Common use of Annuitant Health Care Coverage Clause in Contracts

Annuitant Health Care Coverage. A. For all professional employees who began employment prior to January 16, 2016, the Employer shall allow each professional employee who was eligible as an active professional employee under the PEBTF’s health benefits plan to elect coverage upon retirement in an approved plan under the Annuitant Health Care Program (AHCP). In addition, dependency coverage shall be allowed where the dependents of the annuitant qualify under such AHCP plan. There will be no annuitant health care benefits provided to employees who began employment on or after January 16, 2016. B. Effective July 1, 2004, AHCP benefits for new pre-Medicare eligible retirees shall be those in effect for active State System employees enrolled in the State System of Higher Education Group Health Program (SSHEGHP), and may change from time-to-time as those active employee benefits change. Effective January 1, 2016, AHCP benefits for all future pre- Medicare eligible retirees shall be those in effect for active employees, and will change as active employee benefits change. X. Xxxxxxxx professional employees, who retire after June 30, 2005 and no later than June 30, 2008, and who enroll in the AHCP and are not eligible for Medicare, shall select a health care plan available in the AHCP and shall contribute to the cost of coverage at the dollar amount for their choice of plan that was in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Upon becoming eligible for Medicare, the annuitant shall cease the foregoing contribution and instead pay the same percentage of the Employer’s cost for the Medicare supplement as other employees enrolled in the SSHEGHP are paying for their PPO plan benefits. If an annuitant, who retires after June 30, 2005, but before July 1, 2008, opts to change health plans, he/she shall contribute to the new plan in the same dollar amount that was in effect for that plan as of the date of his/her retirement. X. Xxxxxxxx professional employees who retire after June 30, 2008, and who enroll in the AHCP, shall contribute to the cost of the AHCP at the same dollar amount for the type of contract and choice of plan as that in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Throughout the annuitant’s lifetime while enrolled in the AHCP, the dollar amount paid by the professional employee shall be adjusted whenever the percentage of contributions paid by applicable active full or part-time employees in the SSHEGHP for the same type of contract and choice of plan are adjusted. The new percentage shall be applied to the rate for the type of contract and choice of plan that was in effect on the day of the professional employee’s retirement to determine the new annuitant contribution. For retirements on or after January 1, 2009, this amount shall be based on the percentage of contribution paid by active employees in the SSHEGHP participating in the health care management program. E. If an annuitant who retires after June 30, 2008 opts to change health plans he/she shall contribute to the new plan in the same dollar amount that was being contributed to that type of contract and choice of plan by applicable active full or part-time employees in the SSHEGHP at the time of the professional employee’s retirement, adjusted for any changes occurring since that time in the percentage of contributions paid by applicable active full-time or part-time employees in the SSHEGHP, as described in D. above. X. Xxxxxxxx professional employees who retire after June 30, 2009 and who enroll in the AHCP and are not eligible for Medicare, will have the choice of enrollment in the PPO plan or other approved plan under the AHCP. The AHCP indemnity plan will not be available to pre-Medicare retirees who retire after June 30, 2009. X. Xxxxxxxx professional employees who retire and are covered under the AHCP will be required to enroll in Medicare Part B when they become Medicare eligible in order to continue comprehensive medical coverage. The Employer shall continue to provide the Blue Shield Signature 65 Supplement or equivalent. X. Xxxxxxxxxx who retire under the provisions of (1), (2) or (3) below will be eligible to elect coverage under the AHCP. For purposes of this section, “credited service” for all professional employees who began employment on or after July 1, 1997, shall only include actual service with the State System or the Commonwealth and shall not include other types of service purchasable for retirement credit. 1. Retirement at or after superannuation age (age sixty [60] for Alternative Retirement Plan [ARP]) with at least fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Employees’ Retirement Systems, or ARP, except that (a) a professional employee who leaves State System employment prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age must have twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, (b) a professional employee, who is furloughed prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age during the recall period, must have fifteen (15) or more years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Retirement Systems, or ARP. 2. Disability retirement, which requires at least five (5) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except if a professional employee had previously qualified based on an approved disability retirement, then returns and retires under a normal or early retirement, he or she must retire at or after superannuation age with fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired on or after July 1, 2004) in the State and/or Public School Employees’ Retirement System, or ARP or twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement System, or ARP. For purposes of this subsection, retirement under the ARP shall be considered disability if the retiree meets the same disability retirement standards used by the State Employees’ Retirement System in accordance with the procedures provided for in Article 30. 3. Other retirement with at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except that an employee who leaves State System employment, is subsequently rehired and retires must have at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP. I. It is understood that the references to the types of health plans in this Section shall not restrict the Employer’s right to replace the current insurers/administrators with other insurers/administrators, provided equivalent coverage, benefits, and Employer/professional annuitant contributions are maintained. J. Effective July 1, 2011, provisions of the Pennsylvania State System of Higher Education Annuitant Health Care Program (AHCP) as provided to the non-represented employees on the effective date of this Agreement and any subsequent restructuring of the program after July 1, 2011 will apply to eligible annuitants and/ or future annuitants covered by this Agreement. This section does not include the benefits extended to same-sex domestic partners as provided for in the active employee health benefits program.

