Poplars E165 400 E. Seventh Street Bloomington, IN 47405 askhr@iu.edu hr.iu.edu

To: Anthem Blue Retiree Plan Participants From: Indiana University Human Resources Date: November 14, 2019 Subject: IU Retiree Health Care Coverage Effective January 1, 2020

The month of November is your annual opportunity to review medical plan coverage for the 2020 calendar year. Please take a moment to review the enclosed benefit plan information carefully.

2020 Anthem Blue Retiree Premium Rates Coverage Level Monthly Rate One Participant $ 195.67 Participant and Dependent $ 390.06

Actions You Need to Take If you choose to continue your medical coverage in this plan, you do not need to take any action. Your current coverage will continue and your January billing will automatically be updated to reflect the new rate.

If you choose to cancel your coverage, please complete the enclosed change form and return it to IU Human Resources by December 6. 2019. Remember, if you cancel coverage, you will not be able to re-enroll in this plan at a later time.

What’s Changing for 2020? • Medical premiums for this plan will slightly increase effective January 1, 2020.

• All participants will receive new medical plan ID cards to their home address during the last week of December. The cards will list a new group number, so be sure to use your new card for all services starting January 1, 2020 – your provider must have this new group number on file for your claims to be processed correctly.

Prescription Drug Coverage Prescription drug coverage is not a part of the Anthem Blue Retiree plan; participants can elect prescription drug coverage that is subsidized by Medicare. Medicare advises that you review your current coverage and compare to the options that Medicare is sponsoring for 2020. If you wish to enroll or change prescription plans, Medicare will only allow you to do so during the Medicare annual enrollment period each year between October 15 & December 7. Before making a decision about your medical and prescription coverage for 2020, you may want to consider options such as a Medicare Advantage Plan or a Medicare PPO Plan if it is available in your geographic region. These options include both medical and prescription coverage under one plan.

Questions & More Information For additional information on the Anthem Blue Retiree plan, please contact the Retiree Benefits Specialist at (812) 856-1234 or askhr@iu.edu, or visit the IU Benefits website at hr.iu.edu/benefits/retirees.html.

For additional information about Medicare prescription drug coverage and tools to help you determine which plan best meets your needs, visit the Medicare website at www.medicare.gov or contact Medicare at (800) MEDICARE (633–4227). TTY users should call (877) 486–2048.

NOTE: Please be aware—if you receive a mailing from IU Health Plans, this is not the Indiana University sponsored Medicare plan. The information IU Health Plans sends is about a plan offered by the IU Health Hospital system, not Indiana University.

IU Blue Retiree Plan SummaryThis is a summary description of Medicare and Blue Retiree coverages. For the most current information regarding Medicare coverage and additional details, visit www.medicare.gov on the web or call 1-800-MEDICARE (1-800-633-4227).

Medicare Complement Benefits

When Medicare pays a portion of the cost of a medical service, the Blue Retiree plan coordinates with Medicare to pay all or most of what Medicare does not pay, up to the Medicare-approved amount. Providers who participate with Medicare accept assignment, meaning they agree to accept the Medicare-approved amount as full payment for Medicare-covered services. When other providers are used, the Medicare recipient may have additional costs.

Covered Services Medicare Pays Blue Retiree Pays Member Pays

Medicare Part A

Inpatient Hospital Facility

First 60 days Pays all but the deductible $1,408 deductible $0

61st to 90th day Pays all but coinsurance $352 daily coinsurance $0

60 day lifetime reserve days Pays all but coinsurance $704 daily coinsurance $0

Continuous inpatient care after the Medicare lifetime reserve has been exhausted up to an additional 365 days

$0 90% 10%

Skilled Nursing Facility

First 20 days of skilled care 100% $0 $0

21st to 100th day of continued skilled care Pays all but coinsurance $176 daily coinsurance $0

Home Health

Non-custodial medical and nursing care Pays 100% $0 $0

Hospice care (room and board is not covered) Pays 100% $0 $0

Medicare Part B

Annual deductible Plan pays after the deductible $198 deductible $0

Doctors’ care including visits in the office or while inpatient

80% 20% $0

Outpatient services (includes surgeries, diagnostic services, phsyical therapy, x-rays)

