Resources

You’ll need to reach out to both Ask HR and Fidelity whenever your name, address, or Social Security number changes. It’s a two-step process, but it keeps everything in sync.

• Ask HR: Email AskHR@levi.com or call +1-844-474-5384
• Fidelity: Call +1-800-354-6560

Si quisiera hablar con alguien en español, por favor llame al +1-844-474-5384.

If you need a new ID card, just give your medical plan provider a call:

• UnitedHealthcare: +1-866-204-1923
• Kaiser: +1-800-464-4000
• Aetna: +1-800-628-8793

Keep your beneficiaries current so your insurance goes to your intended loved ones.

Here’s how:

• 1. Complete the Beneficiary Designation form [link to beneficiary PDF]
• 2. Email the completed form to AskHR@levi.com or call +1-844-474-5384

Call Ask HR at +1-844-474-5384 anytime to report life-changing events like divorce, a dependent losing coverage, or a death. Keep in mind: Some life changes might affect your retirement benefits, so it’s smart to contact both Ask HR and Fidelity (+1-800-354-6560).

Yes, you have options depending on your situation.

Waiving your coverage:

You can waive retiree coverage, with the opportunity to elect coverage at a later time. Your dependents’ coverage is also waived. This is a one-time opportunity to waive coverage.

You must waive your LS&Co. health benefits if you take another job with group health benefits. Contact Ask HR as soon as possible. To reenroll in LS&Co. retiree health benefits after your other coverage ends, notify Ask HR within 31 days of when your other coverage ends.

Ending your coverage completely:

You can end coverage for yourself and your dependents anytime, for any reason. Keep in mind: Coverage for your dependents will also end, and you won’t be able to reenroll in the LS&Co. retiree health plan. Contact Ask HR at +1-844-474-5384 for details.

Yes, you can terminate your coverage anytime for any reason. Just know you won’t be able to reenroll in LS&Co. supplemental life coverage later.

There are two ways to pay for your coverage:

Pension deduction:

Your contribution can be deducted from your monthly pension check. You’ll get a letter about the amount and due date for your premiums before your first pension check arrives. Note: Your first premium can’t be deducted from your pension, so you’ll receive a one-time bill from Inspira Financial.

Make checks payable to Inspira Financial and send to:

Inspira Financial Health, Inc.
Benefits Billing Department
P.O. Box 953374
St. Louis, MO 63195-3374

Call Inspira Financial customer service at +1-888-678-8242 for details.

Note: Inspira Financial direct bill in certain situations

If you defer your pension or your pension doesn’t cover your contribution, you’ll receive a monthly bill from Inspira Financial. Same mailing address and contact info as above.

Call Fidelity at +1-800-354-6560 to set up direct deposit for your pension.

While you’re at it, Fidelity can also help you with:

• Reporting a change of address, tax withholding status, forgery, or death
• Requesting a duplicate 1099-R (IRS form)
• Verifying your pension

Call Fidelity at +1-800-354-6560 to request a replacement.

Call Fidelity at +1-800-354-6560 to obtain verification of your pension.

Call Fidelity at +1-800-354-6560. They’re your resource for questions about these plans.

Call Fidelity at +1-800-354-6560 and ask for your 1099-R.

Your 1095-C will be mailed to the address we have on file for you. If it doesn’t arrive, contact Ask HR at +1-844-474-5384.

Call Fidelity at +1-800-354-6560 to adjust the amount of your tax withholdings.

Once you turn 65, you’ll need to enroll in Medicare, or you’ll have no medical coverage. Your LS&Co. retiree medical coverage ends on the last day of the month before your 65^th birthday. You are eligible to enroll in Medicare six months prior to and six months following your 65^th birthday. It’s best to apply early to ensure coverage.

Yes. To ensure you have continuous prescription coverage, LS&Co. automatically enrolls UHC medical plan participants in prescription coverage through Optum Rx when you (or eligible dependents) turn 65. This gives you time to explore your options and decide what works best for you. You can waive or terminate this automatic prescription coverage at any time.

You automatically receive a Medicare application when applying for Social Security benefits. If you decide to defer your Social Security benefits, initiate your Medicare enrollment with Social Security by phone or online.

• Medicare online or call +1-800-MEDICARE
• Social Security Administration online or call +1-800-772-1213

Yes. LS&Co. has partnered with Allsup Benefits Coordination to help you find the best, most cost-effective health insurance options. [Link to Allsup content on site]

As part of the LS&Co. family, you have access to generous savings across our brands, including special discounts on Levi’s and Beyond Yoga products, available both in-store and online. You can stack your savings with extra discounts on sale items, and family members shopping with you receive the same benefits.

• In store: Provide your retiree ID number at checkout
• Online at Levi.com: Email Retirees@Levi.com to link your discount to your account
• Beyond Yoga: Create an account at beyondyoga.com/pages/employee-area using secure key: Spacedye1906