Annuitant Health Care Coverage. A. For all professional employees who began employment prior to January 16, 2016, the Employer shall allow each professional employee who was eligible as an active professional employee under the PEBTF’s health benefits plan to elect coverage upon retirement in an approved plan under the Annuitant Health Care Program (AHCP). In addition, dependency coverage shall be allowed where the dependents of the annuitant qualify under such AHCP plan. There will be no annuitant health care benefits provided to employees who began employment on or after January 16, 2016. B. Effective July 1, 2004, AHCP benefits for new pre-Medicare eligible retirees shall be those in effect for active State System PASSHE employees enrolled in the State System of Higher Education Group Health Program (SSHEGHP), and may change from time-to-time as those active employee benefits change. Effective January 1, 2016, AHCP benefits for all future pre- pre-Medicare eligible retirees shall be those in effect for active employees, and will change as active employee benefits change. X. Xxxxxxxx professional employees, who retire after June 30, 2005 and no later than June 30, 2008, and who enroll in the AHCP and are not eligible for Medicare, shall select a health care plan available in the AHCP and shall contribute to the cost of coverage at the dollar amount for their choice of plan that was in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Upon becoming eligible for Medicare, the annuitant shall cease the foregoing contribution and instead pay the same percentage of the Employer’s cost for the Medicare supplement as other employees enrolled in the SSHEGHP are paying for their PPO plan benefits. If an annuitant, who retires after June 30, 2005, but before July 1, 2008, opts to change health plans, he/she shall contribute to the new plan in the same dollar amount that was in effect for that plan as of the date of his/her retirement. X. Xxxxxxxx professional employees who retire after June 30, 2008, and who enroll in the AHCP, shall contribute to the cost of the AHCP at the same dollar amount for the type of contract and choice of plan as that in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Throughout the annuitant’s lifetime while enrolled in the AHCP, the dollar amount paid by the professional employee shall be adjusted whenever the percentage of contributions paid by applicable active full or part-time employees in the SSHEGHP for the same type of contract and choice of plan are adjusted. The new percentage shall be applied to the rate for the type of contract and choice of plan that was in effect on the day of the professional employee’s retirement to determine the new annuitant contribution. For retirements on or after January 1, 2009, this amount shall be based on the percentage of contribution paid by active employees in the SSHEGHP participating in the health care management program. E. If an annuitant who retires after June 30, 2008 opts to change health plans he/she shall contribute to the new plan in the same dollar amount that was being contributed to that type of contract and choice of plan by applicable active full or part-time employees in the SSHEGHP at the time of the professional employee’s retirement, adjusted for any changes occurring since that time in the percentage of contributions paid by applicable active full-time or part-time employees in the SSHEGHP, as described in D. above. X. Xxxxxxxx professional employees who retire after June 30, 2009 and who enroll in the AHCP and are not eligible for Medicare, will have the choice of enrollment in the PPO plan or other approved plan under the AHCP. The AHCP indemnity plan will not be available to pre-Medicare retirees who retire after June 30, 2009. X. Xxxxxxxx professional employees who retire and are covered under the AHCP will be required to enroll in Medicare Part B when they become Medicare eligible in order to continue comprehensive medical coverage. The Employer shall continue to provide the Blue Shield Signature 65 Supplement or equivalent. X. Xxxxxxxxxx who retire under the provisions of (1), (2) or (3) below will be eligible to elect coverage under the AHCP. For purposes of this section, “credited service” for all professional employees who began employment on or after July 1, 1997, shall only include actual service with the State System PASSHE or the Commonwealth and shall not include other types of service purchasable for retirement credit. 