Retiree Health General FAQs

  1. What are the eligibility requirements to qualify for enrollment in the Retiree Health Plan?

    Refer to the BenefitTab regarding eligibility for the Retiree Health Plan.

    A Health Hours Estimation Request form must be completed for an estimate of your Health Hours.
  2. Can I decline initial enrollment?

    Refer to the HIPAA Special Enrollment Rights Form (Decline) for information and to submit the form. Please contact the Administrative Trust Fund Office for further assistance.
  3. Can I change my choice of medical plans?

    Yes, during the annual open enrollment period which is explained in the Retiree SPD.
  4. Is there a cost to enrolling in the Retiree Health Plan?

    Refer to the SPD section entitled "Required Monthly Self-payment Deduction".
  5. What are my COBRA rights under the Plan?

    Refer to the SPD section entitled "COBRA".
  6. Briefly, explain what my medical plan choices are

    Refer to the SPD section entitled "Choosing Between the Two HMO Plans".
  7. I am an early retiree in the Kaiser Plan and want to know what benefits I am entitled to at a glance.

    Refer to the summary of benefits chart available here.
  8. I am an early retiree in the UnitedHealthcare Plan and want to know what benefits I am entitled to at a glance.

    Refer to the summary of benefits chart available here.
  9. I am enrolled in Medicare in the Kaiser Senior Advantage Plan and want to know what benefits I am entitled to at a glance.

    Refer to the principal benefits chart available here.
  10. I am enrolled in Medicare in the UnitedHealthcare Plan and want to know what benefits I am entitled to at a glance.

    Refer to the summary of benefits chart available here.
  11. Briefly, what are the benefits of the Medicare Supplement Plan?

    Refer to the SPD section entitled "Medicare Supplement Plan for Retirees/Spouses".
  12. For each plan choice, who provides my prescription drug benefits?

    The following information will be useful:

    • Kaiser early retirees - You are covered under the Kaiser Drug Plan. Refer to the SPD chart under the heading "Prescription Drug Coverage"
    • UnitedHealthcare early retirees - You are covered under the prescription drug plan explained in the Summary Plan Description and administered by CitizensRx.
    • Kaiser Permanente Senior Advantage retirees - You are covered under the Kaiser Drug Plan. Refer to the SPD chart under the heading "Prescription Drug Coverage".
    • UnitedHealthcare Medicare Advantage (HMO) retirees - You are covered under the Optum Rx Drug Plan. Refer to the SPD chart under the heading "Prescription Drugs".
    • Medicare Supplement Plan - You are covered under the prescription drug plan explained in the Summary Plan Description and administered by CitizensRx.
    • Out of Area Plan - You are covered under the prescription drug plan administered by Optum Rx.
    • Effective January 1, 2016, the Medicare Supplement Plan is not an option for retirees and their eligible spouses who are enrolled in one of the Retiree Health Plan options other than the Medicare Supplement Plan or who first become covered under the Retiree Health Plan on or after that date.