary relief that I may be entitled to receive through the Jenkins action, if any, will be reduced solely by the gross amount of the cash payments provided to me in exchange for executing this Release and the cost to the Company of providing retiree and/or other medical coverage that I will receive as a result of my participation in the Plan (the medical coverage). | ||
(ii) | Since the cost of the medical coverage will vary for each person, based on such factors as life expectancy and scope of coverage, I understand that the cost for the medical coverage I will receive shall be determined at such time as I may be entitled to receive monetary relief through the Jenkins action, by a professional, independent actuary whose selection is approved by the Court in which the Jenkins action is pending. | ||
(iii) | I understand that the independent actuary shall calculate the cost of the medical coverage over the course of my expected lifetime. I am advised by the Company that the estimated current average cost to the Company to provide two-party coverage to a retiree under 65 years of age with more than 20, but less than 30 years of net credited service is approximately $728.00 per month. I further understand that the monthly cost of the medical coverage I will receive may be higher or lower than this average. | ||
(iv) | In the event the value of the cash and cost of the medical coverage I will receive in exchange for executing this Release is greater than the amount of any potential monetary relief in the Jenkins action, I understand that I will not receive any monetary relief through the Jenkins action. However, I understand that under no circumstances will I owe any money to BellSouth. |
(b) | EFFECT OF EXECUTING THIS RELEASE ON MY ABILITY TO PURSUE MY OWN EMPLOYMENT DISCRIMINATION CASE: |
(i) | I acknowledge and understand that in the event the Jenkins action is certified by the Court as a class action, the certified members of the class may have the right to opt out of the case and choose to pursue their individual claims on their own or take no action. | ||
(ii) | If I am a member of the proposed class, I acknowledge and understand that because this is a Release of all claims against BellSouth, except for the Jenkins class claims, this Release will only permit me to obtain monetary relief for claims of race discrimination through the Jenkins action. Therefore, by executing this Release and accepting the severance benefits provided to me, I understand that if I exercise a right to opt out of the Jenkins action, I would lose the right to obtain any monetary relief from a claim of discrimination based on my employment at BellSouth. |
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(c) | I acknowledge and understand that Plaintiffs in the Jenkins action are represented by the following attorneys: Joseph M. Sellers of the law firm of Cohen, Milstein, Hausfeld & Toll, P.L.L.C. in Washington, DC; Cyrus Mehri of the law firm of Mehri & Skalet, PLLC in Washington, DC; Angela Mason of the law firm of Cochran, Cherry, Givens & Smith in Dothan, AL; Hezekiah Sistrunk of the law firm of Cochran, Cherry, Givens & Smith in Atlanta, GA; Byron R. Perkins of the law firm of Byron R. Perkins and Associates, LLC in Birmingham, AL; and Roderick T. Cooks of the law firm of Wiggins, Childs, Quinn & Pantazias, LLC in Birmingham, AL. The phone number for class counsel is 1-800-916-6895. I understand that I may contact any of these attorneys if I have questions concerning the Jenkins action. | ||
(d) | I acknowledge and understand that nothing in this Release precludes me from participating as a witness or providing evidence in the Jenkins action or in any other lawsuit filed against BellSouth. | ||
(e) | I understand and agree, as does BellSouth, that it is unlawful for BellSouth to retaliate against me if I choose not to sign the Release or choose to participate as a witness or provide evidence in the Jenkins action or in any other lawsuit filed against BellSouth. |
(2) | I acknowledge that the severance benefits that are being offered to me under the terms of the Plan represent valuable consideration that I am not otherwise entitled to receive and that are in addition to other forms of compensation or benefits to which I currently am entitled. |
(3) | I understand that I may revoke my election to participate in TPPM:V by giving written notice by fax to the TPPM:V Coordinator (at fax number 205-321-5011) within seven (7) calendar days following the date that I signed the Release. I further understand that this Release will become binding and irrevocable after the expiration of that seven-day period, subject to the Companys approval of my election. |
(4) | Each paragraph and clause of this Release shall be deemed severable from all other provisions, and the invalidity or unenforceability of any provision shall not affect the validity or enforceability of the remaining provisions. In addition, any invalid or unenforceable provision shall be enforced to the maximum extent permitted by applicable law. |
