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Medicare Coordination Overview

The Plan is the primary payer for an active employee, active employee's spouse, and active employee's dependent child that is also covered by Medicare. Medicare is the primary payer for a retired employee, surviving spouse, or dependent of a retired employee or surviving spouse who is:

  • Age 65 or older; or

  • Under age 65 with Social Security disability; or

  • Under age 65 with end-stage renal disease (ESRD) after the first 30 months of Medicare eligibility.

If the participant does not elect Medicare Part A and B, benefits will be reduced as though Medicare is the primary payer. The Plan will calculate benefits assuming the participant has Medicare A and B.