​Eligibility

PSHP and Rx Part D Eligibility Guidelines

Contact Us

PSHP is available to sponsoring employers located in 44 states, and to covered members residing in all 50 states.

ELIGIBLE GROUPS

• Eligible groups include Corporations (C or S); Proprietorships; Partnerships; Unions; Government entities (Schools, municipalities, etc.); Non-profit organizations. All entities must have a Federal Tax ID Number.

​
ELIGIBLE MEMBERS

Eligible members include:

1. Retirees age 65 and older enrolled in Medicare Parts A & B in any size employer group.
2. Actives age 65 and older (also enrolled in Medicare Parts A & B) in an employer group with fewer than 20 total full and part-time actives of all ages.
3. Current and surviving spouses or domestic partners at least age 65 and enrolled in Medicare Parts A and B. 
4. Retirees/employees not eligible for Medicaid

​
Eligible members may enroll in PSHP at:

1. Plan inception
2. Within 30 days of retirement
3. Upon aging-in to Medicare

ENROLLMENT PROCESS

Sponsoring Entity will need to complete the following: 

1. Employer Participation Agreement, 
2. United American Insurance Company Application 
3. New Group Information Form 
4. Companion Life Application for Supplemental Prescription Drug Expense Insurance. (Retiree only)

(888) 344-2522​
5640 W Maple Road
Suite 304
West Bloomfield, MI 48322​
Click Here to Email Us