(A) Commencing July 1, 2022, all city retirees, who meet the criteria set forth herein, regardless of the department in which they were formerly employed, may elect to continue their existing city group health insurance plan, including dental and vision, after their retirement at their sole expense until they reach Medicare eligibility (age 65). The retiree must elect to continue (no lapse in coverage) their existing coverage in writing through the Clerk-Treasurer's office within 90 days after the employee's retirement date.
(B) Pursuant to I.C. § 5-10-8-2.6(e), a city retiree shall qualify to participate in the city's group health insurance program as stated above if they meet the following criteria:
(1) The city retiree will have reached 55 years of age on or before the employee's retirement date but who will not be eligible on that date for Medicare coverage as prescribed by 42 U.S.C. 1395, et seq.;
(2) The city retiree will have completed 20 years of creditable employment with a public employer on or before the employee's retirement date, ten years of which must have been completed immediately preceding the retirement date; and
(3) The city retiree must have completed at least 15 years of participation in the retirement plan of which the employee is a member on or before the employee's retirement date.
(C) A city retiree, including current city retirees who are participating in the city's group health, dental or vision insurance plans, may not change coverage or add family members to the city's group health, dental or vision plans after 90 days following the retiree's retirement date.
(D) The city retiree shall pay the full amount of the monthly premium for the coverage they are enrolled in. The full amount of the premium is defined as the employee's share cost and the city's share cost and shall be paid as follows:
(1) Each city retiree who elects to participate in the city's group health coverage plan shall pay the full amount of their premium to the third-party administrator of the retiree program for the AIM Medical Trust promptly when the premium becomes due.
(2) Each city retiree who elects to participate in the city's group dental or vision insurance coverage shall pay the full premium to the Clerk-Treasurer promptly when the premium becomes due.
(E) If any city retiree fails or refuses to pay the full amount of their monthly premium cost promptly when the premium is due, the group insurance coverage with respect to the defaulting city retiree and any covered family members shall terminate.
(F) Coverage for eligible retirees terminates when the retiree becomes eligible for Medicare coverage. The spouse of an eligible retiree may remain on the plan until the spouse becomes eligible for Medicare even if the eligible retiree enrolls in Medicare first and drops off the plan. However, if the eligible retiree dies before the spouse becomes eligible for Medicare, coverage for the spouse terminates upon the earlier of:
(1) The date the spouse becomes eligible for Medicare;
(2) The date the spouse remarries; or
(3) Two years after the date of the eligible retiree's death.
(G) Individuals who were already participating under the city's group health insurance retiree program shall be grandfathered under the AIM Medical Trust rules and regulations.
(Ord. 13-1978, passed 7-11-78; Am. Ord. 23-2008, passed 8-12-08; Am. Ord. 10-2009, passed 4-14-09; Am. Ord. 6-2011, passed 5-10-11; Am. Ord. 4-2014, passed 5-13-14; Am. Ord. 9-2020, passed 6-15-20; Am. Ord. 20-2020, passed 10-19- 20; Am. Ord. 10-2022, passed 7-18-22)