YOU’ VE GOT OPTIONS HOW TO ENROLL
These are the benefits available to you and your eligible family members, depending on your age and eligibility for Medicare.
BENEFIT INDIVIDUALS UNDER AGE 65 AND NOT MEDICARE ELIGIBLE
Medical / Prescription Drugs
UnitedHealthcare Choice( Prescription drug benefits provided through Express Scripts)
UnitedHealthcare Choice Plus( Prescription drug benefits provided through Express Scripts)
Kaiser Permanente HMO
INDIVIDUALS AGE 65 AND OLDER OR MEDICARE ELIGIBLE
UHC Medicare Advantage Plan and Express Scripts EGWP Plus Wrap Plan
Kaiser Permanente Medicare Advantage Plan
Chose with care, if you do not want to enroll in the new Vision Plan and continue to keep your medical and / or dental the same as last year at 2025 rates, no action is needed.
If you want to enroll in the new Vision Plan and / or make changes to your medical and / or dental coverage, you must complete and return the enclosed enrollment form and make sure it is received by the Compensation and Benefits Department by Nov. 7, 2024.
NEW!
Dental
Vision
United Concordia Dental Plan( Elite Plus Network)
National Vision Administrators( NVA)
WHO IS ELIGIBLE FOR BENEFITS
United Concordia Dental Plan( Elite Plus Network)
National Vision Administrators( NVA)
You can return the form by:
• U. S. Mail: Metropolitan Washington Airports Authority Attn: Compensation and Benefits Department 1 Aviation Circle, 6th floor Washington, DC 20001-6000
You are eligible for the medical, dental and vision benefits highlighted in this booklet if you are a Metropolitan Washington Airports Authority retiree or a surviving spouse.
Your dependents are eligible for medical, dental and vision coverage if they are your:
• Legally married spouse;
• Domestic partner
• Children, until the end of the month in which they reach age 26;
• Unmarried children of any age who: – You claim as dependents on your income tax return; and – Have a permanent physical or mental handicap that began before age 19; and – Became handicapped while covered under this Plan or any other group plan; or
• Children who are otherwise eligible and who are alternate recipients under a Qualified Medical Child Support Order.
Subject to the requirements listed, your children include:
• Your natural children;
• Your stepchildren;
• Legally adopted children( beginning on the date the legal adoption proceedings started) and children placed for adoption; and
• Other children related to you by blood or marriage( such as grandchildren), provided the children live with you and you have been awarded legal guardianship, until the end of the month in which they reach age 18.
• Secure fax: 703-417-1333
• Secure email: benefits @ mwaa. com
SPECIAL ENROLLMENT RIGHTS
If you gain a new dependent through marriage, birth, adoption, or placement for adoption, you may add this dependent to your medical, dental and vision coverage provided you enroll your dependent within 31 days of the marriage, birth, adoption, or placement for adoption.
WHEN BENEFITS BECOME EFFECTIVE
If you make a new election or change an election during Open Enrollment, it goes into effect on January 1, 2025.
2025 BENEFITS DECISION GUIDE | 3