District Share of Premium. The District contribution toward group medical coverage for the retiree and spouse or approved domestic partner, until the affected retiree or spouse or approved domestic partner reaches sixty-five (65) years of age or otherwise becomes eligible for Medicare coverage, shall be limited to a percentage of Age When Retire- Ment Is
District Share of Premium. The District contribution toward group medical coverage for the retiree and spouse or approved domestic partner, until the affected retiree or spouse or approved domestic partner reaches sixty-five (65) years of age or otherwise becomes eligible for Medicare coverage, shall be limited to a percentage of the maximum health benefits contribution to premiums as cited in Article 20C.3a above. This percentage is determined from the table shown below. This table, based upon Academic Years of Service in the District and age upon retirement, shows the percentage of the premium to be paid by the retiree. Beginning July 1, 2002, the retiree’s co-payment shall continue at this percentage level until the retiree reaches age sixty (60) or age of retirement, whichever is later, at which time the premium cost to employee shall freeze and remain at that maximum amount not to be increased. Any required co-payments must be made in advance to the District in order for coverage to continue. Age When Retire- Ment Is Effective Schedule of Percentage Premium Contribution For HMO-level Coverage for Retirees Not Yet Eligible for Medicare Academic Years of Service 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 55 X X X X X 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 56 X X X X 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 0 57 X X X 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 0 0 58 X X 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 0 0 0 59 X 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 0 0 0 0 60 75 70 65 60 55 50 45 40 35 30 25 20 15 10 5 0 0 0 0 0 0 The table is based on the following rule: If the retiree’s age plus Academic Years of Service ≥ 85, then his/her premium contribution is zero. Each decrease of one (1) Academic Year in either age or Academic Years of Service increases the retiree’s contribution by five percent (5%). If a retiree under this Section enrolls in a plan that is costlier than the most expensive Health Maintenance Organization (HMO) [e.g. a Preferred Provider Organization (PPO) plan], he/she must pay the difference between the cost of the chosen plan and that of the most expensive HMO plan, in addition to the premium contribution for the most expensive HMO plan according to the matrix above. Squares that show an X indicate that the retiree does not qualify for retirement medical coverage.
