Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - Moore Wallace Table of Contents

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	Table of Contents

	Detailed Table of Contents

	Index

Introduction

Who Is Eligible

Enrolling for Coverage

Program Premium Cost

Your Rights and Responsibilities

How the Retiree Group Health Program Works

How the Prescription Drug Program Works

Your Legal Right to Continuation Coverage

Coordinating Benefits With Other Programs

How to File a Claim

ERISA Claims and Appeals Procedures

Situations Affecting Your Benefits

Administrative and Contact Information

Special Rules for Certain Participants

Your ERISA Rights

Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - Moore Wallace

Your Rights and Responsibilities

Your Responsibilities

All covered individuals are responsible for learning how the Program works by carefully studying and referring to the SPD.

You have a responsibility:

To fully understand the benefit communication materials you receive.

To present your ID card before receiving services.

To know how to properly use the Program and its benefits.

To select a provider or primary care physician (if applicable).

To keep scheduled appointments and notify the provider’s office promptly if you will be delayed or unable to keep the appointment.

To follow the advice of your provider or primary care physician (if applicable) and consider the likely consequences when you refuse to comply with his or her advice.

To make the lifestyle changes recommended by your physician (if applicable).

To provide honest and complete information to your provider or primary care physician.

To know what medications you and your covered spouse/domestic partner take, why you are taking them, and the proper way to take them.

To express your opinions, concerns, or complaints in a constructive manner to the appropriate people.

To pay all applicable fees at the time service is rendered (if applicable), plus any additional payments due, in a timely manner.