​Eligibility

PSHP and Rx Part D Eligibility Guidelines

PSHP is available to Groups and Members 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.
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ELIGIBLE MEMBERS

Eligible members include:
  1. Retirees/employees age 65 and older enrolled in Medicare Parts A and B. 
  2. Current and surviving spouses or domestic partners at least age 65 and enrolled in Medicare Parts A and B. 
  3. Retirees/employees not eligible for Medicaid
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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)
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5640 W Maple Road
Suite 304
West Bloomfield, MI 48322​
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