Preparing for Your Early Retirement
|
|
- Percival Shepherd
- 6 years ago
- Views:
Transcription
1 Preparing fr Yur Early Retirement Imprtant Infrmatin fr Railrad Emplyees Eligible fr GA Eligibility fr Railrad Annuity Railrad Retirement Bard Call yur lcal Railrad Retirement Bard Retirement Cverage Optins yurtrackthealth.cm Talk t a Retirement Specialist When am I Eligible fr Early Retirement? Preparing fr early retirement can be verwhelming, but if yu understand the transitin prcess as yu mve frm actively wrking t early retirement, it will be that much easier! The first thing yu must d is determine if yu may be eligible t retire early frm the Railrad. If yu are age 60 and yu have at least 30 years f service, and yu are either an Age Annuitant r a Disabled Annuitant, as explained belw, yu may be eligible fr the early retirement plan under GA If yu are unsure f yur eligibility fr a Railrad annuity, please call yur lcal Railrad Retirement Bard (RRB) r visit their website at Page 1 f 5
2 Am I an Age Annuitant? Yu are an Age Annuitant if yu satisfy the fllwing requirements: Yu have 30 years f service and apply fr yur retirement annuity n r after yu reach age 60, r during the three mnths prir t yur 60 th birthday if yu cntinue t wrk (r take vacatin) int the mnth prir t the mnth yu turn age 60, and Yu are cvered fr emplyee/dependent health benefits under The Railrad Emplyees Natinal Health and Welfare Plan r the Natinal Railway Carriers and United Transprtatin Unin Health and Welfare Plan ( Natinal Railrad Plan ) ther than by reasn f COBRA n the day immediately befre the date yu applied fr yur annuity. Am I a Disabled Annuitant? Yu are a Disabled Annuitant if yu satisfy the fllwing requirements: Yu are eligible fr a disability annuity frm the RRB, and Yu are cvered under the Natinal Railrad Plan when yu reach age 60 and have 30 years f service. If yu becme disabled and stp wrking at age 58 r 59, yu may qualify fr GA if: Yur disability cverage under the Natinal Railrad Plan extends beynd yur 60 th birthday, and yu have 30 years f service. Nte that vacatin pay received in a year subsequent t the year in which yur disability began will extend cverage fr yu and yur cvered dependents under the Natinal Railrad Plan. What Other Imprtant Criteria Shuld I Knw Regarding Eligibility fr GA-46000? The mst imprtant thing t knw regarding yur eligibility fr GA is: Yu must be cvered under the Natinal Railrad Plan at the time yu apply fr yur annuity thrugh the RRB. The best way t ensure this is t apply while yu are still emplyed. If yu are in a management psitin when yu apply fr yur annuity thrugh the RRB, yu are nt eligible fr GA because yu must be cvered under the Natinal Railrad Plan. In rder t be eligible fr GA-46000, yu wuld need t return t a nn-management psitin and be cvered under the Natinal Railrad Plan befre yu apply fr yur annuity. If yu wrk in the mnth yu retire r take vacatin, yu will have cverage under the Natinal Railrad Plan fr the fllwing mnth. Fr example, if yu wrk in Octber and retire in Octber, yu are still cvered under the Natinal Railrad Plan thrugh Nvember. Yur cverage under GA wuld nt begin until December 1. Yur spuse des nt need t be age 60 t be eligible fr cverage under GA-46000; eligibility f yur dependents is based n yu as an emplyee. Page 2 f 5
3 What D I Need t D? If yu meet the requirements t be either an Age Annuitant r a Disabled Annuitant, fllw these imprtant steps as yu prepare fr yur early retirement: 1. Cntact yur lcal RRB ffice apprximately 90 days prir t yur retirement date t prepare fr yur applicatin fr retirement benefits. 2. Next, cntact UnitedHealthcare at and ask t speak t a Retirement Specialist t request a Railrad Retirement Kit. The retirement kit cntains all f the necessary infrmatin and UnitedHealthcare frms yu need t enrll fr cverage under GA and GA Plan E. 3. Plan t mail all f the infrmatin listed in item 4 belw t UnitedHealthcare n mre than 30 days prir t yur actual retirement date t the fllwing address: UnitedHealthcare, P.O. Bx 30791, Salt Lake City, UT Mail the fllwing cmpleted frms t UnitedHealthcare and remember t include the Scial Security Numbers fr all applicants n every frm that requests this infrmatin: a) The Grup Health Plan GA Applicatin fr Cverage frm b) The Enrllment Frm fr Cverage under Grup Plicy GA-23111, if enrlling in Plan E c) The Ntice f Qualifying Event COBRA electin frm if yu wish t cntinue yur visin/dental cverage d) The Electrnic Funds Transfer (EFT) frm if yu wuld like yur GA Plan E payment deducted frm yur checking r savings accunt e) The BA-6 frm yu receive frm the RRB f) The Receipt fr Claim frm yu receive frm the RRB 5. Payment fr the first mnth f GA Plan E shuld be included with the materials nted in number 4 abve, even if yu plan t have the EFT autmatic withdrawal prcess set up. 6. Once yur GA and GA Plan E enrllment have been prcessed, yu will receive new ID cards frm UnitedHealthcare and Express Scripts. What Are the Benefits f GA-46000? The GA early retirement plan is available t yu at n cst and prvides a Majr Medical Benefit and a Managed Pharmacy Services Benefit. The Majr Medical Benefit is administered by UnitedHealthcare and prvides fr the fllwing: The plan pays 80% f cvered expenses after a $100 calendar year deductible. A lifetime maximum that generally increases annually at the beginning f each calendar year. N requirement t use in-netwrk prviders, but if yu chse t d s, there is a cst savings t yu. N preventive benefits under GA-46000, hwever, sme are prvided fr under Plan E. N visin benefit r dental benefit, hwever, yu can extend cverage fr these benefits, up t 18 mnths, thrugh COBRA which is administered by UnitedHealthcare: Page 3 f 5
