Retiree Health Summary Plan Description
As of February 1, 2018
En Español (PDF)

2.1 Benefit Options

2.1.1 Retirees Under Age 65 and not eligible or enrolled in Medicare

Southern California residents may choose one of these options if you reside in the geographical jurisdiction as defined by the HMO you select.

  Benefit Options Prescription Drug Benefits
Option 1 Kaiser Permanente HMO Kaiser Permanente Prescription Drug Plan
Option 2 UnitedHealthcare HMO Mandatory Generic Prescription Drug Program

The only option available to participants residing outside the service area of the HMOs listed (For example residents of Northern California or out-of-state) is:

Benefit Options Prescription Drug Benefits
Out-of-Area Retiree Plan (through UnitedHealthcare) UnitedHealthcare Optum Rx

2.1.2 Retirees Age 65 and Over (Enrolled in Medicare Parts A and B)

Southern California residents may choose one of these options if you reside in the geographical jurisdiction as defined by the HMO you select.

  Benefit Options Prescription Drug Benefits
Option 1 Kaiser Permanente Senior Advantage HMO Kaiser Permanente Senior Advantage Prescription Drug Plan
Option 2 UnitedHealthcare® Group Medicare Advantage (HMO) UnitedHealthcare® Group Medicare Advantage Prescription Drug Program

The only option available to participants residing outside the service area of the HMOs listed (For example: residents of Northern California or out-of-state) is:

Benefit Options Prescription Drug Benefits
Out of Area Plan (through UnitedHealthcare® Group Medicare Advantage) Out of Area - UnitedHealthcare® Group Medicare Advantage

Participants that were covered under the Medicare Supplement Plan effective January 1, 2016, when Medicare Supplement coverage was eliminated, were allowed to continue such coverage. For more information, please refer to Article 7: Medicare Supplement Plan on page 37.