Retiree Medical Plan Options




Group Health Plan Choices For Retired Plans A, B, and C Participants
You can choose whether to have medical and prescription coverage only, or medical, prescription, dental and vision coverage. Depending on which medical plan you enroll in, you will have the prescription, dental and vision plan listed below the medical plan you select. 2008 Medical/Rx Benefit Comparison 2008 Dental Options
Medical	Trust Plan (MultiPlan PPO Network)	Providence	Kaiser
Medical	You may choose this option only if you live outside the Providence and Kaiser service areas.	You may choose this option if you live in Oregon and do not live in the Providence service area.	You may choose this option if you live in the Kaiser service area.
Prescription	Kroger Prescription Plan	Providence	Kaiser
Dental	Trust Plan, Willamette Dental or Kaiser (you must reside in the Kaiser service area)	Trust Plan, Willamette Dental or Kaiser (you must reside in the Kaiser service area)	Trust Plan, Willamette Dental or Kaiser
Vision	Vision Service Plan (VSP)	Vision Service Plan (VSP)	Kaiser

If you meet the eligibility requirements for Retired Plan A, B, or C, and you are not eligible for Medicare, you may choose to enroll yourself, your spouse, if under age 65, and eligible dependents for group medical, prescription drug, dental, and vision benefits. There are four options available to you:

1. You may choose the Retired Trust Plan's medical and prescription drug benefits only if you do not reside in the Providence or Kaiser service areas. If you reside in the Providence or Kaiser service areas, you must enroll in one of these plans for your medical coverage.

If the Retired Trust Plan provides your medical benefits, Kroger Prescription Plan provides prescription drug benefits and VSP provides vision benefits. You also have the option of obtaining dental benefits through the Retired Trust Plan, Willamette Dental or Kaiser (you must reside in the Kaiser service area).

2. If you reside in the Providence service area and enroll in Providence, your medical and prescription drug benefits will be provided by Providence. VSP provides vision benefits. You also have the option of obtaining dental benefits through the Retired Trust Plan, Willamete Dental or Kaiser (you must reside in the Kaiser service area).

3. If you reside in the Kaiser Permanente service area, your medical, prescription drug and vision benefits will be provided by Kaiser. You also have the option of obtaining dental benefits through Kaiser or the Retired Trust Plan.

You can obtain information about Providence, Kaiser Permanente or Willamette Dental by contacting the Plan Administrator.

You may change enrollment from one plan to another plan offered by the Harrison Trust for which you qualify during the open enrollment period held annually during the month of November for new coverage effective January 1. If you change plans during the open enrollment period, you must complete an enrollment form and return it to the Plan Administrator at 1220 S.W. Morrison Street, Suite 300, Portland, Oregon 97205.

If you are considering changing plans, you should consult and refer to the benefit packet offered by Providence, Kaiser or the Retired Trust Plan for the eligibility requirements to participate in the Plan, the schedule of benefits, exclusions for preexisting conditions, and the claims procedure.

Amount of Participant's Self-Payment

If you are a participant in Retired Plan A, B, or C, please contact the Plan Administrator to determine your required monthly self-payment for the various health and welfare coverage options available to you. The name, address, and telephone number of the Plan Administrator is:

A & I Benefit Plan Administrators, Inc.
1220 S.W. Morrison
Street, Suite 300
Portland, Oregon 97205

Portland: 503-224-0048 ext. 1679
Toll Free: 800-547-4457 ext. 1679