b'Enrollment2021 Open EnrollmentMedicare plansThe annual Open Enrollment Period for the CTPF healthComplete CTPF Form 350 (included in the center of insurance program runs from October 1 - October 31, 2020.this handbook or download at www.ctpf.org). See the During Open Enrollment, you may enroll in a CTPF healthinstructions in How to Enroll on pages 38-39. The insurance plan for the first time, change a health insuranceAARP Medicare Supplement Plan F (UnitedHealthcare) plan or carrier, exercise your one-time Opt-In option, or addwith Express Scripts Medicare (PDP) for CTPF Medicare a dependent to a health plan.Supplement plan and the Humana Group Medicare HMOChanges made during this period become effective onwith Part D Pharmacy Medicare Advantage plan require January 1, 2021.additional forms.Chicago Public/Charter SchoolReturn all completed enrollment forms and required documentation to CTPF. Forms returned to an insurance COBRA Enrollees carrier will not be processed. If you currently have insurance through your formerEmail or Fax Preferredemployers Consolidated Omnibus Budget ReconciliationDuring the pandemic, we encourage members to submit Act (COBRA) plan and wish to join a CTPF plan in January,forms by fax or email if possible, as U.S. Mail processing you may enroll during Open Enrollment or within 30 days ofmay be delayed. Send forms and documents by fax to COBRA coverage ending. (See page 17) 312.641.7185 or email an attachment (.pdf or .jpg format)to imaging@ctpf.org. Enrollment from a COBRA plan to a CTPF plan is not automatic. Contact CTPF before your COBRA coverage endsU.S. Mailto obtain CTPF plan enrollment information. If you cannot send in forms by fax or email, use the envelope included in the center of this Handbook, and return Enrollment Forms information to:Non-Medicare plans Health Benefits Department Use CTPF Form 350 (included in the center of thisChicago Teachers Pension Fund handbook or download at www.ctpf.org) to enroll in all425 S. Financial Place, Suite 1400 non-Medicare plans.Chicago, IL 60605-1000HEALTH INSURANCE CHECKUPIts important to keep your legal name up-to-date with both the Social Security Administration (SSA) and CTPF. Your legal name is the name on your birth certificate Whats in aunless your name changed due to marriage, divorce, or by legal decree. Even if you do (legal) name? not receive SSA benefits, the SSA supplies Medicare with the name on your Medicare ID card. Make sure you use your legal name when you complete CTPF health insurance forms. Enrollment problems can occur if the name on your Medicare card does not match the name on file with CTPF.8 CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK'