Retiree Benefits and the Rule of 75
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1 Retiree Benefits and the Rule of 75 Presented by Bill Phillips May 15, 2014
2 Topics we ll cover today Rule of 75 Life Insurance Education Benefits Retiree Health/Dental Insurance 2
3 Rule of 75 What does it mean? Rule of 75 -Your age plus your most recent continuous service date equals 75 or more May have an impact on the following benefits Eligibility Retiree Health/Dental Premium for Retiree Health Eligibility to maintain Children s Tuition Grant benefit into retirement Does not impact the retirement plans at Duke 3
4 Life Insurance Basic Life ($10,000) Convert to a whole life policy at retirement by contacting MetLife at Rates based on age at retirement 4
5 Life Insurance Supplemental Life If enrolled for at least two years at time of retirement, you may continue current coverage until age 95 at Duke s group retiree rates Retiree rates are higher than the rates for active employees Term life insurance Rates increase as you get older Contact Mercer Voluntary Benefits at to continue coverage Universal Life Contact the Holroyd Agency at or North Carolina Mutual at about your options Potential for cash accumulation 5
6 Post Retirement Certificate $2,500 benefit payable to spouse/estate To qualify must meet ALL of the following: Hired at Duke prior to December 1, 1974 Participated in Duke s group life insurance plan for at least ten years Retire at age 65 or older Certificate issued after retirement 6
7 Education Benefits Children s Tuition Grant Program Must be eligible for Tuition Grant at time of retirement and Meet Rule of 75 (age plus most recent continuous service date) OR Retire on or after age 65 7
8 Retiree Health/Dental Insurance Must be actively employed at Duke and participating in the health/dental plan at the time of retirement Dependents must be enrolled at the time of retirement Meet the eligibility requirements for your operating entity 8
9 Retiree Health/Dental Insurance Eligibility University and Medical Center Employees Meet the Rule of 75 (age plus most recent continuous service date) If you transferred from the Health System to the University/Medical Center after July 1, 2002 refer to the Retirement Planning Guide for additional eligibility requirements 9
10 Retiree Health/Dental Insurance Eligibility Duke University Health System Employees Employees hired prior to July 1, 2002 Meet Rule of 75 Employees hired on or after July 1, 2002 Must have 15 years of continuous service after age 45 If you transferred from the University/Medical Center to the Health System after July 1, 2002, refer to the Retirement Planning Guide for additional eligibility requirements. 10
11 Retiree Health/Dental Insurance Premium Contributions Health insurance Varies, based upon date became eligible for retiree health (Duke contributes 0%, 60%, 70%, or 80% towards cost for individual premium under Duke health plan)* Dental insurance You are responsible for paying the retiree dental insurance premium *If you qualify for a contribution towards your retire health coverage, then Duke contributes 50% towards the health premium for dependents. 11
12 Ineligible for Retiree Health/Dental Insurance Coverage through COBRA Must be participating in health and/or dental plan(s) at time of retirement Extends coverage for 18 months Total premium plus 2% Billed monthly 12
13 Health Insurance for Retirees Are you or any of your covered dependents age 65 or older? Yes, then the person that is age 65 or older is required to enroll in Medicare A and B. Medicare will become the primary insurance and Duke Plus (the retiree plan) is secondary for anyone over age 65. If you are under 65, then Duke Plus is primary No, then you will have the same health insurance options as active employees until obtaining age 65 Duke Select Duke Basic Blue Care Duke Options 13
14 Medicare Part A, B and D Part A covers: Hospital expenses Provided at no cost Part B covers: Physicians services, outpatient care Part D covers: Prescription drug program Duke Plus has a Part D plan incorporated within the plan Part B and D Premiums These premiums are based on your modified adjusted gross income as reported on your IRS tax return from 2 years ago. This is where most of us will fall. If you are single and your yearly income is under $85,000 or if you are a married couple and your yearly income is under $170,000 the monthly Medicare Part B premium is $ and the Medicare Part D premium is included in your Duke Plus premium. Asmall group (fewer than 5% of all people with Medicare) may pay a higher monthly premium for Medicare Part B and D based on their income. 14
15 Provider Networks for Duke Plus (Retiree Plan) If you are Medicare-eligible, you may visit any doctor you choose. However, you will receive in-network benefits if you see a provider that accepts Medicare. (Most Duke providers accept Medicare) Participants not eligible for Medicare may use any health care provider, but will realize increased savings by using a provider that participates in the UHC Choice Plus Network through United Healthcare. All claims incurred outside of the United States are paid at an out-of-network benefit level. 15
16 Duke Plus (In-Network Benefits) Doctor s office visit, you pay... Primary Care Physician (PCP) - $20 Specialist $45 or less after Medicare payment Inpatient hospital admission, you pay $450 co-pay per admission at Duke, Duke Regional or Duke Raleigh $550 co-pay per admission for all others in-network Inpatient skilled nursing facilities, you pay $250 co-pay per admission 16
17 Pharmacy Benefits Retail Pharmacy 34 day supply Home Delivery (mail order) 90 day supply You can save money with: Home delivery Generics Formulary 17
18 Maintaining your Retiree Health Insurance Your health and/or dental coverage will be terminated if you do not make a timely premium payment. No need to worry -Premiums can be directly drafted from your bank account or deducted from your Employees Retirement Plan benefit Medicare Part B premiums are deducted from your social security retirement benefit Remember -You cannot re-enroll in retiree health and/or dental if you cancel coverage. Exception: You may suspend health or dental coverage while employed and receiving benefits from a new employer (must re-enroll in Duke Plan within 30 days of loss of other employer s coverage) 18
19 Retiree Health/Dental Surviving Spouse/Partner Surviving Spouse/Registered Partner are eligible to continue coverage until: Death Remarriage Non-payment of premiums 19
20 Other Benefits Personal Casualty Insurance (MetPay) Personal Accident Insurance (Mutual of Omaha) Duke University Federal Credit Union University Athletic Facilities Duke University Retiree Association (DURA) Osher Lifelong Learning Institute at Duke (OLLI) Duke Libraries 20
21 To Do List Review your personalized retiree health calculation Meet with your preferred retirement plan investment carrier(s) Review your retirement investment choices for diversification Consider increasing your contribution 21
22 Disclaimer This workshop dated, May 15 th, 2014 is intended to be presented in a live workshop by a workshop leader who interacts with the audience and provides appropriate context and discussion on the information contained in the presentation. Retiree health/dental coverage is not vested or guaranteed, and Duke may modify or discontinue the plan at any time. 22
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