1. Retirement at or after superannuation age (age sixty [60] for Alternative Retirement Plan [ARP]) with at least fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Employees’ Retirement Systems, or ARP, except that (a) a professional employee who leaves State System PASSHE employment prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age must have twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, (b) a professional employee, who is furloughed prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age during the recall period, must have fifteen (15) or more years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Retirement Systems, or ARP. 2. Disability retirement, which requires at least five (5) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except if a professional employee had previously qualified based on an approved disability retirement, then returns and retires under a normal or early retirement, he or she must retire at or after superannuation age with fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired on or after July 1, 2004) in the State and/or Public School Employees’ Retirement System, or ARP or twenty-twenty- five (25) years of credited service in the State and/or Public School Employees’ Retirement System, or ARP. For purposes of this subsection, retirement under the ARP shall be considered disability if the retiree meets the same disability retirement standards used by the State Employees’ Retirement System in accordance with the procedures provided for in Article 30. 3. Other retirement with at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except that an employee who leaves State System PASSHE employment, is subsequently rehired and retires must have at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP. I. It is understood that the references to the types of health plans in this Section shall not restrict the Employer’s right to replace the current insurers/administrators with other insurers/administrators, provided equivalent coverage, benefits, and Employer/professional annuitant contributions are maintained. J. Effective July 1, 2011, provisions of the Pennsylvania State System of Higher Education Annuitant Health Care Program (AHCP) as provided to the non-represented employees on the effective date of this Agreement and any subsequent restructuring of the program after July 1, 2011 will apply to eligible annuitants and/ or future annuitants covered by this Agreement. This section does not include the benefits extended to same-sex domestic partners as provided for in the active employee health benefits program.

Annuitant Health Care Coverage. A. For all professional employees who began employment prior to January 16, 2016, the Employer shall allow each professional employee who was eligible as an active professional employee under the PEBTF’s health benefits plan to elect coverage upon retirement in an approved plan under the Annuitant Health Care Program (AHCP). In addition, dependency coverage shall be allowed where the dependents of the annuitant qualify under such AHCP plan. There will be no annuitant health care benefits provided to employees who began employment on or after January 16, 2016. B. Effective July 1, 2004, AHCP benefits for new pre-Medicare eligible retirees shall be those in effect for active State System PASSHE employees enrolled in the State System of Higher Education Group Health Program (SSHEGHP), and may change from time-to-time as those active employee benefits change. Effective January 1, 2016, AHCP benefits for all future pre- pre-Medicare eligible retirees shall be those in effect for active employees, and will change as active employee benefits change. X. Xxxxxxxx C. Eligible professional employees, who retire after June 30, 2005 and no later than June 30, 2008, and who enroll in the AHCP and are not eligible for Medicare, shall select a health care plan available in the AHCP and shall contribute to the cost of coverage at the dollar amount for their choice of plan that was in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Upon becoming eligible for Medicare, the annuitant shall cease the foregoing contribution and instead pay the same percentage of the Employer’s cost for the Medicare supplement as other employees enrolled in the SSHEGHP are paying for their PPO plan benefits. If an annuitant, who retires after June 30, 2005, but before July 1, 2008, opts to change health plans, he/she shall contribute to the new plan in the same dollar amount that was in effect for that plan as of the date of his/her retirement. X. Xxxxxxxx D. Eligible professional employees who retire after June 30, 2008, and who enroll in the AHCP, shall contribute to the cost of the AHCP at the same dollar amount for the type of contract and choice of plan as that in effect for applicable active full or part-time employees enrolled in the SSHEGHP on the day of the professional employee’s retirement. Throughout the annuitant’s lifetime while enrolled in the AHCP, the dollar amount paid by the professional employee shall be adjusted whenever the percentage of contributions paid by applicable active full or part-time employees in the SSHEGHP for the same type of contract and choice of plan are adjusted. The new percentage