80% 20% $0

Clinical laboratory services 100% $0 $0

Durable medical equipment such as wheelchairs, walkers, and hospital beds

80% 20% $0

Mental health counseling 80% 20% $0

Ambulance 80% 20% $0

Medicare designated preventive services* received from providers who accept Medicare assignment

100% $0 $0

2020 Anthem Blue Retiree Premiums

One Participant (Retiree or surviving spouse)

$195.67

Retiree and Spouse $390.06

*Medicare-covered preventive services are based on your age, gender, and risk factors. Examples include bone mass measurements, breast cancer screening (mammograms), cervical and vaginal cancer screening, colorectal cancer screening, PSA prostate cancer screening, preventive shots (flu, pneumococcal, Hepatitis B), tobacco cessation counseling, and yearly well visits. See Medicare’s Your Guide to Medicare’s Preventive Services.

2020 PLAN YEAR

IUHR 11/13/19

Major Medical BenefitsMedicare does not cover some medical services. The Major Medical Benefit pays some of the costs not covered by Medicare. Also, when services are provided by doctors, facilities, or suppliers that do not accept Medicare assignment (non-participating providers), the provider can bill for excess charges above what Medicare allows. The Major Medical Benefit covers some of those costs.

These benefits have a $100 deductible per person each year and a maximum annual out-of-pocket expense of $600 per person that includes both deductible and coinsurance. There is a $1,000,000 lifetime limit on Major Medical benefits. Since these are not Medicare benefits, Anthem will use its own standards for determining medical necessity and allowed amounts, not Medicare’s.

Covered Services Medicare Pays Blue Retiree Pays Member Pays

Continuous inpatient days beyond an additional 365 $0 80% 20%

Skilled nursing facility after the 100th day $0 80% 20%

Services outside the U.S. $0 100% 0%

Excess charges for providers that don’t accept Medicare assignment1 $0

Up to the limiting charge2 of 115% of the Medicare-

allowable Amount

$0 for services with a limiting charge2

Out-of-hospital skilled private duty nursing, and visiting nurse’s association

$080% up to $5,000 maximum per year

20% and all costs above the maximum benefit

Accidental dental $0 80% 20%

Morbid obesity $0 80% 20%

Doctors’ care including visits in the office or while inpatient

80% 20% $0

1 Providers who haven’t signed a contract with Medicare to accept assignment can charge you for amounts in excess of Medicare’s Allowed Amount. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure.

2 There is a limiting charge on what non-participating providers can bill Medicare enrollees—15 percent over what Medicare pays the nonparticipating provider. The limiting charge does not apply to all Medicare-covered services, like some durable medical equipment.

Silver SneakersIU Blue Retiree benefits have been enhanced to include SilverSneakers for all plan participants. SilverSneakers is a no-cost fitness benefit with access to 15,000+ fitness locations nationwide.1 The program also includes online resources, guidance from fitness staff, signature classes2, social connections, and more. 88% of participants say SilverSneakers has improved their quality of life! To get started visit silversneakers.com/starthere to get your SilverSneakers member ID.

1 Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer members additional classes. Classes vary by location.2 Participating locations (“PL”) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic

membership. Facilities and amenities vary by PL.

2020 Plan Year Anthem Blue Retiree Plan Summary

Services In-Network Provider–Member Pays Out-of-Network Provider–Member Pays

Annual comprehensive eye exam and refraction1 $5 copayment, no deductible Costs above a $42 allowance

Vision Wear (Contacts, frames, and lenses1)

Optional savings available from Blue View Vision In-Network Providers only.

1 Medicare does not generally cover routine routine eye exams for eyeglasses or contact lenses. However, Medicare Part B will cover an annual eye exam if you have diabetes or are at high risk for glaucoma.

Visit hr.iu.edu/benefits/retireeblue.html for a full summary of vision benefits.