4 Yur applicatin fr COBRA needs t be dne within 60 days after yur retirement date. UnitedHealthcare can mail yu a COBRA frm r yu may btain ne frm the Yur Track t Health website ( The Managed Pharmacy Services Benefit (Rx) is administered by Express Scripts and prvides fr the fllwing: N deductible; Rx benefits are nt subject t the lifetime maximum under the medical plan. In-netwrk benefit - Rx cpayments are $2 and $6 retail, up t a 21-day supply; $5 mail rder, up t a 90-day supply. Out-f-netwrk benefit If yu g t an ut-f-netwrk pharmacy, yu pay the entire retail cst at the time yu have the Rx filled. The Rx benefit will reimburse yu fr 75% f the cst yu paid, up t a 21-day supply if yu submit a claim. If yu purchase an Rx at an in-netwrk r ut-f-netwrk pharmacy in excess f a 21-day supply, yu will receive n benefits under the Rx benefit. What is GA Plan E? GA Plan E is a supplemental plan t GA and is available fr a mnthly premium paid by yu. Plan E pays 70% f eligible expenses f the 20% nt cvered under GA Yur Plan E enrllment must be dne within a 4-mnth perid which begins in the same mnth yur cverage under the Natinal Railrad Plan ends. If yu miss this enrllment perid, yu must wait until the next pen enrllment perid which is held each Nvember/December f every even year. The GA Plan E Majr Medical Benefit is administered by UnitedHealthcare and prvides fr the fllwing: $100 calendar year deductible and a lifetime maximum f $500,000 fr each enrlled member. The $500,000 lifetime maximum under Plan E is imprtant because the lifetime maximum under GA is limited, and in the event yu, r yur dependent, have a serius illness, it may nt be sufficient t help cver yur medical bills. There is sme, but limited, cverage fr rutine and/r preventive benefits. Fr example: Pap smears and mammgrams services are cvered at 100%, and nt subject t the deductible. Hwever, an ffice visit charge fr the preventive service is nt payable under Plan E. Page 4 f 5
5 When Des Cverage End? Yur cverage, including the cverage f yur dependents, ends under GA and GA Plan E when yu, the early retiree, becme eligible fr Medicare. All cverage fr yur dependents wuld als end under GA and GA Plan E when yu becme eligible fr Medicare. If yur dependents are nt yet eligible fr Medicare when yu becme eligible, there are tw ptins available t btain dependent health care benefits: 1. Cntinuatin f their cverage under GA is available fr up t 36 mnths thrugh COBRA until they becme Medicare eligible, r 2. If the COBRA cst is prhibitive, yu can purchase cverage under GA Plans A, B, r C, which are medical plans spnsred by all f the unins and administered by UnitedHealthcare. Fr mre infrmatin n Plans A, B, r C visit and click n Plan yur Retirement. Summary Althugh planning fr yur retirement can be stressful, yu have many resurces available t help make the prcess easier fr yu and yur family. Begin by calling UnitedHealthcare at and ask t speak t a Retirement Specialist. They will be happy t assist yu with any questins yu may have and ensure that a Retirement Made Easy Kit is mailed t yu. And remember, yu can als visit and click n Plan yur Retirement fr additinal infrmatin regarding yur medical cverage ptins as yu plan t make the retirement decisins that are best fr yu and yur family. Page 5 f 5
6 Ntes United HealthCare Services, Inc. Ver. 02/2014 D1
Steps toward Retirement
Steps tward Retirement Eligibility, Actin Steps, and Benefit Optins fr Faculty and Staff Nearing Retirement Eligibility fr Official University Retiree Status The fllwing jb types f the University are eligible
More informationEmployee Benefits Guide. January 1 December 31, 2019
Emplyee Benefits Guide 2019 January 1 December 31, 2019 Medical and Prescriptin Drugs Benefits are insured by: 4 Medical Plan Optins Effective January 1, 2019 Premium Netwrk HDHP 1 Nn-Premium Netwrk Nn-Netwrk
More information-r\jotic E. Insurance Marketplace Coverage Options and Your Health Coverage. ..t
-r\jotic E Insurance Marketplace Cverage Optins and Yur Health Cverage..t - 2014 GALLAGHER BENEFIT SERVICES, INC. ARll-IUR J. GAllAGHER & CO. I AJG.COM G-Frms\GBS\Template - Wrd -.5 margis.dcx - Frequently
More informationYour Retirement Guide. Employees
Yur Retirement Guide Emplyees Retirement is a big step. Over the next few weeks and mnths yu ll be asked t make many imprtant decisins abut yur New Yrk Life benefits and yur financial security. This easy-t-use
More informationTo all Members of the Medical Insurance Plan for Retirees:
The Wrld Bank Grup Human Resurces, MSN G2-202 (202) 473-2222 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT Washingtn, D.C. 20433 (202) 522-7026 fax INTERNATIONAL DEVELOPMENT ASSOCIATION U.S.A.
