LD 1021
pg. 2
Page 1 of 10 PUBLIC Law Chapter 636 Page 3 of 10
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LR 263
Item 1

 
A.__A retiree who fails to enroll in a group health plan
pursuant to this subsection is not otherwise eligible to
enroll in such a plan and is not eligible for the premium
subsidy provided pursuant to this subsection for enrollment
in any other health plan.__Retirees may enroll themselves,
their spouses or their dependents in a group health plan
during the following time periods, as applicable.

 
(1) When the effective date of retirement from the
county or municipality is on or before May 1, 2007, the
retiree must enroll in the plan before July 1, 2007.

 
(2) When the effective date of retirement from the
county or municipality is after May 1, 2007, the
retiree must enroll in the plan no later than 60 days
following the effective date of retirement from the
county or municipality.

 
(3) Notwithstanding the requirements of subparagraphs
(1) and (2), when the retiree, the retiree's spouse or
the retiree's dependent experiences an involuntary loss
of other health insurance coverage carried as of July
1, 2007 or 60 days following the date of the retiree's
retirement, whichever is later, the retiree may elect
to enroll in the plan no later than 60 days after the
effective date of the loss of that coverage.__
Involuntary loss of coverage does not include a loss of
coverage arising as a result of nonpayment of premiums.

 
B.__Eligible persons enrolling in a group health plan in
which the retiree enrolls pursuant to this subsection are
responsible for the premium payment associated with
participation in the plan to the extent such an obligation
exists following application of any premium subsidy.__
Failure to remit premium payments in the manner required by
the administration policies of the group health plan must
result in disenrollment from the plan.

 
C.__The State shall pay a premium subsidy that equals the
dollar amount equivalent to the highest premium subsidy
provided in accordance with section 286-M, subsection 6 or
45% of the cost of the retiree's share of the individual
premium for the standard plan identified and offered under
the group health insurance plan in which the retiree enrolls
pursuant to this subsection, whichever is less. A retiree
electing to enroll a spouse or dependent in the plan is

 
responsible for payment of 100% of the cost of such
coverage, in addition to that portion of the retiree's
individual premium cost not contributed by the State.


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