The eligibility and enrollment rules for the U

Retiree Health Care SPD Effective January 1, 2012
Skilled Care
Services that are medically necessary and must be provided by licensed nurses or other providers
eligible to develop, provide, and evaluate care. Custodial care and services of a non-medical
nature are specifically not included. Care is not considered skilled merely because it is provided
by or under the direct supervision of a licensed nurse. Where care or services can be safely and
effectively provided by a non-medical person without the direct supervision of a licensed nurse,
the care shall not be regarded as skilled care whether or not a skilled nurse actually provides the
service.
Specialist
A doctor with a concentration of training in a specific branch of medicine.
Substance Abuse
Alcohol or drug dependence as defined in the most recent edition of International Classification
of Diseases.
Summary Plan Description (SPD)
A document – this document – that provides comprehensive information about a given benefit,
including eligibility provisions, coverage options and details, and claims procedures.
Temporomandibular Joint (TMJ)
The connecting hinge between the lower jaw (mandible) and the base of the skull (temporal
bone).
U.S. Bank Employee Service Center
The U.S. Bank interactive voice response (IVR) system, which is available 24 hours a day, seven
days a week via touch-tone phone at 1-800-806-7009. The U.S. Bank Employee Service Center
enables you to get answers to most questions and complete transactions without the aid of a
representative. However, if you need assistance, representatives are available Monday through
Friday, 8 a.m. to 8 p.m. CT, excluding holidays.
West Employee
West Employee designates those individuals who were:
• employed by U.S. Bank or U.S. Bancorp before February 27, 2001;
• employed before January 1, 2002, and who are classified in the payroll as West Region
employees; or
• covered under the U.S. Bancorp Retiree Health Care Program before January 1, 2002.
Years of Service
For purposes of the U.S. Bank Retiree Health Care Program, a Year of Service is defined in the
same manner as used to determine vesting service under the U.S. Bank Pension Plan; except that
for purposes of determining eligibility to participate in the Program (but not for purposes of
calculating Retiree Health Care Credits) if you are involuntarily terminated, any period of time
that you are enrolled in subsidized health care benefits will count for purposes of calculating a
Year of Service. Except as specifically noted with respect to the inclusion of the period of time
that you receive subsidized health care benefits when involuntarily terminated, for purposes of
calculating a Year of Service, all of the other requirements of the U.S. Bank Pension Plan will
apply. To have a Year of Service, you must work at least “1,000 hours of service,” as determined
under the rules of the Pension Plan (including any subsequent changes to the Pension Plan). In
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