(5) | I acknowledge that the benefits provided under the Plan are the only consideration for my signing this Release and that I have relied on no other representations or promises in making my decision to participate in the Plan and sign this Release, including representations regarding benefits that may or may not be offered in the future under TPPM:V or any other severance, pension or benefit plan. I understand and acknowledge that this Release constitutes the entire agreement between the Company and me regarding the subject matter herein and no amendment or modification of this Release shall be valid or binding unless signed by me and the BellSouth Corporation Vice President Human Resources. |
Signature |
Name (Please print) |
Social Security Number |
Date |
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Print Name |
Social Security
Number |
(2) | I hereby fully waive, discharge, and release any and all claims relating to or arising out of my employment, of whatever nature, known or unknown, I may have against BellSouth Corporation, its subsidiaries and affiliated companies, and in the case of all such entities, their respective owners, representatives, officers, directors, attorneys, agents, employees, successors and assigns (hereinafter collectively referred to as BellSouth) as a result of actions or omissions occurring through this date, subject to the provisions set forth below. Specifically included in this waiver and release are any and all claims of alleged employment discrimination, either as a result of my separation from employment or otherwise, under the Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. Section 621, et seq., Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C. Section 2000e, et seq., and any and all other claims relating to or arising out of my employment, under any federal, state, or local statute, common law, or regulation, including the Employee Retirement Income Security Act of 1974, 29 U.S.C. Section 1001, et seq. |
(a) | I acknowledge and understand that a race-discrimination class action has been filed against BellSouth Corporation and is currently pending in federal court in Alabama. The caption of the pending case is Jenkins, et al. v. BellSouth Corporation, 2:02-cv-01057-VEH (N.D. Ala. filed Apr. 29, 2002) (hereinafter the Jenkins action). The proposed class action includes only current and former employees of BellSouth Telecommunications, Inc. (BST). I acknowledge and understand that, if I am an African-American employee who has held or currently holds a position at or below Job Grade C59 at BST, I am a potential member of the alleged class in this action. The case involves allegations that BST discriminated against African-American employees in management pay and opportunities for promotion to management. BellSouth denies these allegations. I understand that if I elect to sign this Release, it will not bar me from receiving any remedies that I may be awarded through the Jenkins action, subject to the following conditions: |
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Print Name |
Social Security
Number |
(i) | Any monetary relief that I may be entitled to receive through the Jenkins action, if any, will be reduced solely by the gross amount of the cash payments provided to me in exchange for executing this Release and the cost to the Company of providing retiree and/or other medical coverage that I will receive as a result of my participation in the Plan (the medical coverage). | ||
(ii) | Since the cost of the medical coverage will vary for each person, based on such factors as life expectancy and scope of coverage, I understand that the cost for the medical coverage I will receive shall be determined at such time as I may be entitled to receive monetary relief through the Jenkins action, by a professional, independent actuary whose selection is approved by the Court in which the Jenkins action is pending. | ||
(iii) | I understand that the independent actuary shall calculate the cost of the medical coverage over the course of my expected lifetime. I am advised by the Company that the estimated current average cost to the Company to provide two-party coverage to a retiree under 65 years of age with more than 20, but less than 30 years of net credited service is approximately $728.00 per month. I further understand that the monthly cost of the medical coverage I will receive may be higher or lower than this average. | ||
(iv) | In the event the value of the cash and cost of the medical coverage I will receive in exchange for executing this Release is greater than the amount of any potential monetary relief in the Jenkins action, I understand that I will not receive any monetary relief through the Jenkins action. However, I understand that under no circumstances will I owe any money to BellSouth. |
(b) | EFFECT OF EXECUTING THIS RELEASE ON MY ABILITY TO PURSUE MY OWN EMPLOYMENT DISCRIMINATION CASE: |
