Or. Admin. Code § 459-035-0030 - Eligibility, Retirement Health Insurance Account
This rule describes the requirements for an "eligible retired member" participating in a PERS-sponsored Medicare Companion Plan to be eligible for contributions from the RHIA toward the cost of premiums for that plan. The amount of the contribution is defined in OAR 459-035-0060.
(1) An "eligible retired member" includes the
following:
(a) A retired member of the Tier
One or Tier Two program who is enrolled in Parts A and B of Medicare and who:
(A) Is receiving a PERS service or disability
retirement allowance or benefit, and had eight or more years of qualifying
service at the time of retirement; or
(B) Is receiving a PERS disability retirement
allowance or benefit computed as if he or she had eight years or more of
creditable service.
(b)
A surviving spouse or dependent of a deceased eligible retired member as
described in subsection (a) of this section, who is enrolled in Parts A and B
of Medicare, and who:
(A) Is receiving a
retirement allowance or benefit from PERS; or
(B) Was covered under the retired member's
PERS-sponsored health insurance plan and the deceased retired member retired
before May 1, 1991.
(2) An eligible surviving spouse or dependent
receiving benefits under the 15-year certain optional form of benefit payment
(ORS 238.305 Option 4) will be
entitled to contributions from the RHIA only until the remainder of the 180
monthly benefit payments are paid, unless he or she meets the requirements in
subsection (1)(b)(B) of this rule.
(3) If both an eligible surviving spouse and
an eligible surviving dependent are receiving benefits at the same time under
the 15-year certain optional form of benefit payment (ORS
238.305 Option 4), only the
eligible surviving spouse shall be entitled to contributions from the RHIA
unless the surviving spouse, in writing, waives the contribution in favor of
the eligible surviving dependent.
Notes
Stat. Auth: ORS 238.650
Stats. Implemented: ORS 238.420
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