2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Complete (PPO) Table of Contents Section 10 How to make a complaint about quality of care, waiting times, customer service, or other concerns....................................................230 Chapter 10: Ending your membership in the plan............................................................... 234 Section 1 Introduction to ending your membership in our plan..........................235 Section 2 When can you end your membership in our plan?............................. 235 Section 3 Until your membership ends, you must keep getting your medical items, services and drugs through our plan.........................................235 Section 4 We must end your membership in the plan in certain situations.......236 Chapter 11: Legal notices....................................................................................................238 Section 1 Notice about governing law...................................................................239 Section 2 Notice about non-discrimination...........................................................239 Section 3 Notice about Medicare Secondary Payer subrogation rights............ 239 Section 4 Third party liability and subrogation..................................................... 239 Section 5 Member liability...................................................................................... 240 Section 6 Medicare-covered services must meet requirement of reasonable and necessary................................................................................................ 241 Section 7 Non duplication of benefits with automobile, accident or liability coverage..................................................................................................241 Section 8 Acts beyond our control........................................................................ 241 Section 9 Contracting medical providers and network hospitals are independent contractors..............................................................................................242 Section 10 Technology assessment........................................................................242 Section 11 Member statements............................................................................... 242 Section 12 Information upon request...................................................................... 242 Section 13 2024 Enrollee Fraud & Abuse Communication................................... 243 Section 14 Commitment of Coverage Decisions....................................................243 Section 15 Renew Active® Terms and Conditions................................................. 243 Chapter 12: Definitions of important words.........................................................................246 QuestionsQuestions?? Call Call CustomCustomer Serviceer Service at at 1-8551-855-873-32-873-326868, TTY , TTY 711711, , 8 a.m.-8 p.m8 a.m.-8 p.m. local time. local time, , Monday-FridayMonday-Friday

UnitedHealthcare PEBB Complete EOC (2024) - Page 6 UnitedHealthcare PEBB Complete EOC (2024) Page 5 Page 7