SCSEBA covered school health care plan and dental care plan, by paying the district’s entire premium and related administrative costs of SCSEBA. Medicare Enrollment in Medicare is not a prerequisite for enrollment if the SCSEBA covered school AB528 medical plans. However, if the retiree or survivor is eligible for district’s Medicare, it is recommended that he or she enrolls in Medicare Part A and Part B. Some medical premiums are discounted by insurance carriers for those subscribers who are enrolled in Medicare Part A and Part B. Please be aware that there is a cost for Medicare Part B and it is based on the individual’s income. How can you elect continuation coverage? SCSEBA covered school districts must allow these retirees and their spouses to enroll in the coverage within 30 days of losing active employee coverage. If retired certificated employees and/or spouses do not enroll in the health or dental care plans during this initial enrollment period or drop coverage after their initial enrollment, the SCSEBA covered school district is not obligated to offer them another opportunity to enroll. However, if retired certificated employees and/or their spouses lose other coverage and can provide documentation of that loss, they may be allowed to enroll in the health or dental plan if they do so within 31 days of losing their coverage. A retired certificated employee or a surviving spouse of a former certificated employee may elect AB528 continuation coverage. Retired certificated employees may enroll their eligible spouses when completing the Election Form. Failure to elect AB528 continuation coverage within 30 days of retirement will result in the loss of the right to elect continuation coverage under the Plan. How much does continuation coverage cost? The SCSEBA covered school districts may require that retired employees pay the entire cost of premiums (including any premium increases) as well as SCSEBA’s administrative costs. It is also allowable for SCSEBA to develop an experience claims rating for these enrollees and may require those persons to pay different rates as a class. AB528 continuation coverage will be terminated if any required premium is not paid on time, if a qualified participant becomes covered under another group health plan
SCSEBA covered school district’s health care plan and dental care plan, by paying the entire premium and related administrative costs of SCSEBA. Medicare Enrollment in Medicare is not a prerequisite for enrollment if the SCSEBA covered school district’s AB528 medical plans. However, if the retiree or survivor is eligible for Medicare, it is recommended that he or she enrolls in Medicare Part A and Part B. Some medical premiums are discounted by insurance carriers for those subscribers who are enrolled in Medicare Part A and Part B. Please be aware that there is a cost for Medicare Part B and it is based on the individual’s income. How can you elect continuation coverage? SCSEBA covered school districts must allow these retirees and their spouses to enroll in the coverage within 30 days of losing active employee coverage. If retired certificated employees and/or spouses do not enroll in the health or dental care plans during this initial enrollment period or drop coverage after their initial enrollment, the SCSEBA covered school district is not obligated to offer them another opportunity to enroll. However, if retired certificated employees and/or their spouses lose other coverage and can provide documentation of that loss, they may be allowed to enroll in the health or dental plan if they do so within 31 days of losing their coverage. A retired certificated employee or a surviving spouse of a former certificated employee may elect AB528 continuation coverage. Retired certificated employees may enroll their eligible spouses when completing the Election Form. Failure to elect AB528 continuation coverage within 30 days of retirement will result in the loss of the right to elect continuation coverage under the Plan. How much does continuation coverage cost? The SCSEBA covered school districts may require that retired employees pay the entire cost of premiums (including any premium increases) as well as SCSEBA’s administrative costs. It is also allowable for SCSEBA to develop an experience claims rating for these enrollees and may require those persons to pay different rates as a class. AB528 continuation coverage will be terminated if any required premium is not paid on time, if a qualified participant becomes covered under another group health plan
AB528%20Important%20Information%202013-2014%20SCSEBA.docx