If either you or your spouse/domestic partner is Medicare-eligible but the other is not, it’s important to understand eligibility and how coverage works.

Younger than age 65

• Eligibility continues under the Plan.
• Pre-65 retiree medical coverage information is briefly highlighted on this Benefits Made Right site.
• For assistance, call the Mondelēz International Benefits Center at 1-800-887-8807 (Option 1 – Benefits; Option 1 – Health & Welfare Benefits). Representatives are available Monday through Friday, 7:00 a.m. to 6:00 p.m. (Central Time).

Medicare-eligible at age 65

• Eligibility under the Plan ends once an individual becomes eligible for Medicare at age 65.
• Medicare-eligible individuals can choose coverage from a variety of medical and prescription drug plans through the Post-65 Via Benefits Exchange—our partner in offering access to these coverages. The Post-65 Via Benefits Exchange can provide more information and confirm whether you’re eligible for Company funding toward your post-65 health care costs through a retiree Health Reimbursement Arrangement.
• For assistance, access the Via Benefits website or contact the Post-65 Via Benefits Exchange at 1-866-201-0758. Representatives are available Monday through Friday, 7:00 a.m. to 8:00 p.m. (Central Time).

If you’re a former employee who’s considered disabled for purposes of the LTD Plan, you may have Company-sponsored medical coverage under the Plan. As a result, you have the opportunity to review and make changes to your current coverages during the Annual Enrollment period. To confirm your eligibility, contact the Mondelēz International Benefits Center at 1-800-887-8807 (Option 1 – Benefits; Option 1 – Health & Welfare Benefits).

As an eligible disabled former employee, the Company provides your coverage under the Plan—regardless of your age and service on the day your employment terminates. As long as you’re considered disabled for LTD Plan purposes:

• You remain eligible for coverage under the Plan—even if you’re older than age 65 and Medicare-eligible.
• Your eligible spouse/domestic partner (if applicable), as well as your otherwise eligible dependents, continue to be eligible for coverage under the Plan—even if they’re older than age 65 and Medicare-eligible. And, when your eligibility ends (i.e., if your LTD Plan benefits end at age 65), your dependents’ eligibility ends at the same time.
• The Company provides you with a subsidy, which you can use toward the cost of your coverage. Your remaining cost depends on the coverage option you elect and who you enroll for coverage. For this reason, it’s important that you carefully evaluate the cost of each option when you elect coverage.

This Benefits Made Right site includes highlights of your coverage and how to access MyBenefits Online for additional coverage-related details.

If you need assistance, you can always contact the Mondelēz International Benefits Center at 1-800-887-8807 (Option 1 – Benefits; Option 1 – Health & Welfare Benefits). Representatives are available Monday through Friday, 7:00 a.m. to 6:00 p.m. (Central Time).

Your child is eligible for coverage, up to age 26, provided he or she is your (or your spouse's or domestic partner's):

• Biological child
• Stepchild
• Foster child
• Legally adopted child, or child placed in your and your spouse's (or your and your domestic partner's) home for legal adoption
• Child for whom adoption procedures have started
• Child for whom a court has appointed you (or your spouse or domestic partner) as the legal guardian
• Child for whom you (or your spouse or domestic partner) have been ordered to cover through a Qualified Medical Child Support Order (QMCSO)

To be eligible for coverage, your spouse's or domestic partner’s child also must be primarily dependent on you (or your spouse or domestic partner) for more than one-half of his or her support and live with you (or your spouse or domestic partner) for more than one-half of the calendar year.

You're responsible for ensuring that each individual you enroll for coverage under the Plan meets the Plan's eligibility requirements at all times. See the "Your Guide to the Mondelēz Global LLC Retiree Health and Life Benefits Plan" and the SPDs and other documents for specific eligibility requirements (access these documents in the Reference Center on MyBenefits Online).

Proof of eligibility, including a Social Security Number if you’re enrolling your dependent via MyBenefits Online, will be required within 90 days after enrollment. If your dependent doesn't have a Social Security Number, you'll need to call the Mondelēz International Benefits Center at 1-800-887-8807 (Option 1 - Benefits; Option 1 - Health & Welfare Benefits) to add your dependent.

Any misrepresentations or inaccurate information you provide could result in loss of coverage. And, if you cover an individual who isn’t eligible, you may be required to reimburse the Plan for any expense incurred as a result of covering the ineligible individual.