shall be applied to the rate for the type of contract and choice of plan that was in effect on the day of the professional employee’s retirement to determine the new annuitant contribution. For retirements on or after January 1, 2009, this amount shall be based on the percentage of contribution paid by active employees in the SSHEGHP participating in the health care management program. E. If an annuitant who retires after June 30, 2008 opts to change health plans he/she shall contribute to the new plan in the same dollar amount that was being contributed to that type of contract and choice of plan by applicable active full or part-time employees in the SSHEGHP at the time of the professional employee’s retirement, adjusted for any changes occurring since that time in the percentage of contributions paid by applicable active full-time or part-time employees in the SSHEGHP, as described in D. above. X. Xxxxxxxx F. Eligible professional employees who retire after June 30, 2009 and who enroll in the AHCP and are not eligible for Medicare, will have the choice of enrollment in the PPO plan or other approved plan under the AHCP. The AHCP indemnity plan will not be available to pre-Medicare retirees who retire after June 30, 2009. X. Xxxxxxxx G. Eligible professional employees who retire and are covered under the AHCP will be required to enroll in Medicare Part B when they become Medicare eligible in order to continue comprehensive medical coverage. The Employer shall continue to provide the Blue Shield Signature 65 Supplement or equivalent. X. Xxxxxxxxxx H. Annuitants who retire under the provisions of (1), (2) or (3) below will be eligible to elect coverage under the AHCP. For purposes of this section, “credited service” for all professional employees who began employment on or after July 1, 1997, shall only include actual service with the State System PASSHE or the Commonwealth and shall not include other types of service purchasable for retirement credit. 1. Retirement at or after superannuation age (age sixty [60] for Alternative Retirement Plan [ARP]) with at least fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Employees’ Retirement Systems, or ARP, except that (a) a professional employee who leaves State System PASSHE employment prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age must have twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, (b) a professional employee, who is furloughed prior to superannuation age, vests retirement benefits and subsequently retires at or after superannuation age during the recall period, must have fifteen (15) or more years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired after July 1, 2004), in the State and/or Public School Retirement Systems, or ARP. 2. Disability retirement, which requires at least five (5) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except if a professional employee had previously qualified based on an approved disability retirement, then returns and retires under a normal or early retirement, he or she must retire at or after superannuation age with fifteen (15) years of credited service (at least ten [10] years of credited service if hired before July 1, 1997) (at least twenty [20] years of service if hired on or after July 1, 2004) in the State and/or Public School Employees’ Retirement System, or ARP or twenty-twenty- five (25) years of credited service in the State and/or Public School Employees’ Retirement System, or ARP. For purposes of this subsection, retirement under the ARP shall be considered disability if the retiree meets the same disability retirement standards used by the State Employees’ Retirement System in accordance with the procedures provided for in Article 30. 3. Other retirement with at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP, except that an employee who leaves State System PASSHE employment, is subsequently rehired and retires must have at least twenty-five (25) years of credited service in the State and/or Public School Employees’ Retirement Systems, or ARP. I. It is understood that the references to the types of health plans in this Section shall not restrict the Employer’s right to replace the current insurers/administrators with other insurers/administrators, provided equivalent coverage, benefits, and Employer/professional annuitant contributions are maintained. J. Effective July 1, 2011, provisions of the Pennsylvania State System of Higher Education Annuitant Health Care Program (AHCP) as provided to the non-represented employees on the effective date of this Agreement and any subsequent restructuring of the program after July 1, 2011 will apply to eligible annuitants and/ or future annuitants covered by this Agreement. This section does not include the benefits extended to same-sex domestic partners as provided for in the active employee health benefits program.