More informationPREPARING TO TERMINATE DROP
PREPARING TO TERMINATE DROP If yu wrk until yur riginal Deferred Retirement Optin Prgram (DROP) terminatin date, the Divisin f Retirement will mail yu yur DROP Terminatin Packet apprximately 90 days prir
More informationCONNECTICUT CARPENTERS HEALTH FUND COBRA CONTINUATION COVERAGE ELECTION NOTICE
CONNECTICUT CARPENTERS HEALTH FUND COBRA CONTINUATION COVERAGE ELECTION NOTICE DATE Dear : This ntice cntains imprtant infrmatin abut yur right t cntinue yur health care cverage in the Cnnecticut Carpenters
More informationNEWPORT-MESA UNIFIED SCHOOL DISTRICT
NEWPORT-MESA UNIFIED SCHOOL DISTRICT BELIEVE IN YOURSELF. WE DO. Cigna FAQ Belw please find details and frequently asked questins regarding the Cigna Netwrk (HMO), St. Jseph Hag Health (SJHH) Select Netwrk
More informationEnding Your Membership in the Plan
Ending Yur Membership in the Plan Yu must be eligible fr a valid disenrllment perid. Yur cverage will end the first day f the mnth after we receive yur request t disenrll. When can yu end yur membership
More informationBenefits Enrollment Site user s guide
Benefits Enrllment Site user s guide Befre yu begin The Stryker Benefits Enrllment Site is an nline system that yu can access frm any cmputer all yu need is an internet cnnectin and a cmpatible internet
More informationCity of Richmond, Virginia
City f Richmnd, Virginia Richmnd Retirement System NEWS RELEASE Philip R. Langham Executive Directr May 31, 2011 Cntact: Adam C. Austin Marketing and Public Relatins Specialist Email: adam.austin@richmndgv.cm
More informationHRA s and HSA s GALLAGHER BENEFIT SERVICES, INC. ARTHUR J. GALLAGHER & CO. AJG.COM G-FORMS\GBS Forms\Template - Word - 1 margins.
HRA s and HSA s 1. HRA/HSA What Are They? 2. Can I have ther cverage and still cntribute? 3. Can I cntribute t my FSA if s, full r limited? 4. Can I have bth an HRA and an 5. Can I have bth an HSA and
More informationStaff Separation Checklist
Staff Separatin Checklist Please print and use as a reference guide t cmplete the separatin prcess. Benefits Checklist fr Staff Separatin Health Benefits: COBRA Frms Received Retirement: Received infrmatin
More informationGuide to Young Adult Dependent Coverage
Guide t Yung Adult Dependent Cverage The New Yrk State Legislature passed a law in 2009 which extends the availability f health insurance cverage t yung adults thrugh the age f 29. As a result, Freelancers
More informationWELCOME. to The Orange Life! WORK, HOME and in the COMMUNITY. Benefits Orientation Guide for Permanent U.S. Part-Time Hourly Associates
WELCOME t The Orange Life!» WORK, HOME and in the COMMUNITY Benefits Orientatin Guide fr Permanent U.S. Part-Time Hurly Assciates We re glad yu decided t put n the range aprn and bring yur skills and knw-hw
More informationHigh Deductible Health Plan/ Health Savings Account Presentation
High Deductible Health Plan/ Health Savings Accunt Presentatin WHY THE CHANGE? Current plan cannt be sustained inflatin and disease states cmpunding effect n cst fr emplyees and Bard HDHC plan structured
More informationInformation Package CAFETERIA 125 PLANS
Infrmatin Package CAFETERIA 125 PLANS Shaffer Insurance Services, Inc. Benefits Divisin 902 E. Ave Q-9 Palmdale Ca. 93550 Tll Free (866) 412-5872 Office Tel (661) 575 9331 Fax (661) 280 2016 Sectin 125
More informationEvidence of Coverage:
A nnprfit independent licensee f the Blue Crss Blue Shield Assciatin January 1 - December 31, 2018 Evidence f Cverage: Yur Medicare Health Benefits and Services and Prescriptin Drug Cverage as a Member
More informationKeller Independent School District s Benefit Plan Year is from January 1, 2019 to December 31, 2019
KELLER INDEPENDENT SCHOOL DISTRICT 2019 Benefits Guide The cmmunity f Keller ISD will educate ur students t achieve their highest standards f perfrmance by engaging them in exceptinal pprtunities. Keller
More informationHighlights for 2017 Compliance
Prvided by Natinal Insurance Services, Inc. Highlights fr 2017 Cmpliance The Affrdable Care Act (ACA) has made a number f significant changes t grup health plans since the law was enacted in 2010. Many
