Receiving Your Benefits

Coordination of Benefits

Payments

A payment made by another group program may include an amount that should have been paid by the University plan. If so, the claims administrator may repay that amount to the organization that made the payment.

Coordination with Medicare

Medicare is available to individuals at age 65 or after two years of receiving Social Security disability benefits. The University remains the primary plan for active employees age 65 and over and their Dependents, regardless of age. Medicare is the primary plan for former employees age 65 and over and their Dependents age 65 and over who are covered as retirees under the University plan.

In situations involving end-stage renal disease (ESRD), regardless of age or Medicare status, the University plan is primary for the first 30 months of ESRD. After 30 months of ESRD entitlement, Medicare becomes primary.

While this Summary Plan Description summarizes the major provisions of this plan, it does not provide you with every plan detail. The plan documents, which govern this plan, provide full details. If there are any discrepancies between this Summary Plan Description and the legal plan documents, the legal plan documents control.