(i) | I acknowledge and understand that in the event the Jenkins action is certified by the Court as a class action, the certified members of the class may have the right to opt out of the case and choose to pursue their individual claims on their own or take no action. | ||
(ii) | If I am a member of the proposed class, I acknowledge and understand that because this is a Release of all claims against BellSouth, except for the Jenkins class claims, this Release will only permit me to obtain monetary relief for claims of race discrimination through the Jenkins action. Therefore, by executing this Release and accepting the severance benefits provided to me, I understand that if I exercise a right to opt out of the Jenkins action, I would lose the right to obtain any monetary relief from a claim of discrimination based on my employment at BellSouth. |
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(c) | I acknowledge and understand that Plaintiffs in the Jenkins action are represented by the following attorneys: Joseph M. Sellers of the law firm of Cohen, Milstein, Hausfeld & Toll, P.L.L.C. in Washington, DC; Cyrus Mehri of the law firm of Mehri & Skalet, PLLC in Washington, DC; Angela Mason of the law firm of Cochran, Cherry, Givens & Smith in Dothan, AL; Hezekiah Sistrunk of the law firm of Cochran, Cherry, Givens & Smith in Atlanta, GA; Byron R. Perkins of the law firm of Byron R. Perkins and Associates, LLC in Birmingham, AL; and Roderick T. Cooks of the law firm of Wiggins, Childs, Quinn & Pantazias, LLC in Birmingham, AL. The phone number for class counsel is 1-800-916-6895. I understand that I may contact any of these attorneys if I have questions concerning the Jenkins action. | ||
(d) | I acknowledge and understand that nothing in this Release precludes me from participating as a witness or providing evidence in the Jenkins action or in any other lawsuit filed against BellSouth. | ||
(e) | I understand and agree, as does BellSouth, that it is unlawful for BellSouth to retaliate against me if I choose not to sign the Release or choose to participate as a witness or provide evidence in the Jenkins action or in any other lawsuit filed against BellSouth. |
(2) | I acknowledge that the severance benefits that are being offered to me under the terms of the Plan represent valuable consideration that I am not otherwise entitled to receive and that are in addition to other forms of compensation or benefits to which I currently am entitled. |
(3) | I understand that I may revoke my election to participate in TPPM:V by giving written notice by fax to the TPPM:V Coordinator (at fax number 205-321-5011) within seven (7) calendar days following the date that I signed the Release. I further understand that this Release will become binding and irrevocable after the expiration of that seven-day period, subject to the Companys approval of my election. |
(4) | Each paragraph and clause of this Release shall be deemed severable from all other provisions, and the invalidity or unenforceability of any provision shall not affect the validity or enforceability of the remaining provisions. In addition, any invalid or unenforceable provision shall be enforced to the maximum extent permitted by applicable law. |
(5) | I acknowledge that the benefits provided under the Plan are the only consideration for my signing this Release and that I have relied on no other representations or promises in making my decision to participate in the Plan and sign this Release, including representations regarding benefits that may or may not be offered in the future under TPPM:V or any other severance, pension or benefit plan. I understand and acknowledge that this Release constitutes the entire agreement between the Company and me regarding the subject matter herein and no amendment or modification of this Release shall be valid or binding unless signed by me and the BellSouth Corporation Vice President Human Resources. |
Signature |
Name (Please print) |
Social Security Number |
Date |
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Transition Payment Plan | ||||
for Management Employees: Voluntary | Contact Information | |||
(TPPM:V) | ||||
Severance Payment | 7% of base salary (as of 03-01-06) per completed year of service as of |
Force Management Info Line | ||
date of separation |
1-205-977-2531 | |||
50% minimum |
Option 1 | |||
150% maximum |
||||
Transitional Leave | Within 3 years of Rule of 75 service pension eligibility |
Benefits Service Center | ||
1-800-528-1232 | ||||
Medical | Rule of 65 Retiree medical eligibility |
Benefits Service Center | ||
6 months paid for others |
1-800-528-1232 | |||
Retiree Phone Concession | Rule of 65 Same as service pension eligible |
Benefits Service Center | ||
1-800-528-1232 | ||||
Educational Assistance | 2 years |
Educational Assistance Office | ||
1-888-507-2287 | ||||
Outplacement | Yes |
Force Management Info Line | ||
1-205-977-2531 | ||||
Option 2 |