Generally, to be eligible for post-retirement health coverage under the Plan, an employee must be eligible for such coverage based on the terms of retirement from his or her Auto Company, and must make any required payments for coverage. The Eligibility Benefits Center can answer any questions you have about eligibility for coverage.
Retirees may cover Dependents [generally the Retiree’s spouse and children, including children who are the subject of a Qualified Medical Child Support Order (QMCSO)]. Retirees also may cover a Same-Sex Domestic Partner (and/or the Partner’s Dependent Children) who was covered under the Retiree’s medical plan prior to retirement. However, Retirees may not enroll a Same-Sex Domestic Partner, or the Partner’s Dependent Children, after retirement or separation.
You are not eligible for coverage if you:
- Are eligible only for a deferred vested pension benefit under your Auto Company's pension plan;
- Are not a Retiree; or
- Were discharged for cause, even if you are receiving a pension from your Auto Company's pension plan.
Retirees and Surviving Spouses include two categories – “Protected” and “General.” These categories relate to certain differences in cost-sharing features as outlined in the Schedule of Benefits. Most Retirees and Surviving Spouses will be considered in the “General” category. The "Protected" category includes individuals (mostly Surviving Spouses) who receive very small pension benefit amounts from their respective Auto Company pension plans.