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Detailed Table of Contents |
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| Index | |
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Introduction
Who Is Eligible
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Enrolling for Coverage
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Program Premium Cost
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Your Rights and Responsibilities
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How the Retiree Group Health Program Works
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| Retiree Group Health Program Design – Mental Health and Substance Abuse Program |
| A Summary Chart of the Retiree Group Health Program – CIGNA Open Access Plus |
| A Summary Chart of the Retiree Group Health Program – CIGNA Indemnity |
| A Summary Chart of the Retiree Group Health Program – CIGNA Post-65 Medicare |
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| What Is an Expense That May Be a Covered Expense – Medical Program |
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| What Expense Is Excluded From Being a Covered Expense – Medical Program |
| What Is an Expense That May Be a Covered Expense – Mental Health and Substance Abuse Program |
| What Expense Is Excluded From Being a Covered Expense – Mental Health and Substance Abuse Program |
How the Prescription Drug Program Works
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| What Is an Expense That May Be a Covered Expense – Prescription Drug Program |
| What Expense Is Excluded From Being a Covered Expense – Prescription Drug Program |
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| How to Fill Your Prescriptions Through the Mail Service Pharmacy |
Your Legal Right to Continuation Coverage
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Coordinating Benefits With Other Programs
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How to File a Claim
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ERISA Claims and Appeals Procedures
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Situations Affecting Your Benefits
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| Right to Reimbursement, Assignment of Rights, and Duty to Notify |
Administrative and Contact Information
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Your ERISA Rights
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Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - RR Donnelley
Program Premium Cost
How Your Monthly Contributions Change When You or Your Spouse Becomes Eligible for Medicare
When you or your spouse becomes eligible for Medicare, coverage in the Medical Program for you or your spouse automatically will be changed to the CIGNA Post-65 Medicare option and your monthly premium cost for coverage for you or your spouse, whichever is applicable, will be adjusted. When you or your spouse attains age 65, your monthly premium cost will be adjusted beginning in the month you or your spouse attains age 65. If you or your spouse becomes Medicare-eligible before age 65 due to a disability, the monthly premium cost for you or your spouse will be adjusted beginning in the month you notify the Company of Medicare eligibility for you or your spouse. Refer to the “Administrative and Contact Information” section for details on whom to contact regarding Medicare eligibility.