More informationWhat employers need to know about The Patient Protection and Affordable Care Act (PPACA)
What emplyers need t knw abut The Patient Prtectin and Affrdable Care Act (PPACA) 1. It is nw the law. Dept. f Health & Human Services (HHS) guidance is still needed n pen issues. 2. New state insurance
More informationMemorandum. Employees, Retirees and Survivors. Sarah Kloos, Director of Personnel. Date: September 22, Transition to GIC Health Benefits
Memrandum T: Frm: Emplyees, Retirees and Survivrs Sarah Kls, Directr f Persnnel Date: September 22, 2011 Subject: Transitin t GIC Health Benefits Pursuant t Chapter 67 f the Acts f 2007, and after cnsultatin
More informationA Step-by-Step Guide to Staying in Compliance Updated November 2016
A Step-by-Step Guide t Staying in Cmpliance Updated Nvember 2016 As f September 1, 1994, every persn in J-1 r J-2 status is required t maintain a gvernment-mandated minimum level f health insurance fr
More information2018 Healthy Boiler Wellness Incentive Program FAQs
2018 Healthy Biler Wellness Incentive Prgram FAQs As healthcare csts cntinue t rise acrss the cuntry, the university s best way t cmbat this is by helping t imprve the verall wellness f ur ppulatin. Therefre,
More informationHow to Count Employees Determining Group Size Under the Medicare Secondary Payer Regulations
Hw t Cunt Emplyees Determining Grup Size Under the Medicare Secndary Payer Regulatins 1. Wh is an Emplyee? An emplyee is an individual wh wrks fr an emplyer r an individual wh, althugh nt actually wrking
More informationAAFMAA CAP FAQs. General Questions:
Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with
More informationCompass Critical Illness Insurance Enrollment at a glance An affordable way to help protect against the financial stress of a serious illness.
Cmpass Critical Illness Insurance Enrllment at a glance An affrdable way t help prtect against the financial stress f a serius illness. Fr the emplyees f: ACME Truck Line, Inc. D yu knw smene wh has had
More informationEvidence of Coverage:
January 1 December 31, 2018 Evidence f Cverage: Yur Medicare Health Benefits and Services as a Member f Keystne 65 Medical-Only HMO This bklet gives yu the details abut yur Medicare health care cverage
More informationFor the employees of: City and County of San Francisco Health Service System
Cmpass Critical Illness Insurance A limited benefit plicy Enrllment at a Glance An affrdable way t help prtect against the financial stress f a serius illness. Fr the emplyees f: City and Cunty f San Francisc
More informationVision Service Plan (VSP) New Group Implementation Guide
Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back
More informationTown of Palm Beach Retirement System. Deferred Retirement Option Plan (DROP) Policies and Information for Participants
Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin fr Participants Twn f Palm Beach Retirement System Deferred Retirement Optin Plan (DROP) Plicies and Infrmatin
More informationMedigap Household Discounts
Medigap Husehld Discunts 7/5/2016 Please nte: Nt all states are listed where discunts are available. Please refer t the Applicatin r Prducer Guide fr the specific carrier and state. Yu may cntact the Carrier
More informationPG&E's Paid Family Leave & Disability Benefits
PG&E's Paid Family Leave & Disability Benefits Utility IBEW and SEIU--represented emplyees 2017 and 2018 Paid Family Leave and Medical /Disability Benefits Overview PG&E s Paid Family Leave wage cntinuatin
More informationAAFMAA CAP FAQs. Q: What are the requirements for a CAP loan? A: The following items are required to receive a CAP Loan: Eligible military status: o
Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with
More informationSocial Security Administration
1 Scial Security Administratin 1329 S. Divisin St. Traverse City MI 49684 Nvember 17, 2017 December 2017 Clumns & Features 5 WAYS SOCIAL SECURITY PROTECTS YOU AND YOUR FAMILY..2 IS IT MEDICARE OR MEDICAID?..
More informationYUM! Brands 401k Plan
YUM! Brands 401k Plan Final Distributin Electin Name: Scial Security #: Address: Daytime Telephne #: Evening Telephne #: Befre yu can prcess a Final Distributin Electin, yur status must be terminated.
