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PLAN INFORMATION - Benefits

Starts INFORMATIONCOUNTY OF RIVERSIDEU nitedHealthcare group medicare advantage (HMO) Effective January 1, 2015 through December 31, 2015 group number: 9000132015 Plan GuideTable of contentsIntroduction ..3 More plan informationRead all about your plan Benefits , including services and supportfor your overall health and well-being. Benefit Highlights ..6 Plan INFORMATION ..8 Summary of Benefits ..17 Required INFORMATION ..33 Drug listFind out which drugs are covered under this plan. The list in this bookis the full list of covered drugs. Drug List ..36 Additional Drug Coverage ..49 Welcome aboardThis section includes additional INFORMATION you may need to becomea member of this plan. Enrollment Instructions ..56 Statements of Understanding ..57 What to expect after you enrollLearn about the materials and follow-up communication you can expect after you become a UnitedHealth group Annual ReportY0066_140627_082134 UHEX15MP3577496_001 SPRJ18923 Dear Retiree,We are pleased and honored that your employer has selected unitedhealthcare to provide health care coverage for all eligible retirees.

Your plan sponsor has chosen a UnitedHealthcare® Group Medicare Advantage plan. What is a Group Medicare Advantage plan? The word “Group” means that this is a

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