PLAN #5100
CLASSIFICATION OF MEMBERSHIP
Effective January 1, 2008, Plan #5100 is being extended to include dependents of early retirees who retired at 60 years of age and 30 or more years of service and/or 61 years of age and 30 or more years of service.
Also, this plan is now available to dependents of railway employees who have exhausted benefits under the National Health and Welfare Plan (GA23000) due to disability. Eligible dependents of disabled employees may apply for membership in Plan #5100 when the dependent loses coverage under the National Health and Welfare Plan (GA23000).
The disabled employee or disability annuitant would be required to enroll in Plan #3000 as a supplement to his/her GA23000 coverage for the remainder of the time they qualify. Disabled employees or disability annuitants who become eligible for Medicare must be enrolled or enroll in a Medicare supplement with CARE in order for dependents to qualify for Plan #5100.
This plan has its own Schedule of Benefits and pays benefits at 80%. The lifetime maximum for this plan is is $150,000.
Eligible dependents of early retirees** may apply for membership in Plan #5100 when the early retiree reaches, or in the case of a widow(er), would have reached 65 years of age. In order for dependents to qualify for this plan, the retiring employee upon reaching 65 years of age, must be enrolled or enroll in a Medicare supplement with CARE.
MEMBERSHIP AVAILABILITY
Eligible dependents include:
 |
wife or husband |
|
wife or husband |
|
unmarried children* under age 19 |
|
unmarried children* under age 19 |
*Children include: Natural or adopted children and stepchildren
**Full-time hours may vary depending on school type and institution.
______________________________________________________________________________
PLAN OUTLINE
|
80/20 Plan |
|
$150,000 Lifetime Maximum |
|
No Annual Maximum |
|
$100 Annual Deductible |
|
Percertification/Preauthorization Required on certain procedures |