Anthem Blue View Vision

Wellness BenefitsCovered Services Medicare Pays Blue Retiree Pays Member Pays

Routine dental exam $0 $50 Amounts above $50

Hearing exam $0 $50 Amounts above $50

IUHR 11/13/19

A no-cost fitness benefit with access to 15,000+ fitness locations nationwide1

The ability to enroll at multiple locations at any time

Guidance from dedicated fitness staff

Online resources (SilverSneakers On-Demand™ workout videos, fitness location directory, articles, and more)

Signature SilverSneakers classes2 designed for all fitness levels and led by trained instructors

SilverSneakers FLEX® classes2 offered outside the traditional gym setting

The SilverSneakers GO™ app with adjustable workouts, reminders and more

Social connections through events such as shared meals, holiday celebrations, and class socials

SilverSneakers is much more than an exercise program – it’s a way for you to achieve your best health in mind, body and spirit.

THE SILVERSNEAKERS EXPERIENCE

YOUR KEY TO A FULLER, HEALTHIER LIFE

SilverSneakers® is a program designed with you in mind. You have the opportunity to join a group of like-minded people

focused on maintaining good health and independence.

1. Membership includes SilverSneakers instructor-led group fitness classes. Some locations offer members additional classes. Classes vary by location.2. Participating locations (“PL”) are not owned or operated by Tivity Health, Inc. or its affiliates. Use of PL facilities and amenities is limited to terms and conditions of PL basic membership. Facilities and amenities vary by PL.

ANIU6859MBRFLY1018_T.indd 1 10/24/18 10:29 AM

3. 2017 SilverSneakers Annual Participant Survey

SilverSneakers, the SilverSneakers shoe logotype and SilverSneakers FLEX are registered trademarks of Tivity Health, Inc. SilverSneakers On-Demand and SilverSneakers GO are trademarks of Tivity Health, Inc. © 2018 Tivity Health, Inc. All rights reserved. <ANIU6859MBRFLY1018_T>

Questions? Call 1-888-423-4632 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. ET

88% of participants say

SilverSneakers has improved their quality of life.3

58% of participants report

that they have made new and valuable friendships through SilverSneakers.3

88% discovered they could

do more than they thought possible.3

Bring your member ID number with you on your first visit.

Go to SilverSneakers.com/StartHere to get your SilverSneakers member ID and find fitness locations that are right for you.

You can start slowly, but keep it steady to enjoy a healthier lifestyle.

1 2 3START HERE

TAKE A TOUR

START YOUR ROUTINE

LET’S GET STARTED

Enroll in as many locations as you like and take part in fitness classes, use gym amenities and participate in events in your community.1,2

SilverSneakers.com/StartHere

ANIU6859MBRFLY1018_T.indd 2 10/24/18 10:29 AM

Blue View VisionSM

Inidiana University Blue Retiree

January 1, 2020

Welcome to your Blue View Vision plan!

You have many choices when it comes to using your benefits. As a Blue View Vision plan member, you have access to one of the nation’s largest vision networks. You may choose from many private practice doctors, local optical stores, and national retail stores including LensCrafters®, Target Optical®, Sears Optical®, JCPenney® Optical and most Pearle Vision® locations. You may also use your in-network benefits to order eyewear online at Glasses.com and ContactsDirect.com. To locate a participating network eye care doctor or location, log in at anthem.com, or from the home page menu under Care, select Find a Doctor. You may also call member services for assistance at 1-866-723-0515.

Out-of-Network – If you choose to, you may instead receive covered benefits outside of the Blue View Vision network. Just pay in full at the time of service, obtain an itemized receipt, and file a claim for reimbursement up to your maximum out-of-network allowance.

YOUR BLUE VIEW VISION PLAN BENEFITS IN-NETWORK OUT-OF-NETWORK FREQUENCY

Routine Eye Exam

A comprehensive eye examination $5 copay Up to $42 reimbursement Once every 12 months

Eyeglass Frames

One pair of eyeglass frames $130 allowance, then 20% off any

remaining balance Up to $45 reimbursement

Once every 24 months

Eyeglass Lenses (instead of contact lenses)

One pair of standard plastic prescription lenses:

Single vision lenses Bifocal lenses Trifocal lenses Lenticular lenses

$20 copay $20 copay $20 copay $20 copay

Up to $40 reimbursement Up to $60 reimbursement Up to $80 reimbursement Up to $80 reimbursement

Once every 12 months

Eyeglass Lens Enhancements When obtaining cov ered ey ew ear from a Blue View Vision prov ider, y ou may choose to add any of the follow ing lens enhancements at no ex tra cost.

