The eligibility and enrollment rules for the U

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Retiree Health Care SPD Effective January 1, 2012 Although domestic partners and the domestic partner’s dependent(s) are not entitled to continuation coverage under the provisions of COBRA, under certain circumstances as described below, health care coverage may be continued for your domestic partner and/or your domestic partner’s dependent(s). Review this SPD and the documents governing the plan about the rules that apply to your dependent’s COBRA continuation rights. Restrictions Your spouse, domestic partner and dependents can continue only the coverage they were enrolled in prior to becoming eligible for COBRA. In some cases, the same options and levels of coverage will be offered. However, if they were enrolled in an option that has a service area and they no longer reside in that service area, another option will be offered based on their new address. In other cases, the same options are not available so another option would be offered. Although you can decrease coverage under COBRA, you are not allowed to increase coverage unless you have newly eligible dependents. You must call the U.S. Bank Employee Service Center at 1-800-806-7009 and complete the enrollment process within 60 days of the qualifying event (birth, marriage, etc.). Your COBRA information will tell you how to add new dependents. Your benefit changes will be effective on the first day of the month following the date you make your election, with two exceptions: (1) if you make your election on the first day of the month, your coverage becomes effective on that day; and (2) if you are adding a newborn or newly adopted child (or a child placed with you for adoption), health coverage for that dependent, and for any other dependent you add due to that event, will be retroactive to the date of the event. (See the section “Eligibility and Enrollment” in this SPD for a description of eligible dependents.) Qualifying Events — Length of Coverage Coverage can be continued for up to a total of 36 months. Your eligible dependents can choose to continue coverage if it would otherwise end because of any of these events: • for dependent children if you die and your spouse is not covered by the Program; • your divorce or legal separation; • termination of domestic partnership (in this even, dependents of your domestic partner also would lose coverage and be eligible to continue coverage; • change in a dependent's status (for example, a dependent reaches age 26, or is no longer considered an eligible dependent under the Program) ; or • U.S. Bank’s commencement of a bankruptcy, under Title 11, United States Code. Electing Continued Coverage If your dependents become eligible for continued coverage because of your death, they will be notified of their COBRA options within 44 days from the date their coverage ends. The notice will indicate the cost for continued coverage. If continuation is a result of divorce, legal separation, termination of domestic partnership or change in dependent status, your dependents must call the U.S. Bank Employee Service Center within 60 days from the date of the event to qualify for continued coverage. The COBRA Administrator will then provide the forms needed to elect continued coverage. If your 128
Retiree Health Care SPD Effective January 1, 2012 dependents do not call the U.S. Bank Employee Service Center within this time frame, COBRA continuation will not be available. For coverage to continue, the U.S. Bank Employee Service Center must receive completed election forms within 60 days after whichever is later: • the date the coverage would otherwise end; or • the date your dependents are provided notice of their right to continue coverage. Although your dependents have 60 days in which to make their decision, COBRA coverage is not reinstated back to the date the Retiree Health Care Program coverage ended until your dependents return the election forms and make full payment for coverage. Once their election form and payment are received, it generally takes about three weeks for their coverage to be reactivated. Until coverage is reactivated, your dependents must pay for services. When their coverage is reactivated, they can then submit the bills for reimbursement. When Continued Coverage Ends Continued coverage will end before the 36-month limit and will not be reinstated if: • Your dependent(s) fail to pay the required premiums in full by the specified deadlines (checks returned for insufficient funds do not qualify as payment and special rules for partial payment may apply). It is your dependent's responsibility to make payment in full by the required due date each month. They will not receive a reminder notice. • Your dependent(s) become covered under another group plan after the date COBRA is elected (unless the plan includes pre-existing condition limitations that apply to your dependent(s)). • U.S. Bank no longer offers group health coverage to its employees or retirees. • Your dependent(s) become entitled to Medicare benefits after the date COBRA is elected. • It is determined that your dependent does not meet eligibility requirements or you fail to provide documentation verifying your dependent’s eligibility. Cost of Continued Coverage During the COBRA continuation period your dependents will pay the full cost of coverage on a monthly basis as well as an additional 2% for administrative expenses each month. Your dependents have 45 days from the date continuation coverage is elected to make the first premium payment. Subsequent premium payments are due in full by the first day of each month. Information regarding payment deadlines will be included with the information you receive regarding continuation. If the first payment is not made in full within the 45-day period (checks returned for insufficient funds do not qualify as payment and special rules for partial payments may apply), no COBRA coverage will be provided. If any subsequent payment is not made in full within 30 days of the first day of the month (checks returned for insufficient funds do not qualify as payment and special rules for partial payments may apply), coverage will be cancelled retroactive to the end of the last month for which payment was made. Your dependents will not receive a reminder notice. Once coverage is cancelled, it will not be reinstated. U.S. Bank reserves the right to change premiums at any time and as permitted by law. 129
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