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Frequently Asked Questions

 
 
Q1: I am turning 65 and will remain working at least 20 hours per week for at least 5 consecutive months in the year. What happens to my health coverage?

A1: An individual who is 65 or over and meets the eligibility rules of WELS VEBA listed on the eligibility page may continue full coverage under WELS VEBA until the worker retires. WELS VEBA will provide primary coverage and Medicare will provide secondary coverage.


Q2: I am at least 55 but not yet 65 and will either be retiring or no longer working at least 20 hours per week for at least 5 consecutive months in the year. What happens to my health coverage?

A2: A member who retires after attaining age 55 and with at least three consecutive years of membership in the Plan may continue full coverage under WELS VEBA as a retired member until he or she attains age 65. Dependents covered under WELS VEBA when the member retires may also continue their coverage. A member or spouse may not enroll in the Anthem SmartValue plan until they reach age 65.


Q3: I am 65 or older and will be retiring. What happens to my health coverage?

A3: A member who retires after attaining age 65 and with at least three consecutive years of membership in WELS VEBA may be eligible to enroll in the Anthem SmartValue plan. Spouses who were covered at the time of the member's retirement and are less than age 65 may continue full coverage under WELS VEBA until they reach age 65. When the spouse reaches age 65, the spouse may be eligible to enroll in the Anthem SmartValue plan. Dependent children who were covered under WELS VEBA at the time of the member's retirement and are not totally disabled may continue their coverage under WELS VEBA as long as they are an unmarried, full-time student and less than age 26. Dependent children who lose their dependent eligibility status according to the eligibility rules of WELS VEBA may be eligible to continue their coverage through COBRA.


Q4: Do I receive a new medical or prescription drug card when I go from full coverage under WELS VEBA to the Anthem SmartValue plan?

A4: Members will receive a new medical/prescription drug ID card when they enroll in the Anthem SmartValue plan.

 
     
     
     
     
     
     
     
     
     
     
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