
(Those members covered under the national health and welfare plan should have already received their enrollment materials in the mail.)
Included is a “Dependent Add Form” designed strictly for adding dependents to your plan during this open enrollment period who are not already listed on the “Enrollment Form.”
Certain dependent children under age 26 are eligible for coverage under the plan. Please read this section carefully and, if these children qualify for coverage, they must be added to the “Enrollment Form” and that form returned to UnitedHealthcare no later than Nov. 11 in order to be eligible for benefits beginning Jan. 1, 2012.
It is important that you open this material upon receipt to verify that the information on the enrollment form is correct. If you have opted-out of coverage you MUST renew your opt-out for 2012 and return it by Nov. 11. If you add eligible dependent children, you must return the “Enrollment Form” no later than Nov. 11 for your elections/ changes to become effective Jan. 1, 2012.
If members do not receive these enrollment materials, call Railroad Enrollment Services toll-free at 1-800-753-2692.
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