The eligibility and enrollment rules for the U

Retiree Health Care SPD Effective January 1, 2012
If you elect coverage by your enrollment deadline, and are enrolling yourself and/or your
dependents in the UnitedHealthcare or Medica Plan options, coverage is generally effective the
first day of the month after your application(s) is received and processed. If you will experience
a lapse in coverage between your termination of employment and your effective date of
coverage, you must call the U.S. Bank Employee Service Center at 1-800-806-7009. You will be
responsible for the premiums due for retiree coverage back to the effective date of your retiree
health care coverage.
Deciding Between Retiree Health Care Coverage and COBRA Health Care Coverage.
Separate from the Program enrollment information, you and any other covered dependents will
also receive information on continuing the health care coverage you were enrolled in as an active
employee under the provisions of COBRA. Each of your covered dependents will have an
independent right to decide whether to elect COBRA.
You and your covered dependents will need to decide whether to elect:
• Retiree Health Care Program coverage; or
• COBRA health care coverage.
By electing Retiree Health Care Program coverage, you will waive your COBRA health care
rights. You may, however, revoke such waiver at any time during the 60-day COBRA election
period.
If you elect COBRA health care rather than retiree health care coverage under the
Program, you will not have an option to enroll in the Program when you either stop or
exhaust your COBRA health care coverage.
It is important to carefully compare the benefits of COBRA health care versus retiree health care
coverage in making this decision. If you have questions about the two types of coverage, contact
the U.S. Bank Employee Service Center at 1-800-806-7009.
One-Time Option to Enroll in Retiree Program. There is a single point of entry into the
Program – at the time of your termination. This means that if you do not enroll yourself
and any eligible dependents in the Program by the enrollment deadline stated on your
enrollment worksheet, you will not be able to enroll yourself and/or your dependents in
retiree health care coverage at any time in the future.
If, for example, at the time you terminate, you elect COBRA health care or coverage under a
spouse’s/domestic partner’s plan or a new employer’s plan, instead of coverage under the
Program, you will not be able to enroll in the Program at the time your COBRA health care
continuation period or other coverage ends. Similarly, you must enroll any eligible dependents in
the Program at the time of your termination to retain their coverage. Therefore, if you and/or a
dependent want coverage under the Program at any point after your termination, you must enroll
them when you terminate. You may, however, have the right to add new dependents gained after
your termination. Refer to the “New Dependents Gained After Your Termination” section below
for more information.
New Dependents Gained After Your Termination. If you gain a dependent after you terminate
due to marriage, commencement of a domestic partnership, birth, adoption or commencement of
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