Amphenol Retiree Benefits Program
 
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Retiree Medical

Amphenol Frequently Asked Questions

Why did Amphenol transition the retiree medical plan to National Employee Benefit Companies (NEBCO)?

Over the past few years, Amphenol has been managing the retiree medical program. We recognize our retirees are facing fewer choices for Medicare supplement plans. After extensive research, we identified NEBCO, a national administrator of Senior Medical plans that offer greater overall value and benefits.

Who is eligible for this retiree medical plan?

All hourly and salaried employees at Amphenol participating locations (as defined by the company), who are age 65 and over and who have completed 10 years of service on or before July 1, 1993 and who have retired or are retiring from Amphenol are eligible for this plan. An eligible employee's spouse is also included in this category. To be eligible for this plan, you and your eligible spouse (if enrolling) must be enrolled in Medicare Parts A and B.

What option is available for a Medicare disabled individual under 65?

If you or your spouse is Medicare eligible due to disability, you will be eligible to participate in an Amphenol medical plan. Plan information will be sent to these individuals directly from Amphenol. You will not be eligible for the senior medical plan administered by NEBCO until you attain age 65.

When is this plan effective?

This plan will be effective the first of the month following receipt of your completed enrollment form and first month’s premium payment.

What is the cost for me to enroll in the new plan?

NEBCO administers two plans (Plan 1 and Plan 2) that are comparable to the plans we previously offered. The cost of each plan is based on age and gender*. When you enroll during Open Enrollment period, your cost is based on your age. At each plan renewal (which is July 1 of each year), your rate will be determined by your age as of July 1 of that year.

* Florida rates are age, smoker/non-smoker and area rated.

What will happen to the $67.50 Opt Out provision?

1. Effective January 1, 2003, those retirees who have previously opted out of an Amphenol retiree medical plan will have the opportunity to enroll in one of the NEBCO administered plans.

2. If you are currently receiving the $67.50 Opt Out provision and elect to enroll in one of the NEBCO plans, this amount will discontinue. A new subsidy from Amphenol at $40 per enrolled member will be applied towards your monthly premium as described above.

3. If you are currently receiving the $67.50 Opt Out provision and elect not to enroll in the NEBCO administered plans, you will continue to receive this amount.

4. The $67.50 Opt Out provision will not be available for persons who retire on or after January 1, 2003.

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Open Enrollment and On-going Support

1. Where do I get additional information on this plan?

Please contact NEBCO’s Customer Care Center at toll free 1-888-883-3757 Monday to Friday, 8:00 AM to 6:00 PM (Eastern) to speak to a Customer Care Specialist. Also, when you enroll, you will receive a certificate issued by the carrier, which explains all your benefits in detail.

2. What is on the Web site?

All the information in this packet and any additional instructions can be obtained online at: www.MemberNetUSA.net/Amphenol

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NEBCO