Special Pensioners Medical Benefit

IMPORTANT NEW CHANGES EFFECTIVE TO THE BENEFIT

The Special Pensioners Medical Benefit currently provides up to $4,000 in total annual benefit payments for pensioners and their spouses. We are pleased to advise you that the following new annual maximum payments will apply starting with expenses incurred on or after August 1, 2015.

                                                                                                                                                                                    New Benefit Year

                                                                                                          Current Benefit Year                              Maximum for Expenses incurred on

           Benefit Expense                                                                           Maximum                                                    or after August 1, 2015

       Medical Premiums                                                                            $2,500                                                      $3,000 ($500 increase)

        Prescription Drugs                                                                          $1,000                                                      $1,000 (no change)

        All other expenses (medical/dental/vision)                                      $500                                                      $1,000 ($500 increase)

Note: A medical, dental or vision claim is considered to be incurred on the date you receive treatment or the date of visit giving rise to the expense. For prescription drugs, the incurred date is the date you paid for the drug. For medical premiums, the expense is incurred on the due date for the premium being paid, not the date of your premium payment.

If you have any questions, please contact the Plan Office: (800) 796-8003.