More informationCoOportunity Health Products and Information
Prvider Training Materials COprtunity Health Prducts and Infrmatin Brief prduct verviews, features, and sample identificatin cards fllw. Prduct Overview COprtunity Health ffers three prducts: COprtunity
More informationIRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION
Financial Aid Office P.O. Bx 6905 Radfrd, VA 24142 Phne: (540) 831-5408 Fax: (540) 831-5138 finaid@radfrd.edu RU Financial Aid Website: http://www.radfrd.edu/finaid IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION
More informationCOMPREHENSIVE BENEFITS SUMMARY (Health Plan)
2017 COMPREHENSIVE BENEFITS SUMMARY (Health Plan) Health Insurance Health insurance is prvided frm the 1 st f the mnth fllwing yur date f hire. Our current plan fferings are as fllws: HealthyBlue r ActiveUnivera
More informationMedicare Advantage Outreach and Education Bulletin
Medicare Advantage Outreach and Educatin Bulletin Empire Blue Crss Blue Shield 2013 Medicare Advantage Plan Updates Dear Healthcare Prvider, Annual benefits changes fr Medicare Advantage plan members will
More informationABLE Accounts: 10 Things You Should Know
ABLE Natinal Resurce Center 1667 K Street, NW Suite 640 Washingtn, DC 200006 (202) 296-2040 inf@ablenrc.rg ABLE Accunts: 10 Things Yu Shuld Knw 1. What is an ABLE accunt? ABLE Accunts, which are tax-advantaged
More informationApplication for Coverage Under the Pre-Existing Condition Insurance Plan administered by the Arkansas Comprehensive Health Insurance Pool (CHIP)
P. O. Bx 1460 Little Rck, AR 72203 Applicatin fr Cverage Under the Pre-Existing Cnditin Insurance Plan administered by the Arkansas Cmprehensive Health Insurance Pl (CHIP) This Applicatin fr cverage thrugh
More informationYour Medicare Prescription Drug Coverage as a Member of HealthSelect Medicare Rx provided through Employees Retirement System of Texas (ERS)
P.O Bx 52424, Phenix, AZ 85072-2424 January 1, 2015 December 31, 2015 Evidence f Cverage: Yur Medicare Prescriptin Drug Cverage as a Member f HealthSelect Medicare Rx prvided thrugh Emplyees Retirement
More informationaddress: Driver license number: Date of birth: Occupation:
MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street
More informationTips for Creating an Account, Applying for and Enrolling in Health Coverage
Tips fr Creating an Accunt, Applying fr and Enrlling in Health Cverage Fr Individuals and Families Befre yu start, please check that yu have the fllwing resurces and understand these imprtant messages
More informationUniversity of Oregon Sponsored Projects Services T32 & IGERT Group Training Grant Charge Guidance. Guidance Purpose and Overview
University f Oregn Spnsred Prjects Services T32 & IGERT Grup Training Grant Charge Guidance Guidance Purpse and Overview The University f Oregn (UO) has been awarded multiple spnsred prjects with the intent
More informationVOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE
Plan Year 2018 Effective January 1, 2018 t December 31, 2018 VOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE Plumbers Lcal 367 WHEN TO ENROLL When yu are initially eligible fr cverage. Yu have 30 days frm
More informationSt. Paul s Lutheran Grade School Tuition Agreement Form
St. Paul s Lutheran Grade Schl Tuitin Agreement Frm Schl Year: 2017-2018 2017-18 tuitin schedule is listed n the bttm f this dcument. St. Paul s Lutheran Grade Schl strives t prvide an envirnment cnducive
More informationCapitol Association Plans PO Box , Sacramento, CA Phone: (916) Fax: (866)
Capitl Assciatin Plans PO Bx 214190, Sacrament, CA 95821 Phne: (916) 944-1707 Fax: (866) 334-5346 E-mail: caps@capsplans.cm CVMA Emplyer Dental & Visin Enrllment Frm Thank yu fr yur interest in the Califrnia
More informationMailing to Group Members about New Vendor for CDH Plans and Blue Rewards Incentive Cards
Date: March 5, 2018 Market: All CDH FACETS Grup Members. Grup members with Blue Rewards Incentive Cards Mailing t Grup Members abut New Vendr fr CDH Plans and Blue Rewards Incentive Cards CareFirst BlueCrss
More informationWhich individual health insurance plan is best for you? A Guide to assist consumers with shopping for individual health insurance
Which individual health insurance plan is best fr yu? A Guide t assist cnsumers with shpping fr individual health insurance Shpping fr 2019 Health insurance can be cnfusing, and smetimes it s hard fr cnsumers
More informationCRG PATIENT REGISTRATION FORM
CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred
More informationSocial Security Administration
Scial Security Administratin 1329 S. Divisin St. Traverse City MI 49684 September 25, 2018 Clumns & Features Mnthly Infrmatin Package Octber 2018 WORKERS' COMPENSATION AND CERTAIN DISABILITY PAYMENTS MAY
More informationEVIDENCE OF COVERAGE HEALTHTEAM ADVANTAGE PLAN II (PPO)
EVIDENCE OF COVERAGE HEALTHTEAM ADVANTAGE PLAN II (PPO) 2018 HealthTeam Advantage, a prduct f Care N Care Insurance Cmpany f Nrth Carlina, Inc., is a Medicare Advantage rganizatin with a Medicare cntract.
