You can choose to pay your monthly cost for coverage by:

• Automatic after-tax deduction from your monthly pension check if you elect to begin your benefit right after you retire and the check amount is sufficient to cover the cost of your medical coverage (this option is not available if you choose to have your pension benefit paid to you in a single lump-sum cash payment).
• Automatic funds transfer from a checking or savings account
• Check or money order that you need to mail to the Rockwell Automation Service Center each month. You will get a bill in the mail if you choose this option.

NOTE: If you have an existing HSA balance, it may be used for eligible health expenses even after you stop contributing. For example, you may use the money in your HSA to pay your share of the cost for retiree medical coverage and out-of-pocket medical expenses. For a complete list of HSA-eligible expenses, request a copy of the IRS Publication 502 by calling 1.800.829.3676 or by visiting the IRS website and clicking on “Forms and Instructions.”