All hourly UAW represented employees at Fort Wayne Assembly should pay special attention to the following information on dependent eligibility within our health care program. What does that mean to you? You may have some changes in your household that make it important for you to make dependent additions or delete someone who is no longer eligible to be on your insurance. Since the General Motors Health Care program for hourly employees provides medical coverage for our families. They (GM) have the final authority to determine eligibility with the insurance program. Remember what GM always says; Primary employees are liable for costs, fees, and expenses incurred by General Motors if any dependent is determined to be ineligible. All hourly primary enrollees (that’s you, the member) involved with the GM health care program need to ask themselves who their dependents are. Your review of this record could save you a lot of pain and money. GM holds the database of this information in their current company records. They would access this information by entering your Social Security number. In order to enroll, or maintain enrollment for dependents, primary enrollees (that’s you) are required to provide Social Security numbers for all dependents using the insurance program under your name and Social Security number. For you to add someone (a dependent) to the program the company requires you to provide documentation to establish eligibility for the program. For you to remove someone from the program, as they are no longer eligible to be covered by your insurance, that responsibility falls on you the primary enrollee.

Examples of the documentation needed to prove eligibility or un-enroll someone include (but are not limited to):

• Marriage Certificate

• Birth certificate

• Adoption or Guardianship papers

• Divorce decree

• Information from the IRS or Social Security Administration

• Court orders affecting paternity and health care responsibility, such as a Qualified Medical Child Support Order (QMCSO)

• Proof of citizenship or U.S. residency

GM does not know when your divorce is final, when your kids move out, or the passing of a dependent of any kind. The responsibility falls directly on you the primary enrollee. You are in charge of updating your records with the company. Every year the Corporation finds errors in the records of hourly and salaried employees enrolled in the health care program. Should they (GM) find your records (through maybe an audit) in error, any of a number of unpleasant things may happen to you as a result. Based on this we ask all primary enrollee’s (that’s you) to please review his or her records to see that everyone you are claiming as a dependent under the GM Health Care Program is in fact eligible to be covered. The categories of eligible dependents are listed below: The Spouse - of an eligible and enrolled hourly employee or retiree is an eligible dependent. A surviving spouse may not add a new spouse. Eligibility for a Dependent Child Relationship – the child must be the primary enrollee’s child, stepchild, or a child in the process of being adopted. A surviving spouse generally may not add children to the coverage after the deceased employee’s, or retiree’s death. Marital status – the child must not be married. Age – under the age of 25 unless they have a total and permanent disability that was medically determined prior to the end of the calendar year in which the child attains age 25. Residency – the child must reside with the primary enrollee as a member of such person’s household (a child temporarily away from home while attending school is considered a member of the household). If not a member of the household, the employee or retiree must be legally responsible for the provision of health care for the child (divorce decree, an order of the court, a paternity order or a QMCSO). Dependency – the child must be dependent on the primary enrollee, meaning that the primary enrollee must be able to legally claim an exemption for such child with the IRS. Principally Supported Children – are eligible if they are related to the primary enrollee by blood or marriage and meet all other requirements for eligibility of children as defined in the program.

As always, if you have a question, we urge you to stop by the UAW benefits office at the plant or call 2339,2540, 2596. (From outside just add the prefix 673- when calling into the plant) National Benefits Center 1-800-828-9636

Any change to your benefits has to go through that 800 #.