More informationSFEHACL PART D MEDICARE PLAN (EMPLOYER PDP) BENEFIT GUIDE
SFEHACL PART D MEDICARE PLAN (EMPLOYER PDP) BENEFIT GUIDE Yur 2017 Medicare Prescriptin Drug cverage as a Member f the SFEHACL Part D Medicare Plan A $9 cpayment gets yu a 90-day supply f any Tier 1 Generic
More informationSummary Plan Descriptions
Summary Plan Descriptins All grup health plans subject t the Emplyee Retirement Incme Security Act (ERISA) are required t prvide participants with a Summary Plan Descriptin (SPD). An SPD must be written
More informationWhat Can You Expect? The following will be effective Jan. 1, Please refer to the enclosed summary charts for more details.
Merck 1 Merck Drive Whitehuse Statin, NJ 08889 merck.cm February 2012 2013 Retiree Health Care Changes Dear Retiree, Since the merger f Merck and Schering-Plugh, we've been wrking t integrate every aspect
More informationYou can get help from government organizations that are not connected with us
2011 Evidence f Cverage fr Medi-Pak Advantage MA (PFFS) Chapter 9: What t d if yu have a prblem r cmplaint (cverage decisins, appeals, cmplaints) BACKGROUND SECTION 1 Intrductin Sectin 1.1 What t d if
More informationTable of Contents. About Your Benefits 1. Medical Plan 2. Prescription Drugs Plan 3. Vision Plan 4. Dental Plan 5. Employee Assistance Program 6
Table f Cntents Sectin Tab Abut Yur Benefits 1 Medical Plan 2 EPO 2-1-1 PPO 2-2-1 Chice Fund HSA 2-3-1 PPO Cre 2-4-1 PPO Select 2-5-1 Open Access Plus 2-6-1 Indemnity 2-7-1 Prescriptin Drugs Plan 3 Visin
More informationUNIVERSITY OF TORONTO TOWN HALL PRESENTATION. on the University Pension Plan (UPP)
UNIVERSITY OF TORONTO TOWN HALL PRESENTATION n the University Pensin Plan (UPP) This is a presentatin prepared by the University f Trnt fr its emplyees and retirees and is based n the University f Trnt
More informationInstruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances
Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents
More informationVOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE
Plan Year 2018 Effective January 1, 2018 t December 31, 2018 VOLUNTARY EMPLOYEE BENEFITS ENROLLMENT GUIDE Internatinal Assciatin f Firefighters WHEN TO ENROLL When yu are initially eligible fr cverage.
More informationEvidence of Coverage:
P.O. Bx 52424, Phenix, AZ 85072-2424 January 1, 2014 - December 31, 2014 Evidence f Cverage: Yur Medicare Prescriptin Drug Cverage as a Member f SilverScript (Emplyer PDP) spnsred by REHP This bklet gives
More informationMICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS
Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).
More information2012 FITNESS INCENTIVE PILOT PROGRAM FOR PSHMC HEALTH PLAN MEMBERS
2012 FITNESS INCENTIVE PILOT PROGRAM FOR PSHMC HEALTH PLAN MEMBERS The fitness incentive fr Medical Center health plan member is changing. Currently health plan member are reimbursed if they attend a gym
More informationEVIDENCE OF COVERAGE HEALTHTEAM ADVANTAGE PLAN I (PPO)
EVIDENCE OF COVERAGE HEALTHTEAM ADVANTAGE PLAN I (PPO) 2018 HealthTeam Advantage, a prduct f Care N Care Insurance Cmpany f Nrth Carlina, Inc., is a Medicare Advantage rganizatin with a Medicare cntract.
More informationMedicare Advantage Outreach and Education Bulletin
Medicare Advantage Outreach and Educatin Bulletin Anthem Blue Crss and Blue Shield Changing 2013 Medicare Advantage Plan Update Dear Healthcare Prvider, Annual benefits changes fr Medicare Advantage plan
More informationPLAN DOCUMENT TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES. Effective January 1, 2014
DIOCESE OF METUCHEN OFFICE OF HUMAN RESOURCES TEMPORARY DISABILITY INSURANCE PROGRAM FOR LAY EMPLOYEES PLAN DOCUMENT Effective January 1, 2014 (Replaces January 1, 2013 Plan Dcument) 1 CONTENTS OVERVIEW...
More informationFinancial Wellness Curriculum
Financial Wellness Curriculum The Financial Wellness Curriculum prvides students with infrmatin and financial tips fr reducing persnal debt and develping smart mney management skills. The gal is t help
More informationWhat Does Specialty Own Occupation Really Mean?
