ARTICLE 4: Coverage

In This Section:

• 4.1 Open Enrollment Period
• 4.2 Kaiser Permanente HMO Plan
• 4.3 UnitedHealthcare HMO Plan (Early Retirees)
• 4.4 Anthem Medicare Preferred Plan

This article provides a summary of the medical plan options available to Retiree Health Plan Participants.

As a Participant in the Retiree Health Plan, you may select one of the following medical plans:

• Kaiser Permanente HMO;
• UnitedHealthcare® Group (HMO);
• Anthem Medicare Preferred Plan (PPO) (only available to Medicare eligible retirees); or
• UnitedHealthcare® Group Medicare Advantage - Out-of-Area Retiree Plan - (only available if you live outside the HMO service areas).

For complete and detailed information about the benefits, exclusions and limitations under the Kaiser Permanente, UnitedHealthcare, or Anthem Medicare Preferred Plan (PPO) plans, please contact Kaiser Permanente, UnitedHealthcare or Anthem Medicare Preferred Plan (PPO); or refer to the Evidence of Coverage documents provided by Kaiser Permanente, UnitedHealthcare or Anthem Medicare Preferred Plan (PPO). The Evidence of Coverage documents are available from the Administrative Office at no charge, or on www.scibew-neca.org. Also, please see Article 2: Summary of Benefits beginning on page 4.