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The eligibility and enrollment rules for the U

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Retiree Health Care SPD Effective January 1, 2012<br />

address as your mailing address will ensure you receive all retiree health care mailings. For<br />

example:<br />

John’s permanent address is Minnesota. John doesn’t like Minnesota winters so from December<br />

to April, he lives in Arizona. Just be<strong>for</strong>e John leaves <strong>for</strong> Arizona (his alternate address), he<br />

contacts <strong>the</strong> U.S. Bank Employee Service Center <strong>and</strong> designates his Arizona address as his<br />

mailing address. Just be<strong>for</strong>e John returns to Minnesota, he contacts <strong>the</strong> U.S. Bank Employee<br />

Service Center <strong>and</strong> designates his Minnesota address as his mailing address. By doing this, John<br />

is sure to receive all mailings regarding his retiree health care.<br />

If you are enrolled in <strong>the</strong> UnitedHealthcare, Medica or Kaiser option, you will also need to refer<br />

to <strong>the</strong> materials provided to you by UnitedHealthcare, Medica or Kaiser to determine <strong>the</strong><br />

provisions <strong>and</strong> requirements of <strong>the</strong>se benefit options while traveling.<br />

It is important to remember not to change your alternate address to your permanent address. If<br />

you do change your alternate address to your permanent address, your health care option may<br />

change. If you are enrolled in <strong>the</strong> Kaiser option <strong>and</strong> that option is not available to you in your<br />

new location, you will have to enroll in <strong>the</strong> option available in your new location. Once you<br />

have changed coverage from Kaiser to ano<strong>the</strong>r option, you will not be allowed to re-enroll<br />

in <strong>the</strong> Kaiser option, even if you change your permanent address back to <strong>the</strong> Kaiser<br />

network area.<br />

Please note: This process does not apply to a covered dependent that may spend part of <strong>the</strong> year<br />

away at school. Refer to <strong>the</strong> “Non-Custodial <strong>and</strong> Full-Time Student Dependents Under <strong>the</strong> Early<br />

Retiree Medical Option” section in this SPD.<br />

If Your Address Changes<br />

It is important that you call <strong>the</strong> U.S. Bank Employee Service Center to report any change of<br />

address as soon as possible. You may update your address by calling <strong>the</strong> U.S. Bank Employee<br />

Service Center at 1-800-806-7009 <strong>and</strong> asking a representative to update your address.<br />

Some address changes may result in a change to your Retiree Health Care Program option. In<br />

that event, <strong>the</strong> process is different depending on <strong>the</strong> option that you are enrolled in. Please refer<br />

to <strong>the</strong> following to determine how <strong>the</strong> process will work <strong>for</strong> you:<br />

• In you are enrolled in <strong>the</strong> Early Retiree Medical option <strong>and</strong> <strong>the</strong>re is no longer a BCBS<br />

network available in your area, you will automatically be placed in <strong>the</strong> Comprehensive<br />

option. If you are enrolled in <strong>the</strong> Comprehensive option <strong>and</strong> <strong>the</strong>re is a now a BCBS<br />

network available in your area you will be automatically place in <strong>the</strong> Early Retiree<br />

Medical option. <strong>The</strong> U.S. Bank Employee Service Center will send you a letter<br />

confirming this change. You can obtain in<strong>for</strong>mation about providers in your new location<br />

by visiting <strong>the</strong> BCBS Web site or by calling <strong>the</strong>ir phone number.<br />

• If you are enrolled in <strong>the</strong> Medica or UnitedHealthcare Plan option, <strong>and</strong> your current<br />

option is not available at your new location, <strong>the</strong> U.S. Bank Employee Service Center will<br />

send you an <strong>enrollment</strong> kit to enroll in <strong>the</strong> option that is available in your area. It is<br />

critical that you complete <strong>the</strong> <strong>enrollment</strong> application into your new option <strong>and</strong><br />

return it <strong>the</strong> U.S. Bank Employee Service Center right away, to avoid a lapse in<br />

coverage. To obtain in<strong>for</strong>mation about providers in your new location contact your new<br />

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