What Des Specialty Own Occupatin Really Mean? Plicy definitins are cnfusing, nt nly t dentists but als t many f the insurance prfessinals wh sell them. Belw we will try t prvide an understandable explanatin
More informationSPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION
INSTRUCTIONS SPECIAL CIRCUMSTANCES REPAYMENT / REMISSION / RE-CREDIT APPLICATION Wh shuld use this frm? This frm applies t all internatinal and dmestic fee paying students and all dmestic Cmmnwealth supprted
More informationChecking and Savings Account Application
Checking and Savings Accunt Applicatin Please use the Checking and Savings Accunt Applicatin t: Open a FREE Checking r Dividend Checking and Opt-in r Out f DCU s Overdraft Payment Service including an
More information2018 Employee Benefits Program (U.S.) Qualified Status Changes
2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes SUMMARY PLAN DESCRIPTION (SPD) 2018 Emplyee Benefits Prgram (U.S.) Qualified Status Changes TABLE OF CONTENTS WHAT HAPPENS TO YOUR BENEFITS...
More informationUniversity of Oregon Sponsored Projects Services NIH Fellowship Award Charge Guidance. Guidance Purpose and Overview
Guidance Purpse and Overview The University f Oregn (UO) receives Ruth L. Kirschstein Natinal Research Service Awards (NRSA) Fellwship Grants (als knwn as F30, F31 and F32 grants) frm the Natinal Institutes
More information(FAMILY NAME) Qualified Small Employer Health Reimbursement Arrangement
(FAMILY NAME) Qualified Small Emplyer Health Reimbursement Arrangement Effective Date: Emplyer / Plan Administratr Emplyer Name: Address: Phne Number: ( ) - Federal Emplyer Identificatin Number: The emplyer
More informationA Guide to Understanding Medicare Benefits
WEALTH SOLUTIONS GROUP A Guide t Understanding Medicare Benefits This cmprehensive guide prvides an verview f the key cmpnents f Medicare, including eligibility requirements, an explanatin f the different
More informationCarrier Optimal Routing, COR & CDRAAP
Carrier Optimal Ruting, COR & CDRAAP When available, COR will be jintly used by the team as a tl fr rute ptimizatin and adjustment, prvided the data preparatin has been prperly cmpleted and is current.
More informationTable of Contents. About Your Benefits 1. Medical Plan 2. Prescription Drugs Plan 3. Vision Plan 4. Dental Plan 5. Employee Assistance Program 6
Table f Cntents Sectin Tab Abut Yur Benefits 1 Medical Plan 2 PGU Chice Fund HSA 2-1-1 PGU PPO Cre 2-2-1 PGU PPO Select 2-3-1 Chice Fund HSA 2-4-1 PPO Cre 2-5-1 PPO Select 2-6-1 Open Access Plus 2-7-1
More informationHealth Benefits Effective January 1, Subject to change.
Health Benefits Effective January 1, 2019. Subject t change. Purpse: T utline the guidelines related t medical, prescriptin, dental and visin benefits. Scpe: All team members f Hackensack Meridian Health.
More informationDEPARTMENTAL STAFF: LEAVE GUIDELINES
510C:1 DEPARTMENTAL STAFF: LEAVE GUIDELINES The Department f Athletics, in cncurrence with University plicy, prvides staff members with varius types f leave. The University requires the Directr f Athletics
More informationRaleigh Pediatric Associates Financial Policy
Welcme t Raleigh Pediatrics Assciates! We re glad yu ve chsen us as yur child s pediatrician and strive t give yur children the best in medical care. We understand that in additin t feeling cmfrtable with
More informationJanuary 2017 *Benefits Highlights for Medical Center Employees
January 2017 *Benefits Highlights fr Medical Center Emplyees Health Insurance Plans A Tricare Supplement plan is ffered t Tricare eligible emplyees: all ther emplyees have t the ptin t enrll in the MUSC
More informationSection 125 Flexible Benefit Plan Plan Year Frequently Asked Questions & Answers and 125 Plan Summary of Reimbursement Account Arrangement
PLACER COUNTY OFFICE OF EDUCATION Sectin 125 Flexible Benefit Plan 2015-2016 Plan Year Frequently Asked Questins & Answers and 125 Plan Summary f Reimbursement Accunt Arrangement 800-248-8858, Ext. 251
More informationAn Educational Guide for Individuals. Radius Choice SM. MassMutual s Premier Individual Disability Income Insurance Protection. Insurance Strategies
An Educatinal Guide fr Individuals Radius Chice SM MassMutual s Premier Individual Disability Incme Insurance Prtectin Insurance Strategies HELP MAKE YOUR FINANCIAL FUTURE MORE SECURE Radius Chice is disability
More information5/29/14. Insurance. Health Care Coverage for Baylor College of Medicine Students
