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</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<h1><span style="font-size:12.0pt;line-height:105%;font-family:"Arial",sans-serif"><img width="240" height="37" id="Picture_x0020_2" src="cid:image001.png@01D8234D.65732AD0"></span></h1>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">February 16, 2022<o:p></o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="0" style="width:481.5pt;margin-left:-4.5pt;border-collapse:collapse">
<tbody>
<tr>
<td width="54" valign="top" style="width:40.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">UCR Emeriti & Retirees<o:p></o:p></span></p>
</td>
<td style="border:none;padding:0in 0in 0in 0in" width="37">
<p class="MsoNormal"> </p>
</td>
</tr>
<tr>
<td width="54" valign="top" style="width:40.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">UCR Benefits Office on Behalf of UC Office of the President (UCOP)<o:p></o:p></span></p>
</td>
<td style="border:none;padding:0in 0in 0in 0in" width="37">
<p class="MsoNormal"> </p>
</td>
</tr>
<tr>
<td width="54" valign="top" style="width:40.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;line-height:normal">
<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:5.05pt;line-height:normal">
<span style="font-family:"Arial",sans-serif">Navitus – Late Enrollment Penalty Communication Sent to Members<o:p></o:p></span></p>
</td>
<td style="border:none;padding:0in 0in 0in 0in" width="37">
<p class="MsoNormal"> </p>
</td>
</tr>
<tr>
<td width="642" colspan="3" valign="top" style="width:481.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;line-height:110%">
<span style="font-family:"Arial",sans-serif">Navitus mailed the annual notification regarding late enrollment penalties (LEP) to affected Medicare PPO Plan members on January 25, 2022.</span>
<span style="font-family:"Arial",sans-serif">Medicare beneficiaries may incur a late enrollment penalty if there is a continuous period of 63 days or more at any time after the end of the individual's Part D initial enrollment period during which the individual
was eligible to enroll but was not enrolled in a Medicare Part D plan and was not covered under any creditable prescription drug coverage. Please view the four documents below:<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpFirst" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;line-height:110%;mso-list:l7 level1 lfo12">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Yearly Change to LEP Amount:
</span><a href="https://retirees.ucr.edu/document/yearly-change-lep-amount"><span style="font-family:"Arial",sans-serif">https://retirees.ucr.edu/document/yearly-change-lep-amount</span></a><span style="font-family:"Arial",sans-serif">.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;line-height:110%;mso-list:l7 level1 lfo12">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">LEP Billing Letter:
</span><a href="https://retirees.ucr.edu/document/lep-billing-letter"><span style="font-family:"Arial",sans-serif">https://retirees.ucr.edu/document/lep-billing-letter</span></a><span style="font-family:"Arial",sans-serif">.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;line-height:110%;mso-list:l7 level1 lfo12">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">2022 LEP Reconsideration Form:
</span><a href="https://retirees.ucr.edu/document/2022-lep-reconsideration-form"><span style="font-family:"Arial",sans-serif">https://retirees.ucr.edu/document/2022-lep-reconsideration-form</span></a><span style="font-family:"Arial",sans-serif">.<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;line-height:110%;mso-list:l7 level1 lfo12">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Navitus Sample Invoice:
</span><a href="https://retirees.ucr.edu/document/navitus-sample-invoice"><span style="font-family:"Arial",sans-serif">https://retirees.ucr.edu/document/navitus-sample-invoice</span></a><span style="font-family:"Arial",sans-serif">.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;line-height:110%">
<span style="font-family:"Arial",sans-serif"><br>
Members who were assessed the LEP for the first time in 2022 were sent the 2022 LEP Reconsideration Form. The Navitus Sample Invoice was scheduled to mail the week of February 7, 2022 which included penalty amounts for the months of January 2022 and February
2022. Members are reminded to continue paying Anthem Blue Cross penalty amounts for 2021.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:0in;margin-left:0in;margin-bottom:.0001pt;line-height:110%">
<b><span style="font-family:"Arial",sans-serif;color:#1F4E79">For any questions or assistance<o:p></o:p></span></b></p>
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</span></span></span><![endif]><b><span style="font-family:"Arial",sans-serif;color:#1F4E79">Navitus MedicareRx Customer Care:
</span></b><span style="font-family:"Arial",sans-serif">Inquiries related to the LEP may be addressed to the Navitus MedicareRx Customer Care team at 1-866-270-3877 or by visiting their website at
</span><a href="https://medicarerx.navitus.com/"><span style="font-family:"Arial",sans-serif">https://medicarerx.navitus.com/</span></a><span style="font-family:"Arial",sans-serif">.<b><span style="color:#1F4E79"><o:p></o:p></span></b></span></p>
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<b><span style="font-family:"Arial",sans-serif;color:#1F4E79"><o:p> </o:p></span></b></p>
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</span></span></span><![endif]><b><span style="font-family:"Arial",sans-serif;color:#1F4E79">UCR Health Care Facilitator Program:</span></b><span style="font-family:"Arial",sans-serif"> UCR retirees and emeriti receiving the LEP notice may contact UCR's Health
Care Facilitator for assistance with obtaining proof of ongoing coverage and guidance for submitting documentation to appeal and recall the late penalty charge. You may reach your UCR Health Care Facilitator at (951) 827-2636 or at
</span><a href="mailto:benefits@ucr.edu"><span style="font-family:"Arial",sans-serif">benefits@ucr.edu</span></a><span style="font-family:"Arial",sans-serif">.
<b><span style="color:#1F4E79"><o:p></o:p></span></b></span></p>
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