Lenses (for a child under age 19) Standard polycarbonate (for a child under age 19) Factory scratch coating

$0 copay $0 copay $0 copay

No allowance when obtained out-of-network

Same as covered eyeglass lenses

Contact Lenses (instead of eyeglass lenses) Contact lens allow ance w ill only be applied tow ard the first purchase of contacts made during a benefit period. Any unused amount remaining cannot

be used for subsequent purchases in the same benefit period, nor can any unused amount be carried ov er to the follow ing benefit period.

Elective conventional (non-disposable) OR

Elective disposable OR

Non-elective (medically necessary)

$130 allowance, then 15% off any

remaining balance

$130 allowance (no additional

discount)

Covered in full

Up to $105 reimbursement

Up to $105 reimbursement

Up to $210 reimbursement

Once every 12 months

This is a primary vision care benefit intended to cover only routine eye examinations and corrective eyewear. Blue View Vision is for routine eye care only. If you need medical treatment for your eyes, visit a participating eye care doctor from your medical network. Benefits are payable only for expenses incurred while the group and insured person’s coverage is in force. This information is intended to be a brief outline of coverage. All terms and conditions of coverage, including benefits and exclusions , are contained in the member’s policy, which shall control in the event of a conflict with this overview. This benefit overview is only one piece of your entire enrollment package.

EXCLUSIONS & LIMITATIONS (not a comprehensive list – please refer to the member Certificate of Coverage for a complete list) Combined Offers. Not to be combined w ith any offer, coupon, or in-store

adv ertisement.

Excess Amounts. Amounts in ex cess of cov ered v ision ex pense.

Sunglasses. Plano sunglasses and accompany ing frames.

Safety Glasses. Safety glasses and accompany ing frames.

Not Specifically Listed. Serv ices not specifically listed in this plan as

cov ered serv ices.

Lost or Broken Lenses or Frames. Any lost or broken lenses or frames

are not eligible for replacement unless the insured person has reached his

or her normal serv ice interv al as indicated in the plan design.

Non-Prescription Lenses. Any non-prescription lenses, ey eglasses or

contacts. Plano lenses or lenses that hav e no refractiv e pow er.

Orthoptics. Orthoptics or v ision training and any associated supplemental

testing.

Transitions and the swirl are registered trademarks of Transitions Optical, Inc. Anthem Blue Cross and Blue Shield is the trade name of: In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non -HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self -funded plans and do not underwrite benefits. In Ohio: Community Insurance Company. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BC BSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Company (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Blue View Vision FS 2017

OPTIONAL SAVINGS AVAILABLE FROM BLUE VIEW VISION IN-NETWORK PROVIDERS ONLY In-network Member Cost

(after any applicable copay)

Retinal Imaging - at member’s option can be performed at time of ey e ex am Not more than $39

Eyeglass lens upgrades

When obtaining ey ew ear from a Blue View Vision

prov ider, y ou may choose to upgrade y our new

ey eglass lenses at a discounted cost. Ey eglass lens

copay ment applies.

lenses (Adults)

Standard Poly carbonate (Adults)

Tint (Solid and Gradient)

UV Coating

Progressiv e Lenses1

Standard

Premium Tier 1

Premium Tier 2 Premium Tier 3

Anti-Reflectiv e Coating2

Standard

Premium Tier 1

Premium Tier 2 Other Add-ons

$75

$40

$15

$15

$65

$85

$95

$110

$45

$57

$68

20% off retail price

Additional Pairs of Eyeglasses

Any time from any Blue View Vision netw ork prov ider. Complete Pair

Ey eglass materials purchased separately

40% off retail price

20% off retail price

Eyewear Accessories Items such as non-prescription sunglasses,

lens cleaning supplies, contact lens

solutions, ey eglass cases, etc.

