145-4-70 Reimbursement of medicare part "A" premium.

 

 

 

145-4-70                      Reimbursement of medicare part "A" premium.

 

 

 

(A)The public employees retirement system shall make available to each eligible benefit recipient and spouse, in its sole discretion, one of the following: the coverage equivalent to medicare part A hospital coverage or an amount determined by the public employees retirement board to reimburse the premium of such coverage as described in section 145.584 of the Revised Code.

 

(B)If the board provides a reimbursement amount described in paragraph (A) of this rule, it shall be effective once all of the following have occurred:

 

(1)The benefit recipient or spouse provides proof of enrollment in medicare part A coverage in the form of the notice of award or invoice containing the medicare part A premium amount and effective date;

 

(2)The  benefit  recipient  or  spouse  certifies  to  the  retirement  system  that  the premium amount is not reimbursed from another source;

 

(3)One of the following are in effect: coverage described in paragraph (B) of rule 145-4-62 of the Administrative Code or a medicare supplemental plan that is not sponsored by the system and that would allow for participation in the health reimbursement arrangement.

 

(C)The retirement system shall not pay to an eligible individual more than one monthly medicare part A premium reimbursement for any month of enrollment in medicare part A or to an individual who is receiving more than one monthly retirement allowance from this system.

 

(D)The system may periodically request evidence of an eligible individual's medicare part A enrollment and premium amount and may specify a deadline for receipt of such information. If an eligible individual fails to provide the requested information or certification, the system may, following notice to the individual, suspend or cancel the premium reimbursement for any month that the certification is not received. Any reimbursement paid for which the individual was not eligible may be collected as provided in section 145.563 of the Revised Code.

 

(E)A benefit recipient or spouse who enrolls in medicare part A during the 2016 general enrollment period may receive reimbursement of the July 2016 medicare part A premium in accordance with this rule, except that the coverage or plan described in paragraph (B)(3) of this rule does not yet need to be in effect.

 

 

 

 

 

 

 

 

 

 

 

145-4-70         Effective:	01/01/2016	2
Five Year Review (FYR) Dates:	09/29/2018
CERTIFIED ELECTRONICALLY
Certification
12/09/2015
Date
Promulgated Under:	111.15
Statutory Authority:	145.09, 145.58
Rule Amplifies:	145.584