THE SENIOR CITIZEN HEALTH PROGRAM — A PROGRAM TO COMPLEMENT YOUR MEDICARE COVERAGE

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Required Premiums under the Senior Citizen Program
If you are eligible for Individual Plan coverage under the Senior Citizen Program, you will pay $120 per quarter for your own coverage in order to be enrolled in coverage. However, if you want to cover your dependents you do have to pay the Family Plan Buy Up Premium (currently $981 per quarter for one spouse or dependent; $1,683 for two or more dependents.)

If you have Family Plan coverage under the Senior Citizen Program, this means that, like all others with Family coverage, you too will be required to pay a quarterly premium as described below for yourself, your spouse and your dependent children if you want them to remain covered:

• Retiree only—$120 per quarter
• Retiree and spouse—$345 per quarter
• Retiree with children—$345 per quarter, regardless of the number of dependent children you cover;
• Retiree with spouse and children—$395 per quarter, regardless of the number of dependent children you cover.

If you die, your surviving spouse who is age 65 or older and was covered at the time of your death will continue to receive health coverage on the same basis as before your death. Your spouse will be required to pay premiums to continue coverage. For more information on this coverage and the amount of the required premiums, see Extended Coverage.

Keep in mind that the cost of premiums is subject to change. Contact the Fund office, 1-800-562-4690, for current premium costs.
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