The eligibility and enrollment rules for the U

Retiree Health Care SPD Effective January 1, 2012
Eligibility and Enrollment Rules Section A
This eligibility and enrollment section only applies to:
• Employees who retire/terminate on or after January 1, 2003;
• West Employees who retired or whose LTD or severance period began between January 1,
2002, and December 31, 2002, and who elected the health care credits option;
• West Employees who retired or whose LTD or severance period began between January 1,
2002, and December 31, 2002, and who were not entitled to the fixed subsidy option; and
• East Employees who retired or whose LTD or severance period began on or after January 1,
2002 (not including employees formerly employed by Mercantile Bancorporation).
Retiree Eligibility
You are eligible to participate in the Program if:
• you are age 55 or older at the time of your termination, or if you are involuntarily terminated,
the date that your subsidized health care benefits end;
• you have five or more Years of Service as determined under the terms of the U.S. Bank
Pension Plan; except 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 (refer to the “Glossary of Terms” section of this SPD for the definition of Years of
Service);
• you retire from U.S. Bank; and
• you are eligible for and enrolled in a U.S. Bank active employee health care option as of your
termination.
You are not a participant in the Program until you have satisfied all the eligibility requirements
listed above. While certain employees may accumulate retiree health credits while still
employed, the accumulation of these credits does not make employees participants in the
Program.
Note: If you are not eligible for and covered under a U.S. Bank active employee health care
option immediately before your termination, you will not be eligible to participate in the
Program, even if you have accumulated retiree health care credits while employed.
Dependent Eligibility
For those retirees enrolled in the Kaiser option, Kaiser provided materials regarding
dependent eligibility.
“Eligible dependents” for the purposes of U.S. Bank benefits are listed below. You will need to
provide your dependent’s Social Security number (SSN) when adding or enrolling a dependent.
Refer to “Dependent Data Requirement” in this SPD for further information about this
requirement. In addition, U.S. Bank and its designated administrators may request proof of
dependent eligibility at any time. Failure to provide such proof may result in termination of
coverage.
Your dependent(s) will be eligible to participate in the Program, if:
• your dependent was covered by your U.S. Bank active employee health care option at the
time of your termination;
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