b'EnrollmentOpen Enrollment Return all completed enrollment forms and required documentation to CTPF. Forms returned to an insurance The annual Open Enrollment Period for the CTPF healthcarrier will not be processed. insurance program runs from October 1 - October 31, 2023. During Open Enrollment, you may enroll in a CTPF healthEmail or Fax Preferredinsurance plan for the first time, change a health insuranceCTPF encourages members to submit forms by fax or plan or carrier, exercise your one-time Opt-In option, or addemail if possible. Send forms and documents by fax to a dependent to a health plan.1-312-641-7185 or email an attachment (.pdf or .jpg format)to imaging@ctpf.org. Changes made during this period become effective on January 1, 2024.U.S. MailIf you cannot send in forms by fax or email, use the envelope Enrollment Forms included in the center of this Handbook, and return information to:Complete CTPF Form 350 (included in the center of thisHealth Benefits Department handbook or download at www.ctpf.org). The AARPChicago Teachers Pension Fund Medicare Supplement Plan F (UnitedHealthcare) with425 S. Financial Place, Suite 1400 Express Scripts Medicare (PDP) for CTPF MedicareChicago, IL 60605-1000Supplement plan and the Humana Group Medicare HMOwith Part D Pharmacy Medicare Advantage plan requireCOBRA Enrolleesadditional forms. See the instructions in How to Enroll on the plan charts. Members who are Medicare eligible are not eligible for You must provide proof of Medicare enrollment beforeCOBRA. If you have questions, please review the Non-enrolling in a CTPF health insurance plan. Acceptable proofMedicare handbook online at www.ctpf.org.includes:ID Cardsa copy of the Medicare card, or Health plan enrollees receive health insurance ID cards by mail an award letter with Medicare number from the Social directly from their health insurance plan provider. ID cards are Security Administration verifying enrollment with normally issued at the time of enrollment or when a health plan effective dates. change is made. If you need a replacement card, contact your health insurance plan provider directly. You can find contact information in the back of this handbook.HEALTH 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.CTPF 2024 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2024 MEDICARE HEALTH INSURANCE HANDBOOK 5'