Insurance Health Care Cverage fr Baylr Cllege f Medicine Students Baylr Cllege f Medicine (The Cllege) believes student wellness is essential t academic prgress. In rder t supprt this philsphy, Baylr Cllege
More informationEXTENDED BENEFITS FOR TOTAL DISABILITY & SUCCEEDING CARRIER FOR INPATIENT ADMISSIONS
UnitedHealthcare Oxfrd Administrative Plicy EXTENDED BENEFITS FOR TOTAL DISABILITY & SUCCEEDING CARRIER FOR INPATIENT ADMISSIONS Plicy Number: ADMINISTRATIVE 149.11 T2 Effective Date: December 1, 2017
More information3. What do you need to do to take holiday or carry forward holiday prevented by sickness absence? 6. Appendix 1 Annual Leave Entitlement 7
Hliday Plicy 1 Cntents HOLIDAY POLICY 1. What des this plicy cver? 3 2. When des this plicy apply? 3 2.1 What annual hliday are yu entitled t? 3 2.2 Hw is annual leave apprved? 3 2.3 What Public Hlidays
More information2019 HMO Summary of Benefits
2019 HMO Summary f Benefits Memrial Hermann Advantage HMO H7115, Plan 001 January 1, 2019 - December 31, 2019. This Summary f Benefits dcuments prvides an utline f health and drug services cvered by Memrial
More informationSuperannuation contributions tax ruling Tax deductibility of superannuation contributions
July 2011 Technical Bulletin Superannuatin cntributins tax ruling Tax deductibility f superannuatin cntributins Wh is impacted? As a result f tax ruling 2010/1 yur clients can n lnger claim a tax deductin
More informationHeritage Pension Plan Freeze. FAQs. Heritage Pension Plan Freeze FAQ 1 of 5
Heritage Pensin Plan Freeze FAQs Heritage Pensin Plan Freeze FAQ 1 f 5 Overview f changes BP has fur grandfathered heritage pensin frmulas that will freeze n the fllwing dates: Amc - December 31, 2012
More information2018 OPEN ENROLLMENT. Presented by Marcie Gentry For Nebo School District
2018 OPEN ENROLLMENT Presented by Marcie Gentry Fr Neb Schl District IMPORTANT UPDATES New Benefits The medical plans will be mving t SelectHealth effective 9/1/18 Opticare will n lnger be ffered but will
More informationSummary of Material Modification
Summary f Material Mdificatin T: Participants Frm: Human Resurces Re: Amendment t University f the Pacific Self-Funded Medical Plan Effective January 1, 2017, the University f the Pacific has amended its
More informationPATIENT LIABILITY STATEMENT
PATIENT LIABILITY STATEMENT (Updated 6/17) We will nt initiate therapeutic services until signed authrizatin is prvided. I understand that I am persnally respnsible fr charges incurred fr services rendered
More informationRev. 7/1/11. Sprint Flex Plans Eligibility and Enrollment Section
Rev. 7/1/11 Sprint Flex Plans Eligibility and Enrllment Sectin TABLE OF CONTENTS SPRINT FLEX PLANS 3 WHO IS ELIGIBLE TO PARTICIPATE IN SPRINT FLEX PLANS 3 DUPLICATE COVERAGE.. 7 ENROLLMENT.. 7 ENROLLMENT
More informationCareFirst Notifies Groups on Facets of Move to Further, new CDH Vendor
Date: February 1, 2018 Market: All Facets grups CareFirst Ntifies Grups n Facets f Mve t Further, new CDH Vendr As mentined in the January 19, 2018 flash, CareFirst BlueCrss BlueShield and CareFirst BlueChice
More informationMedi-Pak Advantage MA-PD Option 1 (PFFS) is a Medicare Advantage organization with a Medicare contract.
January 1 December 31, 2011 Evidence f Cverage: Yur Medicare Health Benefits and Services and Prescriptin Drug Cverage as a Member f Medi-Pak Advantage MA-PD Optin 1 (PFFS) This bklet gives yu the details
More informationFREQUENTLY ASKED QUESTIONS
PO Bx 777 253 Rck Hill Drive Rck Hill, NY 12775 FREQUENTLY ASKED QUESTIONS FEES Hw much des this service cst? The fee is $12.99 per camper fr up t a 30-day supply f their medicatin, and an additinal $7
More informationOPEN ENROLLMENT GUIDE. October 18 TH - November 3 rd 2017
OPEN ENROLLMENT GUIDE Octber 18 TH - Nvember 3 rd 2017 LIVING WELL WITH THE WAVE BENEFITS OPEN ENROLLMENT OCTOBER 18 TH N O V E M B E R 3 RD, 2017 WHAT S INSIDE Yur benefits checklist... 3 TU benefits
More informationI want a local insurer that understands our needs.
2019 I want a lcal insurer that understands ur needs. Summary f Benefits Stride SM Medicare Advantage Plan New Hampshire Belknap, Carrll, Cheshire, Cs, Graftn, Hillsbrugh, Merrimack, Rckingham, Straffrd
More informationONLINE OPEN ENROLLMENT INSTRUCTIONS. **All Current Employees** NEW THIS YEAR
ONLINE OPEN ENROLLMENT INSTRUCTIONS **All Current Emplyees** NEW THIS YEAR Enrllment Verificatin all benefit-eligible emplyees must verify medical benefit cverage fr themselves, and if applicable, their
More information