4 Unit Benefits Report
1.
The DROP
program remains cost neutral.
2.
The Health Care
Stabilization Fund is projected to 2032
3.
30 year funding
is still at infinity.
4.
Medicare B
eligibility will increase.
1.
Members bedridden
and not able to process paperwork
2.
Sending
enrollment packets to deceased members.
3.
Procedures not
covered by Medicare.
4.
Buy up figures
for the member’s spouse not being included in ACP materials.
5.
No explanation
of the 30% discount program affidavit in the ACP materials.
United
Healthcare will be contacted to answer questions about these issues.
·
About 500
OP&F members are in the missing Medical Mutual files and need to be notified of credit monitoring provisions
for them.
·
The board voted
on rule changes to ;
1.
742-3-05
Disability benefits procedure.
2.
742-05-01
Definition of service credit.
3.
742-2-01 Board
of trustee election rules
4.
742-9-16
Federal Tax compliance rules
Those rules will be
submitted to JCAR for approval.
2009 HEALTH CARE PREMIUM CHARTS
Non-Medicare
Eligible Non-AARP Eligible
Premium Rates Premium
Rates
|
PRE 7/86 |
2008 |
2009 |
CHANGE |
2008 |
2009 |
CHANGE |
|
|
BEN REC |
$152.26 |
$158.74 |
$6.48 |
$49.34 |
$51.44 |
$2.10 |
|
|
SPOUSE |
$ 201.59 |
$210.17 |
$8.58 |
$83.18 |
$86.73 |
$3.55 |
|
|
CHILD |
$105.36 |
$109.85 |
$4.49 |
$83.18 |
$86.73 |
$3.55 |
|
|
|
|
|
|
|
|
|
|
|
POST 7/86 |
|
|
|
|
|
|
|
|
BEN REC |
$152.26 |
$158.74 |
$6.48 |
$49.34 |
$51.44 |
$2.10 |
|
|
SPOUSE |
$302.38 |
$315.25 |
$12.88 |
$124.78 |
$130.10 |
$5.31 |
|
|
CHILD |
$158.04 |
$164.77 |
$6.73 |
$124.78 |
$130.10 |
$5.31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Prescription
Premium Rates
|
PRE 7/86 |
2008 |
2009 |
CHANGE |
|
BEN REC |
$56.61 |
$62.95 |
$6.34 |
|
SPOUSE |
$106.66 |
$118.61 |
$11.95 |
|
CHILD |
$31.70 |
$35.25 |
$3.55 |
|
|
|
|
|
|
POST 7/86 |
|
|
|
|
BEN REC |
$56.61 |
$62.95 |
$6.35 |
|
SPOUSE |
$159.98 |
$177.91 |
$17.93 |
|
CHILD |
$47.55 |
$52.88 |
$5.33 |
|
|
|
|
|
|
|
|
|
|
Dental Plan
Vision Plan
|
|
2008 |
2009 |
|
|
Vision Rates |
|
Benefit Recipient |
$23.21 |
$24.95 |
|
|
$5.48 |
|
Benefit Recipient & Spouse |
$43.78 |
$47.06 |
|
|
$10.29 |
|
Benefit Recipient , Spouse & child |
$76.21 |
$81.93 |
|
|
$15.63 |
2009 Health Care Discount Guidelines
|
Size of Family Unit |
HHS Poverty Income |
OP&F
Discount Income Level |
|
1 |
$10,400 |
$20,800 |
|
2 |
$14,000 |
$28,000 |
|
3 |
$17,600 |
$35,200 |
|
4 |
$21,200 |
$42,400 |
BENEFIT RECIPIENT 2009 AARP RATES
PLAN L ONLY
OHIO RESIDENT LESS THAN 3 YEARS SINCE MEDICARE EFECTIVE DATE
|
|
PREMIUM |
OP&F SUBSIDY 75% |
YOU PAY |
PRESCRIPTION PREMIUM |
TOTAL |
|
PLAN L |
$87.23 |
$65.42 |
$21.81 |
$ 62.95 |
$84.76 |
|
PLAN B |
|
$65.42 |
|
$ 62.95 |
|
|
PLAN F |
|
$65.42 |
|
$ 62.95 |
|
OHIO RESIDENT MORE THAN 3 YEARS BUT LESS THAN 6 SINCE MEDICARE EFECTIVE DATE
|
|
PREMIUM |
OP&F SUBSIDY 75% |
YOU PAY |
PRESCRIPTION PREMIUM |
TOTAL |
|
PLAN L |
$119.50 |
$89.62 |
$29.88 |
$62.95 |
$92.83 |
|
PLAN B |
|
$89.62 |
|
$62.95 |
|
|
PLAN F |
|
$89.62 |
|
$62.95 |
|
OHIO RESIDENT MORE THAN 6YEARS SINCE MEDICARE EFECTIVE DATE
|
|
PREMIUM |
OP&F SUBSIDY 75% |
YOU PAY |
PRESCRIPTION PREMIUM |
TOTAL |
|
PLAN L |
$131.45 |
$98.59 |
$32.86 |
$62.95 |
$95.81 |
|
PLAN B |
|
$98.59 |
|
$62.95 |
|
|
PLAN F |
|
$98.59 |
|
$62.95 |
|
SPOUSE AARP RATES
OHIO RESIDENT LESS
THAN 3 YEARS SINCE MEDICARE EFECTIVE DATE RETIRED
ON OR BEFORE
|
|
PREMIUM |
OP&F SUBSIDY 50% |
YOU PAY |
PRESCRIPTION PREMIUM |
TOTAL |
|
PLAN L |
$87.23 |
$43.61 |