Medicare and the UUA Health Plan

Logo for UUA Health Plan.

The Unitarian Universalist Association (UUA) Health Plan offers a Medicare Supplement policy for qualified age 65+ retirees and for age 65+ active employees. For qualified retirees, there are no special requirements other than being enrolled in Medicare parts A and B. For active 65+ employees, the situation is somewhat more complicated

Medicare makes a distinction between employers who have more than 20 employees versus small employers who have fewer than 20 employees.

Congregations with More Than 20 Employees

UUA Health Plan participants must stay on their current Standard PPO Plan or High Deductible Plan. Their congregation's PPO plan is their primary coverage, and there is no eligibility (and no need) for a Medicare Supplement plan.The employee would still have Medicare part A, but Medicare would pay AFTER their employer's PPO plan.The employee could enroll in Medicare part B, but they are not required to do so while still actively employed, and there is little financial advantage to doing so.

Congregations with Fewer Than 20 Employees

Active 65+ UUA Health Plan participants would have Medicare part A automatically, would elect Medicare part B, and could sign up for our Medicare Supplement Plan (which provides Plan F benefits). In this case, Medicare would pay FIRST (or "primary") and the UUA Medicare Supplement would pay SECOND. To do this legally under Medicare rules, participants must follow a few easy steps:

  • Their congregation must sign a Medicare Waiver Form, which they can request by contacting This form must be completed PRIOR TO coverage becoming effective.
  • Participants currently on the UUA Health Plan must email to inform the Health Plan Coordinator that they wish to change their coverage to the Medicare Supplement Plan.
  • If an employee is not currently a UUA Health Plan participant, they may sign up for the Medicare Supplement via our Online Enrollment Form and state that their "qualifying event" is "loss of other coverage."
  • Medicare Supplement Plan F (PDF)