Medicare Eligible Retirees. The Employer recognizes that enrollment in Social Security and Medicare are personal decisions. However, the parties recognize that certain events may affect an employee’s eligibility for a HSA, and that the employee is solely responsible for their HSA eligibility. For those employees who carried the County’s health insurance at the time of retirement, Calumet County will provide an annual (calendar year) Medical Expense Reimbursement Plan (MERP) benefit to retirees upon said retiree's attainment of age 65 and enrollment in Social Security including Medicare.
Medicare Eligible Retirees. In order to maintain eligibility for the City retiree insurance contribution, each eligible retiree and eligible dependent(s) shall enroll in Medicare Parts A and B immediately after becoming eligible for such benefits. Medicare retirees may elect to participate in a City-sponsored Medicare medical plan or purchase an individual Medicare medical plan. Medicare retirees who have enrolled in Parts A and B after becoming eligible for such benefits may elect to participate in a City-sponsored Medicare medical plan without restriction to the amount of time the retiree has waived a City-sponsored medical plan. Medicare retirees may only enroll on their City-sponsored Medicare medical plan a Medicare eligible dependent(s) who has enrolled in Parts A and B. Medicare retirees who are eligible for Medicare Parts A and B and who elect to purchase an individual medical plan shall only be reimbursed the cost of the individual premiums associated with a Medicare Advantage, Medicare Supplemental, and/or Medicare Prescription Drug plan up to their eligible City contribution.
Medicare Eligible Retirees. Except for employees that receive a Retiree Medical Savings account and annual contributions therein, all employees who meet the age and service requirements under Normal Retirement and who become eligible for Medicare or its successor shall apply for Medicare Part’s A and B or its successors, at the retiree’s expense. The City will provide additional coverage comparable to that of active employees at its discretion. At its discretion, the City reserves the right to change carriers and the coverage level under these plans. If the retiree and/or spouse is eligible for Medicare and fails to make application for Medicare coverage, then the City shall not pay any greater premium than would have been paid had the retiree and/or spouse received Medicare. The retiree shall reimburse the City for any excess premiums paid. Beginning in the month the retiree or spouse reaches age sixty-five (65) or the date one or both are eligible and receive Medicare, whichever comes first, the retiree and spouse may choose coverage under one of the Health Maintenance Organization Plans, or shall be provided supplemental Blue Cross-Blue Shield coverage at the level determined by the City. If neither the retiree nor spouse is eligible for Medicare coverage, then the same pro rata premium payments shall continue as set forth in Section A. If the retiree and/or spouse is eligible for Medicare and fails to make application for Medicare coverage, then the City shall not pay any greater premium than would have been paid had the retiree and/or spouse received Medicare. The retiree shall reimburse the City for any excess premiums paid.
Medicare Eligible Retirees. Effective January 1, 2016 the Company will make an annual retiree medical contribution to a health care reimbursement account for each Medicare Eligible Retiree. The Retiree will use the money allocated to his or her account to purchase fully insured coverage under an individual plan to supplement coverage under Medicare. The Retiree may choose among several options including Medicare Supplement, Medicare Advantage, and Medicare Part D plans offered on a private exchange. The health care reimbursement account plan is set forth in one or more separate documents from this Agreement and is incorporated by reference into this Agreement. All rights are determined by the terms of the health care reimbursement account plan and the plan document(s) for the individual plan selected by the Retiree. The annual Company contribution on behalf of each Medicare Eligible Retiree will be based upon his or her combined years of continuous service with Maine Public Service, Bangor Hydro, and/or Emera Maine. The annual Company contribution schedule for Medicare Eligible Retirees shall be as follows: 2016 0000 0000 0000 0000 Annually Annually Annually Annually Annually <20 Years of Service $0 $0 $0 $0 $0 20 to 24 Years of Service $1,150 $1,172 $1,194 $1,216 $1,238 25 to 29 Years of Service $1,533 $1,562 $1,592 $1,621 $1,650 30 or More Years of Service $2,300 $2,344 $2,388 $2,431 $2,475 Retiree Health Reimbursement Account (RRA) Types of reimbursable health care expenses: Eligible health care expense means an expense incurred by a participant or by a participant’s spouse for medical care as defined in Code Section 213(d) and the rules, regulations and Internal Revenue Service interpretations, including premiums for health care insurance coverage and premiums for long-term care insurance coverage. Examples of expenses that can be reimbursed under this plan include deductibles, co-pays, hospital bills, prescriptions, dental expenses, vision expenses and health insurance premiums.
Medicare Eligible Retirees. Medicare "Carve Out" Plan. Retirees shall be eligible to remain in the District's health insurance group and purchase a Medicare "carve out" health insurance plan which, when combined with Medicare benefits, will match the health insurance benefits negotiated for active members of the bargaining unit. The rates for the "carve out" plan shall be determined by the District. In order to be eligible to participate in the "carve out" plan, the employee must have been a participant in the group plan at the time the employee becomes eligible for Medicare. This participation requirement can be satisfied in one of two ways: (a) by an employee who is an active participant in the District's plan and who retires at or beyond becoming eligible for Medicare; or (b) by an employee who is an active participant in the District's plan, who retires prior to reaching the age of Medicare eligibility and who is eligible to continue in the plan until eligible for Medicare under 7.1.2 (A) or by purchasing continuation coverage. A retiree's spouse who has not yet attained Medicare eligibility at the time the retiree reaches Medicare eligibility may continue to participate in the District's plan for active employees until he/she reaches the age of Medicare eligibility and is then eligible for coverage under the "carve out" plan. The purchase of the "carve out" plan shall not require proof of insurability. If a lapse in coverage occurs under the "carve out" plan for any reason, the retiree will not be eligible or permitted to re-enroll in the plan. Premium payments for coverage under the "carve out" plan shall be made to the Business Office thirty (30) days in advance.
Medicare Eligible Retirees. Except for employees that receive a Retiree Medical Savings account and annual contributions therein, all employees who meet the age and service requirements under Normal Retirement and who become eligible for Medicare or its successor shall apply for Medicare Part’s A and B or its successors, at the retiree’s expense. The City will provide additional coverage comparable to that of active employees at the level determined by the City. At its discretion, the City reserves the right to change carriers and the coverage level under these plans. If the retiree and/or spouse is eligible for Medicare and fails to make application for Medicare coverage, then the City shall not pay any greater premium than would have been paid had the retiree and/or spouse received Medicare. The retiree shall reimburse the City for any excess premiums paid. At the death of the retiree, coverage shall continue to a spouse who is a beneficiary under one of the City’s retirement systems subject to the provisions of this Section. Coverage to begin in the month spouse receives an annuity. Effective on ratification, for purposes of final average compensation calculations, retro pays will be allocated to the time at which the compensation would have been paid so all employees will be treated equally regardless of separation date.
