The eligibility and enrollment rules for the U

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Retiree Health Care SPD Effective January 1, 2012 If you are an eligible retiree of U.S. Bank and your spouse/domestic partner is employed by U.S. Bank, you may choose from the following options: • You, as the retiree, may enroll in the U.S. Bank Retiree Health Care Program upon termination with Individual coverage. Your spouse/domestic partner could then stay in the U.S. Bank Health Care Program for active employees. • You may carry Family coverage and cover your spouse/domestic partner as a dependent (and any other dependents) under the Retiree Health Care Program. If you are an eligible retiree of U.S. Bank, and your spouse domestic partner is already a participant in the U.S. Bank Retiree Health Care Program, you may choose from the following options: • You may each carry Individual coverage (each covers only himself or herself) if you do not have eligible children, or if they are covered elsewhere. • Either you or your spouse/domestic partner (but not both of you) may carry Family coverage (if you have eligible dependent children). The other could then elect No Coverage. If your dependent child is employed by U.S. Bank, he or she must enroll in his or her own health care option from among those available to active employees. Your dependent child may not be included under your coverage. Special Rules For Retirees Who Elect Coverage Under The Program And Then Return To Work With U.S. Bank After Retirement If you terminate from U.S. Bank, elect retiree health care coverage under the Program, and then return to work at U.S. Bank, special rules apply. These rules are complex because your options will depend on when you terminated, the nature of your return to work, and how long you subsequently work before retiring again. These rules are also subject to U.S. Bank’s generally reserved right to amend or terminate coverage under the Program (see the “Amendment or Termination of the Program” section in this SPD). If you return to work with U.S. Bank after enrolling in the Program, contact the U.S. Bank Employee Service Center for more information about your options. Some general rules are stated below. If you are not eligible for health care as an active employee upon your return to work (for example if you are classified as temporary), you can continue with your retiree health care coverage under the Program. Your return to work will have no impact on your continued eligibility under the Program. If you drop coverage under the Program during your reemployment, however, you will not be able to re-enroll in the Program upon your subsequent termination from U.S. Bank. If you return to work for U.S. Bank and become eligible for active employee health coverage again, you can choose between continued participation in retiree coverage and reenrollment in an active employee health care option. You will be able to enroll in active employee coverage, if eligible, upon rehire, at any subsequent annual enrollment periods that you are still employed, or if you have a family status change. If you elect coverage in an active employee health care option, you will not be able to switch from active coverage to retiree coverage during your period of re-employment. If you elect coverage under an active employee health care option, when you terminate from U.S. Bank a second time, you will be able to resume coverage under the Program, as long as you are covered under an active employee health care option at the time of your second retirement. If at 14
Retiree Health Care SPD Effective January 1, 2012 the time of your second retirement you have no coverage in place from U.S. Bank under either the active employee health care option or retiree coverage under the Program, you will not be eligible for any further coverage under the Program after your second retirement. Regardless of which option you choose (continued participation in the Program or coverage under the active employee health care program), remaining accumulated retiree health care credits (if any) will continue to earn interest during your period of re-employment. If you remain enrolled in the Program and you are eligible for additional credits while reemployed, your credits will be added to your balance annually. If you have a Year of Service after re-employment, the Year of Service will count toward additional credits if you did not have 15 years of retiree health care credits when you initially terminated and if you satisfy requirements for receiving credits. The Break in Service rules from the U.S. Bank Pension Plan will determine whether Years of Service that pre-date your original termination count for purposes of eligibility for or accumulating credits. When you retire again from U.S. Bank, you will receive any additional credits you accumulated while reemployed, plus any credits accumulated before your original retirement up to the 15 year maximum, less any payments toward coverage under the Program during your initial period of coverage. Refer to the “Retiree Health Care Credits” section in this SPD for more information. If You Retired Under Another Retiree Cost Sharing Arrangement Than Retiree Health Care Credits. If you retired, elected retiree health coverage under another cost sharing arrangement than retiree health care credits, and then return to active employee health coverage, generally when you leave U.S. Bank again you will have a choice between the retiree cost sharing arrangement you initially left under (if any) and any retiree health care credits you accumulate after your reemployment. If this situation applies to you, U.S. Bank will provide you with more information. If You Retired Initially from U.S. Bank During 2002 and are a Former West Employee Who Elected a Fixed Subsidy. If you are a former West employee who elected the Fixed Subsidy at retirement in 2002, upon your second retirement you will be able to choose between your Fixed Subsidy (on the same terms as at the time of your original retirement) or retiree health care credits, if any, that you accumulated during your subsequent period of employment. At the time of your initial retirement, you will, however, have forfeited any retiree health care credits available to you at that time, and these will not be restored to you if you elect retiree health care credits at your second retirement. 15
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The eligibility and enrollment rules for the U

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