Prescription Drug Coordination of Benefits

When a participant has other health insurance coverage that is primary, a prescription drug claim may be filed for secondary coverage under the Plan. To file a claim, a copy of the explanation of benefits from the primary insurance carrier along with a copy of the receipt from the pharmacy must be attached to a prescription drug claim form. This form is available at [www.caremark.com](http://www.caremark.com). The claim is processed by CVS Caremark and reimbursement is made to the participant based upon the Plan's allowable charge, less the amount paid by the primary carrier, less the applicable copayment for that prescription drug.