Open enrollment for health insurance coverage through the Marketplace begins in October 2013 for coverage starting as early as January 1, 2014.

1. New Health Insurance Marketplace Coverage
Options and Your Health Coverage
PART A: General Information
:
What is the Health Insurance Marketplace?
Can I Save Money on my Health Insurance Premiums in the Marketplace?
Does Employer Health Coverage Affect Eligibility for Premium Savings through the Marketplace?
How Can I Get More Information?
DoD NAF HBP SPD located on www.nafhealthplans.com or
Form Approved
OMB No.
Gloria J. Mick at 210-466-1628 or gloria.j.mick.naf@mail.mil

2. PART B: Information About Health Coverage Offered by Your Employer
3. Employer name 4. Employer Identification Number (EIN)
5. Employer address 6. Employer phone number
7. City 8. State 9. ZIP code
10. Who can we contact about employee health coverage at this job?
11. Phone number (if different from above) 12. Email address
US Army NAF Employee Benefits Office 75-1744396
ATTN: IMCOM, G9-HRB, 2455 Reynolds Rd. 210-466-1628
Joint Base San Antonio Fort Sam Houston TX 78234-7588
Gloria J. Mick
gloria.j.mick.naf@mail.mil
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Active Employees: You are eligible for the Plan if you are a regular full-time or part-time civilian employee who meets
the eligibility requirements outlined in the SPD located on www.nafhealthplans.com.
Retired Employees: You may be eligible to continue participation in the Plan after you retire. To be eligible for
post-retirement coverage, you must meet the requirements outlined in the SPD located on www.nafhealthplans.com
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Your spouse (including a common-law husband or wife in a state that recognizes common-law marriages) or your
domestic partner, and your children to age 26. More detailed information regarding eligible dependents can be found in
the SPD located on www.nafhealthplans.com
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