WHEN COVERAGE STARTS
If you are an Eligible Employee, you become covered under this Plan on the first day of the calendar month after the month in which you first render the Requisite Amount of Compensated Service. Your Eligible Dependents become covered on the same day you become covered. You and your Eligible Dependents continue to be covered during the month following each month in which you render or receive, in the aggregate, the Requisite Amount of Compensated Service or the Requisite Amount of Vacation Pay, except that you will not be covered for any Health Care Benefits, other than those provided for on-duty injuries, and your Eligible Dependents will not be covered at all, during any month with respect to which you have opted out of Plan coverage. (The opt-out opportunity, including a description of the special rules that may apply if your spouse is also a railroad employee, is described at pages 117 through 120 of The Railroad Employees Health and Welfare Plan booklet.)
WHEN COVERAGE STOPS
Coverage for all Health Care Benefits stops when:
In addition, except as provided in the section "Continuation of Coverage After You Last Rendered Compensated Service," beginning on page 21, coverage for all Health Care Benefits for you and your Eligible Dependents stops on the earlier of the following:
Coverage for an individual dependent stops sooner upon the occurrence of one of the following events:
If you are an Eligible Employee, you become covered under this Plan on the first day of the calendar month after the month in which you first render the Requisite Amount of Compensated Service. Your Eligible Dependents become covered on the same day you become covered. You and your Eligible Dependents continue to be covered during the month following each month in which you render or receive, in the aggregate, the Requisite Amount of Compensated Service or the Requisite Amount of Vacation Pay, except that you will not be covered for any Health Care Benefits, other than those provided for on-duty injuries, and your Eligible Dependents will not be covered at all, during any month with respect to which you have opted out of Plan coverage. (The opt-out opportunity, including a description of the special rules that may apply if your spouse is also a railroad employee, is described at pages 117 through 120 of The Railroad Employees Health and Welfare Plan booklet.)
WHEN COVERAGE STOPS
Coverage for all Health Care Benefits stops when:
- you first become covered under Another Railroad Health and Welfare Plan.
- your employer or labor organization stops participating in the Plan, or
- the class of employees you belong to stops being included under the Plan.
In addition, except as provided in the section "Continuation of Coverage After You Last Rendered Compensated Service," beginning on page 21, coverage for all Health Care Benefits for you and your Eligible Dependents stops on the earlier of the following:
- the last day of the month following the month you last rendered or received, in the aggregate, the Requisite Amount of Compensated Service or the Requisite Amount of Vacation Pay; or
- the date your employment relationship ends for reasons other than retirement, such as resignation.
Coverage for an individual dependent stops sooner upon the occurrence of one of the following events:
- a dependent child becomes covered as an Eligible Employee under this Plan; or
- a dependent stops being an Eligible Dependent.
CONTINUATION OF COVERAGE
AFTER YOU LAST RENDERED
COMPENSATED SERVICE
AFTER YOU LAST RENDERED
COMPENSATED SERVICE
Furloughed Employees
If you are furloughed and if you rendered compensated service for three months as an Eligible Employee, you will be covered for Employee and Dependents Health Care
Benefits during your furlough until the end of the fourth month following the month in which you last rendered compensated service. If you received Vacation Pay before the date on which you are furloughed, but in a month subsequent to the month in which you last rendered compensated service, the continued coverage described above will be measured from the month in which you received that Vacation Pay. If you return to work as an Eligible Employee before your coverage ends, you will continue to be covered during the month in which you again render compensated service. If you return to work as an Eligible Employee after your coverage ends, you will not be covered again until the month following the month in which you next render the Requisite Amount of Compensated Service. If you become disabled before your coverage ends, you should refer to the section below for Disabled Employees.
If you are furloughed and if you rendered compensated service for three months as an Eligible Employee, you will be covered for Employee and Dependents Health Care
Benefits during your furlough until the end of the fourth month following the month in which you last rendered compensated service. If you received Vacation Pay before the date on which you are furloughed, but in a month subsequent to the month in which you last rendered compensated service, the continued coverage described above will be measured from the month in which you received that Vacation Pay. If you return to work as an Eligible Employee before your coverage ends, you will continue to be covered during the month in which you again render compensated service. If you return to work as an Eligible Employee after your coverage ends, you will not be covered again until the month following the month in which you next render the Requisite Amount of Compensated Service. If you become disabled before your coverage ends, you should refer to the section below for Disabled Employees.
Suspended or Dismissed Employees
If you are suspended or dismissed, and
you will be covered for Employee and Dependents Health Care Benefits during your suspension or after your dismissal until the end of the fourth month following the month in which you last rendered compensated service or, if you are a Suspended Employee, the month in which you last received Vacation Pay, if later. If you received Vacation Pay before the date on which you are dismissed, but in a month subsequent to the month in which you last rendered compensated service, the continued coverage described above will be measured from the month in which you received that Vacation Pay. If you return to work as an Eligible Employee before your coverage ends, you will continue to be covered during the month in which you again render compensated service. If you return to work as an Eligible Employee after your coverage ends, you will not be covered again until the month following the month in which you next render the Requisite Amount of Compensated Service. If you are awarded full back pay for all time lost as a result of your suspension or dismissal, your coverage will be provided as if you had not been suspended or dismissed in the first place.
If you are suspended or dismissed, and
- you have had an employment relationship with your employer for at least six months, and
- you have rendered compensated service for three months as an Eligible Employee,
you will be covered for Employee and Dependents Health Care Benefits during your suspension or after your dismissal until the end of the fourth month following the month in which you last rendered compensated service or, if you are a Suspended Employee, the month in which you last received Vacation Pay, if later. If you received Vacation Pay before the date on which you are dismissed, but in a month subsequent to the month in which you last rendered compensated service, the continued coverage described above will be measured from the month in which you received that Vacation Pay. If you return to work as an Eligible Employee before your coverage ends, you will continue to be covered during the month in which you again render compensated service. If you return to work as an Eligible Employee after your coverage ends, you will not be covered again until the month following the month in which you next render the Requisite Amount of Compensated Service. If you are awarded full back pay for all time lost as a result of your suspension or dismissal, your coverage will be provided as if you had not been suspended or dismissed in the first place.
FMLA
For your convenience, the link given in the attached letter is also provided below:
Health and Welfare Links
American Sleep Apnea Association
U.P. Agreement Benefits Overview
UPREHS (Employee Health Systems)
American Sleep Apnea Association
U.P. Agreement Benefits Overview
UPREHS (Employee Health Systems)
Agreement Benefit Contacts
Medical Plan ProvidersUnited Healthcare Phone: 1-800-842-9905 Phone 1-800-753-2692 Enrollment Services Aetna (MMCP) Phone: 1-800-842-4044 Highmark Blue Cross Blue Shield Summary Plan Descriptions Information for all National Health and Welfare Plans UP Railroad Employees Health Systems Phone: 1-800-547-0421 HIPAA Privacy Notices Vision Providers EyeMed Vision Care Phone: 1-855-212-6003 Note: Must have 1 year of service to be eligible |
Prescription Drug Providers Express Scripts Prescription Drug Card Program Phone: 1-800-842-0070 Express Scripts Mail Order Prescription Drug Program Phone: 1-800-842-0070 Agreement Employees Insurance Eligibility Questions Union Pacific - Payroll Accounting Phone: 1-402-544-4729 "Option 2, Option 1" |