20% off retail price

Contact lens fit and follow-up

A contact lens fitting and up to tw o follow -up v isits are

av ailable to y ou once a comprehensiv e ey e ex am has been completed.

Standard contact lens fitting3

Premium contact lens fitting4

Up to $55

10% off retail price

Conventional Contact Lenses Discount applies to materials only 15% off retail price

1 Please ask your provider for his/her recommendation as well as the available progressive brands by tier.

2 Please ask your provider for his/her recommendation as well as the available coating brands by tier.

3 Standard fitting includes spherical clear lenses for conventional wear and planned replacement. Examples include but are not li mited to disposable and frequent replacement. 4 Premium fitting includes all lens designs, materials and specialty fittings other than standard contact lenses. Examples include but are not limited to toric and multifocal.

Discounts are subject to change without notice. Discounts are not ‘covered benefits’ under your vision plan and will not be listed in your certificate of coverage. Discounts will

be offered from in-network providers except where state law prevents discounting of products and services that are not covered benefits under the plan. Discounts on frames will not apply if the manufacturer has imposed a no discount policy on sales at retail and independent provider locations. Some of our in-network providers include:

ADDITIONAL SAVINGS AVAILABLE THROUGH ANTHEM’S SPECIAL OFFERS PROGRAM *

Sav ings on items like additional ey ew ear after y our benefits hav e been used, non-prescription sunglasses, hearing aids and ev en LASIK laser v ision

correction surgery are av ailable through a v ariety of v endors. Just log in at anthem.com , select discounts, then Vision, Hearing & Dental.

* Discounts cannot be used in conjunction with your covered benefits.

OUT-OF-NETWORK

If y ou choose to receiv e cov ered serv ices or purchase cov ered ey ewear from an out-of-netw ork prov ider, netw ork discounts w ill not apply and y ou w ill be

responsible for pay ment of serv ices and/or ey ew ear materials at the time of serv ice. Please complete an out-of-netw ork claim form and submit it along w ith

y our itemized receipt to the fax number, email address, or mailing address below . To dow nload a claim form, log in at anthem.com , or from the home page menu under Support select Forms, click Change State to choose y our state, and then scroll dow n to Claims and select the Blue View Vision Out-of-Netw ork

Claim Form. You may instead call member serv ices at 1-866-723-0515 to request a claim form.

To Fax: 866-293-7373

To Email: oonclaims@ey ew earspecialoffers.com

To Mail: Blue View Vision Attn: OON Claims

P.O. Box 8504

Mason, OH 45040-7111

IUHR 10/2019

SECTION 1—Participant Information

Name (Last, First, MI):

Health Plan ID Number:

IMPORTANT INFORMATION—PLEASE READ BEFORE COMPLETING THIS FORMComplete only the section(s) that apply. Submit this form if:

• you have an address changes to report; or• you wish to cancel your IU-sponsored medical coverage.

You can disregard this form if:

• your address remains the same; and• you wish to continue enrollment in IU-sponsored medical coverage.

PAGE 1 OF 1

INDIANA UNIVERSITY

Anthem Blue Retiree Change Formfor Retiress Age 65 & Over (2020 Plan Year)

SECTION 2—Address Change

COMPLETE THIS SECTION ONLY IF YOU HAVE AN ADDRESS CHANGE TO REPORT.

Your 2020 payment slips will be mailed to the address you have registered with Anthem. Indicate your new address below.

Street: City: State: Zip:

Phone: Email (optional):

Signature: Date:

SECTION 3—Cancel Coverage

COMPLETE THIS SECTION ONLY IF YOU WISH TO CANCEL YOUR MEDICAL COVERAGE.

You will receive monthly premium payment slips for 2020 unless you indicate that you wish to cancel this coverage. You may cancel your coverage at any time during the year by contacting Anthem. NOTE: If you cancel your IU-sponsored medical coverage, you will not be able to enroll in IU-sponsored retiree coverage at a later time.

CANCEL my IU-sponsored medical plan enrollment effective December 31, 2019.

