Disenrollment and Reenrollment

If you are covered under the Retiree Health Plan, you may disenroll from the Retiree Health Plan and reenroll in the Retiree Health Plan at a later time if you meet all of the following requirements:

• You are covered under another group health plan, a Medicare Advantage Plan, Medicare Supplemental Insurance (Medigap), or COBRA Continuation Coverage when you disenroll.
• Coverage between the Retiree Health Plan and the other group health plan, Medicare Advantage Plan, Medicare Supplemental Insurance (Medigap) or COBRA Continuation Coverage was continuous from the original date of disenrollment from the Retiree Health Plan to reenrollment in the Retiree Health Plan.
• You are otherwise eligible for coverage under the terms of the Retiree Health Plan.

To reenroll in the Retiree Health Plan, you must complete a Retiree Health Plan Application and submit it to the Trust Office within 60 days after your or your dependent's coverage under the other group health plan, Medicare Advantage Plan, Medicare Supplemental Insurance (Medigap), or COBRA Continuation Coverage terminates. A certificate of prior coverage and a copy of the other plan's termination of coverage notice must be provided to the Trust Office with the application. Coverage must be reinstated the first day of the month immediately following the month coverage was terminated under the other plan, and can only be reinstated if the appropriate monthly contribution is made. There can be no gap in coverage. Coverage under the other group health plan, Medicare Advantage Plan, Medicare Supplemental Insurance (Medigap), or COBRA Continuation Coverage does not entitle you or your dependents to credit toward the 12-month waiting period under the Retiree Health Plan's transplant benefit (please see "Waiting Period" on page 84).

If you or a dependent voluntarily leave the Retiree Health Plan and cannot meet all the reenrollment requirements described above, you or your dependent forfeit your right to reenroll in the Retiree Health Plan.