Summary Plan Description

SecureHorizons

The Board of Trustees negotiated a special benefit package with a group rate for Medicare-entitled retirees and dependents permanently living in the SecureHorizons service area in Washington State.

The SecureHorizons Medicare Advantage Plan for retirees provides benefits for services and supplies otherwise covered by Medicare, as well as prescription drugs, routine vision care, and dental care. Coverage under Secure Horizons also provides life insurance benefits through the Retiree Health Plan. Continuous coverage under the SecureHorizons Medicare Advantage Plan for retirees provides credit toward the 12-month waiting period under the Retiree Health Plan's transplant benefit (please see "Waiting Period" on page 84). If you have coverage through SecureHorizons, no coverage is provided by the Retiree Health Plan, except life insurance coverage.

Benefits are described in a separate document that will be mailed to SecureHorizon enrollees. To enroll in SecureHorizons, please contact the Trust Office for a SecureHorizons Enrollment Kit and Application. If you are not eligible for Medicare at this time, you will be notified of this option when you become eligible for Medicare.

The SecureHorizons Medicare Advantage Plan is only available to the extent that the contract between UnitedHealthcare (SecureHorizons) and the Centers For Medicare and Medicaid (CMS) under which SecureHorizons is offered is not terminated, the SecureHorizons service area is not reduced, or the Board of Trustees continues to offer this option as an alternative to the Retiree Health Plan. Enrollment is subject to CMS rules and regulations.

Key Point

If you are covered under a Medicare Advantage Plan or Medicare Supplemental Insurance (Medigap) you are not eligible for coverage under the Retiree Health Plan. If you are covered under a Medicare Advantage Plan or Medigap, and previously covered under the Retiree Health Plan, you may reenroll in the Retiree Health Plan if specific criteria are satisfied (please see "Disenrollment and Reenrollment" on pages 15-16). Coverage under a Medicare Advantage Plan (other than SecureHorizons), Medicare Supplemental Insurance (Medigap), another group health plan, or other health insurance does not entitle you to credit toward the 12-month waiting period under the Retiree Health Plan's transplant benefit (please see "Waiting Period" on page 84).