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What Happens To Your Current Coverage If You Decide For More Information About Your Options Under
to Join A Medicare Drug Plan? Medicare Prescription Drug Coverage…
If you decide to join a Medicare drug plan, your current More detailed information about Medicare plans that offer
Chesapeake energy Corporation coverage will not be prescription drug coverage is in the “Medicare & You”
affected. For a description of the Chesapeake energy handbook. You’ll get a copy of the handbook in the mail every
Corporation Prescription Drug Coverage, please see the Drug year from Medicare. You may also be contacted directly by
Benefits section in the Summary Plan Description. Medicare drug plans.
If you do decide to join a Medicare drug plan and drop For more information about Medicare prescription drug
your current Chesapeake energy Corporation coverage, be coverage:
aware that you and your dependents will be able to get this
coverage back. n Visit www.medicare.gov
When Will You Pay A Higher Premium (Penalty) To Join A n Call your State Health Insurance Assistance Program (see
Medicare Drug Plan? the inside back cover of your copy of the “Medicare & You”
handbook for their telephone number) for personalized
You should also know that if you drop or lose your current help
coverage with Chesapeake energy Corporation and don’t join
a Medicare drug plan within 63 continuous days after your n Call 1-800-MeDICARe (1-800-633-4227). TTY users should
current coverage ends, you may pay a higher premium (a call 1-877-486-2048.
penalty) to join a Medicare drug plan later. If you have limited income and resources, extra help paying
If you go 63 continuous days or longer without creditable for Medicare prescription drug coverage is available. For
prescription drug coverage, your monthly premium may go up information about this extra help, visit Social Security on the
by at least 1% of the Medicare base beneficiary premium per web at www.socialsecurity.gov, or call them at
month for every month that you did not have that coverage. 1-800-772-1213 (TTY 1-800-325-0778).
For example, if you go nineteen months without creditable Remember: keep this Creditable Coverage notice. If you
coverage, your premium may consistently be at least 19% decide to join one of the Medicare drug plans, you may
higher than the Medicare base beneficiary premium. You may be required to provide a copy of this notice when you join
have to pay this higher premium (a penalty) as long as you to show whether or not you have maintained creditable
have Medicare prescription drug coverage. In addition, you coverage and, therefore, whether or not you are required to
may have to wait until the following october to join. pay a higher premium (a penalty).
For More Information About This Notice Or Your Current Date: 09/20/2016
Prescription Drug Coverage… Name of entity/Sender: Chesapeake energy Corporation
Contact the person listed below for further information or call Contact--Position/office: Human Resources
Chesapeake Benefits Service Center at 844-730-8906. Address: 6100 N. Western Avenue
oklahoma City, oK 73118
NOTE: You’ll get this notice each year. You will also get it Phone Number: 877-777-4068
before the next period you can join a Medicare drug plan,
and if this coverage through Chesapeake energy Corporation
changes. You also may request a copy of this notice at any
time. CMS Form 10182-CC

2017 ToTal RewaRds Guide 39