Sheet Metal Workers Local 25 Health & Welfare Fund Medicare-Eligible Retirees,

The Sheet Metal Local 25 Welfare Board of Trustees are pleased to announce the pharmacy coverage for all Medicare-eligible retirees will change to an employer sponsored Cigna-HealthSpring Rx Part D plan (PDP) for January 1, 2020. Your current pharmacy plan will remain in place through the end of 2019.

This letter is to inform you of the changes that may affect you beginning January 1, 2020, as a participant (you and/or your spouse if enrolled) in the current Cigna Pharmacy plan.

The premiums that you pay to Local 25 will not change. Very few members will experience an increase in co-pay of prescriptions. If you are one of those affected by this change, CIGNA will notify you individually. Attached please find a list of preventive medications that will be of NO COST to you.

The Cigna-HealthSpring Rx (PDP) will replace your current pharmacy coverage as of January 1st and it’s important to understand that your coverage will continue as an employer sponsored pharmacy benefit with your current subsidy level in place. This new Cigna-HealthSpring Rx (PDP) is NOT an Individual Part D Rx plan.

In the beginning of December, you will receive literature from Cigna-HealthSpring Rx (PDP). Most of the literature is generic written by CMS. It has to give you an option to opt out of the coverage. Please note, if you choose to Opt out and go with another carrier, all your other benefits (Life insurance, and Vision) from Local 25 will end. If you choose to continue your benefits with Local 25 you will automatically be enrolled by us. There will be nothing for you to do. You will receive a new prescription card in the mail.

The following provides a brief description of the new product and the coverage that will be in place effective January 1, 2020.

Cigna-HealthSpring Rx (PDP)

Cigna-HealthSpring Rx (PDP) will be your new prescription drug plan offered through Sheet Metal Workers Local 25 Health & Welfare Fund. The plan is an easy-to-use Medicare Part D prescription drug plan with advantages for retirees. You will have predictable out-of-pocket costs, access to online tools and resources designed to promote health and well-being. In addition, the Cigna-HealthSpring Rx (PDP) drug list, approved by Medicare, covers the most commonly used drugs by Medicare-eligible individuals and closely matches the current drug list offered under your current 2019 plan.

In the coming weeks you will receive more information on your 2020 Cigna-HealthSpring Rx (PDP) sponsored benefit through Sheet Metal Workers Local 25 Health & Welfare Fund. We are here to answer any of your questions.

Fraternally,

Joseph Demark Jr. / Prosident, Chairman
The Welfare Board of Trustees
Karleen O’Neill / Administrator

Effective August 1, 2015, your Medical Benefits will be administered by AETNA. Please visit the AETNA website at www.aetna.com. The program is called AETNA CHOICE POS II. There has been no change to your coverage other than some enhancements.

Effective August 1, 2015, your Pharmacy and Dental will continue to be administered by CIGNA. Their website is www.mycigna.com.

Effective January 1, 2014, your Vision benefits will be administered by Davis Vision. Their website iswww.davisvison.com.

Your Annuity benefits are administered by Prudential Retirement. Visit their website at www.retirement.prudential.com.

Your vacation benefits are administered by Building Trades Federal Credit Union. Their website is www.ubtfcu.org.

A valuable service for our members and their families, EAP offers people with problems the opportunity to actively seek help. Whether it be alcoholism or drug addition, legal or financial difficulties, the solution can be found through your involvement and cooperation with the program. Their website is www.lowerhudsonvalley.com.

The Sheet Metal Workers’ National Pension Fund is funded entirely by employer contributions and earnings on investments. No employee contributions are permitted or accepted. Visit their website at www.smwnpf.org.

SASMI is an independent trust fund set up to stabilize employment and earnings in the sheet metal industry and to protect members against related loss or interruption of earning power. It does this by providing certain benefits to sheet metal workers, such as supplemental unemployment benefits and underemployment benefits, as well as severance benefits. For more information, visit their website at www.sasmi.org.

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