You may make changes to your benefit elections only during certain times:

• When you initially retire;
• During annual open enrollment; or
• Within 30 days of experiencing a qualifying life event. Common qualifying life events include divorce or gaining other coverage.

Important notes:

• Family members cannot be added to your retiree health plan, but they can be dropped mid-year with a qualifying life event.
• If you drop coverage for yourself or a dependent, you will not be able to re-enroll yourself or your dependent on the retiree health plan later.
   

To request a mid-year change, you must submit the Retiree Benefit Election Form and documentation of the qualifying event to Human Resources within 30 days of your qualifying life event date.

To help you understand your medical, pharmacy and vision plans, review these plan documents:

Summary of Benefits and Coverage (SBC)

• 2024 SBC – Standard Plan 
• 2024 SBC – Premium Plan 
• SBC Glossary
   

Plan Handbook

• Standard Health Plan Handbook
• Premium Health Plan Handbook
• Health Plans Amendments
• Vision Plan Handbook
• Medicare Part D – Creditable Coverage Notice
   

The following steps are required to complete your enrollment on the Medicare Advantage plan.

1. Enroll in Medicare Part A and Part B as soon as you become eligible to enroll, which is three months before your 65^th birthday. To enroll in Medicare Part A and Part B, contact the Social Security Administration at 1-800-772-1213 or enroll online at https://www.ssa.gov/medicare/sign-up.

2. Complete and return the Medicare Advantage Enrollment Form to:
   1. Elect Wake County’s Medicare Advantage plan;
   2. Provide us your Medicare Part B number; and
   3. Confirm we have your current physical residential address on file

IMPORTANT NOTE: If you do not enroll in Medicare Part A and Part B when you are first eligible and/or do not provide us your Medicare Part B number or physical residential address, you will not be able to enroll in our Medicare Advantage plan and will forfeit your Wake County retiree health insurance coverage now and in the future.

If you would like to decline enrollment on our Medicare Advantage plan, complete and return the Medicare Advantage Enrollment Form to let us know. Declining our Medicare Advantage plan means you will forfeit your Wake County retiree health insurance coverage now and in the future.

If you are considering other coverage options such as a Medicare supplement or a different Medicare Advantage plan, Wake County offers a dedicated resource to help you evaluate these plans. Joe DeMartino with Marsh & McLennan Agency specializes in Medicare plans and can be reached at 919-325-4750 or joe.demartino@MarshMMA.com.

You can also reach out to the NC SHIIP program (Seniors’ Health Insurance Information Program) and ask them to review the plan summaries with you and discuss your options. This group counsels Medicare beneficiaries and caregivers about Medicare, Medicare supplements, Medicare Advantage, Medicare Part D, and long-term care insurance. The toll-free phone number is 1-855-408-1212 or ncdoi.ncshiip@ncdoi.gov.

To help you understand your medical and pharmacy coverage and other plan benefits, review these plan documents:

• 2024 Retiree Plan Benefits Overview 
• 2024 Medicare Advantage Prescription Drug Formulary
• 2024 Medicare Advantage Formulary Addendum
• 2024 Evidence of Coverage
• Medicare Part D – Creditable Coverage Notice