BICKMORE & ASSOCIATES, INC.-2014

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Actuarial Valuation of Other Post - Employment Benefit Programs as of April 1, 2012 for the City of Sample Citv Table 313 General CalPERS Annuitant Eligibility Provisions The content of this section has been drawn from Section C, Summary of Plan Provisions, of the State of California OPEB Valuation as of June 30, 2011, issued February 2012, to the State Controller from Gabriel Roeder & Smith. It is provided here as a brief summary of general annuitant and survivor coverage, Health Care Coverage Retired Employees A member is eligible to enroll in a CaIPERS health plan if he or she retires within 120 days of separation from employment and receives a monthly retirement allowance. If the member meets this requirement, he or she may continue his or her enrollment at retirement, enroll within 60 days of retirement, or enroll during any Open Enrollment period. If a member is currently enrolled in a CaIPERS health plan and wants to continue enrollment into retirement, the employee will notify CaIPERS and the member's coverage will continue into retirement. Eligibility Exceptions: Certain family members are not eligible for CaIPERS health benefits: • Children age 26 or older • Children's spouses • Former spouses • Never enrolled or disabled children over age 26 Coordination with Medicare • Grandparents • Parents • Children of former spouses • Other relatives CalPERS retired members who qualify for premium -free Part A, either on their own or through a spouse (current, former, or deceased), must sign up for Part B as soon as they qualify for Part A. A member must then enroll in a CaIPERS sponsored Medicare plan. The CaIPERS- sponsored Medicare plan will pay for costs not paid by Medicare, by coordinating benefits. Survivors of an Annuitant If a CaIPERS annuitant satisfied the requirement to retire within 120 days of separation, the survivor may be eligible to enroll within 60 days of the annuitant's death or during any future Open Enrollment period. Note; A survivor cannot add any new dependents; only dependents that were enrolled or eligible to enroll at the time of the member's death qualify for benefits. Surviving registered domestic partners who are receiving a monthly annuity as a surviving beneficiary of a deceased employee or annuitant on or after January 1, 2002, are eligible to continue coverage if currently enrolled, enroll within 60 days of the domestic partner's death, or enroll during any future Open Enrollment period. Surviving enrolled family members who do not qualify to continue their current coverage are eligible for continuation coverage under COBRA. Bickmore»