CLEVELAND, October 13 — During the months of November and December 2008, UnitedHealthcare will hold an open enrollment under GA-23111. During this open enrollment, any individual eligible for coverage under one of the GA-23111 plans can enroll and will be accepted for coverage without any medical underwriting or requirement of good health.
There are no limitations for pre-existing conditions. Enrollment in November and December 2008 will be for coverage effective January 1, 2009. Only those applicants who mail their completed enrollment forms in November or December 2008 will be considered for open enrollment. The next opportunity to enroll during an open enrollment period will be in November/December 2010.
This open enrollment is being held for:
If someone you know meets the GA-23111 eligibility provisions, open enrollment provides an opportunity for them to become covered. You may also enroll your spouse or eligible children if they are not currently covered. In addition, enrollment under Plan F is available for your parent or parent-in-law. Anyone interested in enrolling should call the following phone number to obtain an enrollment form or additional information:
- For persons eligible for Medicare, call 1-800-809-0453.
- For persons NOT eligible for Medicare, call 1-800-842-5252.
Details of the various plans are as follows:
Plan A
Rate: $250.00
Applies to: Persons eligible for coverage under GA-23111 except persons eligible under Medicare, and persons eligible under GA-46000.
Plan B
Rate: $325.00
Applies to: Persons eligible for coverage under GA-23111 except persons eligible under Medicare, and persons eligible under GA-46000.
Plan C
Rate: $400.00
Applies to: Persons eligible for coverage under GA-23111 except persons eligible under Medicare, and persons eligible under GA-46000.
Plan E
Rate: $150.00
Applies to: Persons eligible under The Railroad Employees National Early Retirement Major Medical Benefit Plan (GA-46000).
Plan M
Rate: $150.00
Persons eligible under The Massachusetts Bay Commuter Rail Early Retirement Plan (MBCR Plan).
Plan F
Rate: $150.00
Applies to: Persons eligible for Full Medicare Coverage.
Note: Enrollment during November and December of the open enrollment period provides for coverage effective the following calendar year, January 1st through December 31st. Each June 1st of that calendar year, and only at that time, adjustments to the premium for all plans under GA-23111 may occur. Additionally, if you are enrolled in either Plan A, B, or C under GA-23111, and a change in the premium amount you pay does occur, you will be allowed, at that time, to switch your plan to a different plan (A, B, or C) if available.