Signature: Date:

Submit completed form to askhr@iu.edu, fax to (812) 855-3409, ormail to IU Human Resources, ATTN: Retiree Specialist, Poplars E165, 400 E. 7th Street, Bloomington, IN 47405-3085

IUHR 10/2019

PLEASE READ THIS NOTICE CAREFULLY AND KEEP IT WHERE YOU CAN FIND IT.

This notice has information about prescription drug coverage available for people with Medicare Part D. If you are not already enrolled in Medicare D prescription drug coverage, it can help you decide whether or not you want to enroll. If you are enrolled in Medicare D, it will give you information about when you can change your Medicare D plan. The end of this notice provides resources where you can get assistance to make decisions about your prescription drug coverage.

1. Medicare prescription drug coverage became available in 2006 to everyone with Medicare through Medicare Part D and Medicare Advantage Plan that offers prescription drug coverage. All Medicare drug plans provide at least a standard level of coverage set by Medicare. Some plans may also offer more coverage for a higher monthly premium.

2. The Blue Retiree health care plan sponsored by Indiana University does not provide prescription drug coverage. This allows you to take advantage of a Medicare prescription plan.

3. Most Indiana University Retirees covered under the Blue Retiree health care plan have already enrolled in Medicare prescription coverage. If you are not enrolled, you have decisions to make that may affect how much you pay for that coverage, depending on if and when you enroll. Read this notice carefully - it explains your options.

PAGE 1 OF 2

Important Notice from Indiana University AboutPrescription Drug Coverage and Medicare

IF YOU ARE NOT ALREADY ENROLLED IN MEDICARE PRESCRIPTION DRUG COVERAGE – CONSIDER ENROLLING NOW.

Because the Indiana University-sponsored Retiree medical plan coverage does not include prescription drug coverage, you should consider enrolling in a Medicare drug plan if you have not already done so. Individuals can join a Medicare drug plan when they first become eligible for Medicare and each year from October 15th through December 7th. Dependents leaving employer/union coverage may be eligible for a two (2) month Special Enrollment Period (SEP) to join a Medicare drug plan.

If you decide not to join a Medicare drug plan when you are first eligible you may pay a higher premium (a penalty) if you join a plan later and you may pay that higher premium as long as you have Medicare prescription drug coverage.

If you go 63 continuous days or longer without prescription drug coverage, your premium may go up by at least 1% of the Medicare base beneficiary premium per month for every month that you did not have that coverage. For example, if you go nineteen months without creditable coverage, your premium may consistently be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium (a penalty) as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the following October to join.

If you are not already enrolled in Medicare D Prescription Coverage, you need to make a decision.

When you make your decision, you should also compare your current coverage, including which drugs are covered, with the coverage and cost of the plans offering Medicare prescription drug coverage in your area.

If you are already enrolled in Medicare D Prescription Coverage, you may want to take this opportunity to evaluate your current coverage.

You may want to review the prescription plans that will be available for 2020 and their cost so you can decide if you want to keep your current Medicare prescription coverage or change to another prescription plan. If you wish to change plans, you can only do so during Medicare’s annual enrollment period each year between October 15 and December 7.

IUHR 10/2019

For more information about this notice or your current medical plan coverage:

Please call IU Human Resources 1-812-856-1234.

NOTE: You will receive this notice annually and at other times in the future such as before the next period you can enroll or change Medicare prescription drug coverage. You also may request a copy.

For more information about your options under Medicare prescription drug coverage:

More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare & You” handbook from Medicare. This handbook is typically mailed every year from Medicare. You may also be contacted directly by Medicare-approved prescription drug plans. For more information about Medicare prescription drug plans:

• Visit www.medicare.gov • Call your State Health Insurance Assistance Program (see your copy of the Medicare & You handbook for their

telephone number) for personalized help,• Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

For people with limited income and resources, extra help paying for Medicare prescription drug coverage is available. Information about this extra help is available from the Social Security Administration (SSA) online at www.socialsecurity.gov, or you may call them at 1-800-772-1213 (TTY 1-800-325-0778).

Date: October 1, 2019 Name of Entity/Sender: Indiana UniversityContact: IU Human Resources Address: 400 East Seventh Street E165, Bloomington, IN 47405-3805 Phone Number: (812) 856–1234Email: askhr@iu.edu

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