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511 Main Street, 2nd Floor
Clifton Forge, Virginia 24422

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From the New York Times published: November 2, 1897
Medical Care for Employes
Hospital Association of the Chesapeake and Ohio Road Formed.

The Hospital Association of the Chesapeake and Ohio Railway Company has been organized and will begin work at once. A circular letter telling of the plan and scope of the association has been issued.

It is to be managed by a Board of Directors, five of them officers and five employees of the road. The Gladys Inn Hotel, owned by the company, has been turned over to the association free of rental and will be handsomely furnished. Other hospitals will be established soon. All employees will be eligible to admission, whether sick or injured, and will be attended free of cost. All employees will pay small monthly assessments, graded according to their pay. Employes who have not worked fifteen days during the month will be exempt from assessments. The assessments will be deducted from the salaries on payday.

Effective January 1,2019, the C and O Employees Hospital Association no longer covers Active and Retired Non-Medicare members. We are still in business and offer Medicare supplemental plans to our membership.

ATTENTION C AND O EMPLOYEES’ HOSPITAL ASSOCIATION MEDICARE MEMBERS PLAN SEVEN

Please find enclosed the following material:

Coordination of Benefits Questionnaire for 2019

This Form lets us know if you have another insurance carrier (other than Medicare and us). All Medicare members should complete and return this form as soon as possible even if you have no other insurance carrier. We are required by Medicare to have this Form completed annually by our membership.

Notice of Privacy Practices

COEHA recognizes the importance of keeping your personal health information private in compliance with the health information privacy standards issued under the Federal Health Information Portability and Accountability Act ("HIPAA"). This Notice explains our privacy practices.

We are still contracted with Navitus MedicareRx to administer your Medicare Part D Prescription Drug coverage. By now, you should have received your 2019 packet from Navitus. Your premium, deductible and copayments will remain the same. Your monthly premiums will continue to be paid to the C and O Employees’ Hospital Association for both your Medicare Supplemental and Part D Prescription Drug Plan.

If you have any questions, please do not hesitate to give us a call at 1-800-679-9135 or locally at 862-5728. We sincerely appreciate your membership and loyalty to the C and O Employees’ Hospital Association.

ATTENTION C AND O EMPLOYEES’ HOSPITAL ASSOCIATION MEDICARE MEMBERS PLAN TEN

Please find enclosed the following material:

Coordination of Benefits Questionnaire for 2019

This Form lets us know if you have another insurance carrier (other than Medicare and us). All Medicare members should complete and return this form as soon as possible even if you have no other insurance carrier. We are required by Medicare to have this Form completed annually by our membership.

Notice of Privacy Practices

COEHA recognizes the importance of keeping your personal health information private in compliance with the health information privacy standards issued under the Federal Health Information Portability and Accountability Act ("HIPAA"). This Notice explains our privacy practices.

We are pleased to let you know that we have reduced your monthly premium from $210 to $200 per month. Effective January 1, 2019, your premium for our Medicare Supplemental Plan without prescription drug coverage will be $200 per month. If you know of anyone (former CSX employee and/or spouse with Medicare coverage) who may be interested in our coverage, please let them know about us. We sincerely appreciate your membership and loyalty to the C and O Employees’ Hospital Association.

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