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Future medical expenses ........................................................................................................................................................ 145 General provisions ......................................................................................................................................................................... 145 What you need to know: your rights and responsibilities ...................................................................................... 145 Relationship to Blue Cross and Blue Shield Association .......................................................................................... 149 Right to receive and release needed information ...................................................................................................... 149 Right of recovery ....................................................................................................................................................................... 149 Limitations on liability ............................................................................................................................................................. 149 Governing law ............................................................................................................................................................................. 150 Anti-assignment ......................................................................................................................................................................... 150 No waiver ...................................................................................................................................................................................... 150 Acronyms ........................................................................................................................................................................................... 151 Eligibility and enrollment ........................................................................................................................................................... 152 Eligibility for subscribers and dependents ..................................................................................................................... 152 Enrollment for subscribers and dependents ................................................................................................................. 153 Medicare eligibility and enrollment .................................................................................................................................. 156 When medical coverage begins .......................................................................................................................................... 156 Making changes ......................................................................................................................................................................... 158 When medical coverage ends .............................................................................................................................................. 163 General provisions for eligibility and enrollment ....................................................................................................... 166 Eligibility and enrollment for a retiree or survivor .......................................................................................................... 167 Eligibility for subscribers and dependents ..................................................................................................................... 167 Enrollment for subscribers and dependents ................................................................................................................. 169 Medicare eligibility and enrollment .................................................................................................................................. 171 When medical coverage begins .......................................................................................................................................... 172 Making changes ......................................................................................................................................................................... 173 When medical coverage ends .............................................................................................................................................. 178 General provisions for eligibility and enrollment ....................................................................................................... 180 Definitions ......................................................................................................................................................................................... 181 Disclosures ......................................................................................................................................................................................... 205 12 2024 UMP Classic (PEBB) Certificate of Coverage

UMP Classic COC (2024) - Page 13 UMP Classic COC (2024) Page 12 Page 14