Health Benefits for Retirees

GENERAL INFO

1. If you belong to NMFT or CSEA, review your Bargaining Unit Contract.   If you belong to NMAA, NMAA Confidential, or Supervisors, review pertinent eligibility under the rules and regulation section regarding retiree health benefits.

2. Review the Benefits Management Frequently Asked Questions Regarding Retirement Health Benefits. Use this as your check off list of things to do. Check the resources tab on this page.

3. If retiring over age 65, review other health benefit options. Check the resources tab on this page.

4. View  rates charts for Under 65  and Over 65 plans.  Also note: rates and plans are subject to change each Open Enrollment. Open Enrollment for Retirees is held annually during the month of August. Rates for the following year will not be posted until the month of August, but is still subject to change after negotiations and contract approval.

5. Retiring at the end of the school year
   If you are in paid status on the last day of the school year, your benefits will continue through September 30 of that same year. Benefits Management will send a health benefit retirement letter to you during the summer. The letter will explain how to continue your benefits and will include the rate chart showing your monthly premiums beginning October.

6. Retiring during the school year
   Benefits Management will send a health benefit retirement letter to you during your retirement month. The letter will explain how to continue your benefits and how to pay any premiums due once you retire.

7. Retirement Income Benefit
   Contact STRS or PERS directly for information on your retirement income benefits.
   Calpers Website Phone: 888 CalPERS (or 888-225-7377)
   Calstrs Website Phone: 800-228-5453 (or 916-414-1099)

RESOURCES

FAQ Regarding Retirement Health Benefits

Retiree Resources

Shopping for Over 65 Medical Plans

Retiree Health Benefit Options at 65

65 AND BETTER RETIREES INFORMATION

• 2022-23 65 & Better Rate Sheet
• 2022-23 65 & Better Medical Comparison Chart
• 2022 65 & Better Open Enrollment Notice
• 2022 65 & Better Open Enrollment Book
• 2022 65 & Better Open Enrollment Book Dental Only
• 2022-23 Disenrollment Form
  Plan Summaries
• 2022-23 Kaiser Permanente Senior Advantage (HMO) Summary of Benefits
• 2022-23 SCAN (HMO) Benefit Kit & Summary of Benefits
• 2022-23 Cigna Open Access Plus Medicare Expand (OAP) Summary of Benefits

Medicare and You 2022

Who Pays First - Medicare Guide

California Health Advocates (HICAP) / Medicare Assignment and Costs

2022 Kaiser Group Guide to Medicare

Cigna OAP & Medicare - Communicating with your Doctor

EARLY RETIREES (AGE 55-64) INFORMATION

• 2022-23 Early Retiree Rate Sheet
• 2022-23 Early Retiree Medical Comparison Chart
• 2022 Early Retiree Open Enrollment Notice
• 2022 Early Retiree Open Enrollment Book
• 2022-23 Declination Form
  Plan Summaries
• 2022-23 Kaiser Permanente (HMO) Summary of Benefits
• 2022-23 Cigna Select (HMO) Summary of Benefits
• 2022-23 Cigna Network (HMO) Summary of Benefits
• 2022-23 Cigna Open Access Plus (OAP) Summary of Benefits

RETIREE DIRECT BILLING CONTACT
Third Party Administrator

                WEX Health, Inc.
                PO Box 2079
                Omaha, NE 68103-2079

     Member Services:

• Phone: (866) 451-3399
• Email
• Registration Website
  select "New user registration" Have your Registration Code available that was sent to you by mail. 
• Mobile app: search for COBRA direct bill by WEX in your app store.
• Recurring Auto Payment (ACH) form