***Benefit Open Enrollment Period is May 12 to May 30 – You only need to respond if you desire to change health plans. Links to the summaries for the PPO and Indemnity Plan are below:
CLICK ON THE LINK BELOW FOR AN IMPORTANT LETTER FROM APSCUF REGARDING THE INDEMNITY PLAN. IF YOU ARE NOT ENROLLED IN THE INDEMNITY PLAN, THIS LETTER DOES NOT APPLY TO YOU!
May2008IndemnityLetter
Coaches enrolled in the Highmark Indemnity Plan – Please Note
The Indemnity Plan design change will alter your Indemnity Plan the same as faculty beginning July1, 2008. The Coaches CBA applies a percentage of income for the employee contribution and is not based on the health premium cost as the faculty so the average cost increase per pay does not apply to you. However, had this design not have been approved and implemented, Coaches would have been assessed the regular employee contribution percentage plus the premium cost over the 12%.
* * * * * * * * *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
COACHES CONTRACT
ARTICLE 11 -- HOSPITAL AND MEDICAL INSURANCE AND SUPPLEMENTAL BENEFITS
Section 4.
Prescription Drug Card
A. A three-tier open formulary with retail co-payments of $5
for generic, $10 for brand formulary, and $20 for brand non-formulary drugs for
up to a thirty (30) day supply. Effective
B. Co-payments for mail order prescriptions of two times the retail co-payments set forth in A above for up to a ninety (90) day supply.
C. A deductible for all prescription coverage (total
retail and mail order) of $100 per
person / $300 per family maximum per calendar year. Effective
* * * * * *
Contemplating retirement? Important dates to keep in mind...
COACHES CBA
ARTICLE 11 -- HOSPITAL
AND MEDICAL INSURANCE AND SUPPLEMENTAL BENEFITS
Section 8.
C. Annuitant Contributions
1. Eligible
Regular full-time and Regular part-time COACHES who retire
after December 31, 2005 and prior to July 1, 2008, and who enroll in the AHCP shall contribute to the cost of coverage. The annual contribution rate shall be one percent (1.0%) of a COACH’S final annual gross salary at the time of retirement from STATE SYSTEM service, and will be payable monthly at the rate of one-twelfth of the annual contribution rate.
2. Eligible
Regular full-time and Regular part-time COACHES who retire after June 30, 2008, and who enroll in the AHCP shall contribute to the
cost of coverage. The annual contribution rate shall
be the percentage rate of a COACH’s final annual gross salary that was in
effect at the time of retirement from STATE SYSTEM service. Throughout
the annuitant’s lifetime while enrolled in the
AHCP, this contribution shall
be adjusted in the same manner as active COACHES contributions are adjusted. Contributions will be payable monthly at the rate of
one-twelfth of the annual contribution rate.
3. The wellness
program and non-participant contribution increases set
forth in
Appendix H, and in Section 6.A.5. a, b, and c of this article shall not apply to annuitants.
F. An eligible
COACH who retires prior to July 1, 2009, and
is enrolled in the indemnity plan at the time of retirement, may continue that enrollment as
an annuitant. However, the indemnity plan will not be available to pre-Medicare retirees who retire after June 30, 2009.
G. Eligible COACHES 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, HMO, if available, or other approved plan
under the AHCP.
*************************************************************************
***FACULTY CONTRACT***
Contemplating retirement?
Important dates to keep in mind...
Article
21 -- FRINGE BENEFITS -
Pre-Medicare
Eligible Annuitants
A
FACULTY MEMBER who retires prior to July 1, 2009, and is enrolled in the indemnity
plan at the time of retirement, may continue
that enrollment as an annuitant.
Any
FACULTY MEMBER who retires prior to July 1, 2009, and receives
health benefits under the present indemnity plan shall have major medical coverage in retirement equal to the major medical coverage that
he/she had on the day prior to his/her retirement.
A
FACULTY MEMBER who retires AFTER JUNE 30, 2009, and is
enrolled in the indemnity plan MAY NOT CONTINUE that enrollment
as an annuitant but will be given a choice of transferred into the Preferred Provider Organization (PPO)
plan, Health Maintenance Organization (HMO), if available, or other approved
plan.
Annuitant Premium
Contributions
Faculty
members who retire
after June 30,
2005, and before July 1, 2008,
shall
contribute to the cost of coverage at the same dollar amount for their choice
of plan that was in effect the day of
their retirement. Upon becoming eligible for Medicare, they
shall cease the above contribution and begin paying the same percentage of the
PASSHE’s cost for the Medicare supplement as active employees are paying for
their PPO plan.
If
an annuitant who retires after June 30, 2005 and 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.
*
* * * * * * *
FACULTY
MEMBERS who retire after June 30, 2008, shall
contribute to the cost at the same dollar amount for the type of contract and
choice of plan as that in effect on the day of the FACULTY MEMBER’S retirement.
Throughout the annuitant’s lifetime the dollar amount paid by the annuitant
shall be
adjusted whenever the percentage of contribution paid by active FACULTY MEMBERS
for the same type of contract and choice of plan is 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 FACULTY MEMBER’S retirement to
determine the new annuitant contribution.
*
* * * * * * *
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 active FACULTY MEMBERS on the
day of the FACULTY MEMBER’S retirement, adjusted for any changes occurring since that time in the
percentage of contributions paid by active FACULTY MEMBERS.
The
wellness program and non-participant contribution increases DO NOT apply to
annuitants.
Pre-Medicare
Eligible Annuitants
A
FACULTY MEMBER who retires prior to July 1, 2009, and is enrolled in the indemnity
plan at the time of retirement, may continue
that enrollment as an annuitant.
Any
FACULTY MEMBER who retires prior to July 1, 2009, and receives
health benefits under the present indemnity plan shall have major medical coverage in retirement equal to the major medical coverage that
he/she had on the day prior to his/her retirement.
A
FACULTY MEMBER who retires AFTER JUNE 30, 2009, and is
enrolled in the indemnity plan MAY NOT CONTINUE that enrollment
as an annuitant but will be given a choice of transferred into the Preferred Provider Organization (PPO)
plan, Health Maintenance Organization (HMO), if available, or other approved
plan.
Faculty CBA - Article
21 -- FRINGE BENEFITS
Prescription Drug
Card
The
STATE SYSTEM shall provide prescription drug coverage for all of the SSHEGHP
plans through a prescription drug card. The prescription drug coverage shall
include:
A
three-tier open formulary with retail co-payments of $5 for generic, $10 for
brand formulary, and $20 for brand non-formulary drugs for up to a thirty (30)
day supply.
Effective
A
deductible for all employee prescription
coverage (total retail and mail order) of $100 per person maximum per calendar
year, $300 per family maximum per calendar year. Effective