Welfare Summary Plan Description

5.18 MEDICARE PART B REIMBURSEMENT

If a Participant or Dependent is diagnosed with end-stage renal disease (ESRD) and is eligible for and obtains a Medicare Part B Supplemental policy upon or after qualifying for Medicare coverage due to ESRD, the Plan will reimburse the cost of that Medicare Part B Supplemental policy. Requests for such reimbursement must be submitted to the Plan pursuant to policies and procedures approved by the Administrative Office. Members with ESRD are required to provide the Administrative Office with proof of the effective date of Medicare coverage.