145-4-11 Rescission of coverage.

 

 

 

145-4-11                      Reimbursement of medicare part "B" premium.

 

 

 

(A)   For purposes of section 145.58 of the Revised Code and this rule, "basic premium" means the monthly medicare part B premium amount charged to an individual enrolled in medicare part B coverage whose modified adjusted gross income is below $80,000 for the last taxable year for the current year without regard to the individual's modified adjusted gross income, as determined by the centers for medicare and medicaid services. The basic premium does not include any increases to the monthly medicare part B premium paid by an individual based on his or her modified adjusted gross income.

 

(B)   The amount of the current basic premium for medicare part B shall be reimbursed to an eligible benefit recipient in each monthly benefit payment when such benefit recipient submits both of the following:

 

(1)   Proof of enrollment in and evidence of the premium amount paid for medicare part B coverage;

 

(2)    Certification that the benefit recipient is not receiving reimbursement for the premium and that it is not being paid by any other source.

 

(C)     Except as provided in paragraph (D) of this rule, the effective date for the reimbursement of the premium amount pursuant to division (C) of section 145.58 of the Revised Code shall be the later of:

 

(1)  The effective date of medicare part B coverage;

 

(2)   The first day of the month following receipt by the system of the information described in paragraph (B) of this rule.

 

(D)   If the benefit recipient's initial benefit payment was issued not later than thirty days prior to receipt of the information described in paragraph (B) of this rule, the effective date for the reimbursement shall be the first day of the month following the later of:

 

(1)      The  effective  date  of  health  care  coverage  under  rule  145-4-04  of  the Administrative Code;

 

(2)   The effective date of medicare part B coverage.

 

(E)   The retirement system shall not pay more than one monthly medicare part B premium to an eligible benefit recipient who is receiving more than one monthly retirement allowance from this system.

 

 

145-4-11                                                                                                                                2

Effective:                                                     01/01/2009

R.C. 119.032 review dates:                         09/26/2008 and 09/29/2013

CERTIFIED ELECTRONICALLY

Certification

12/09/2008

Date

Promulgated Under:                           111.15

Statutory Authority:                           145.09, 145.58.

Rule Amplifies:                                  145.58.

Prior Effective Dates:                         1/1/07; 1/1/03; 3/22/02; 9/6/88; 8/20/76.