A. Other Benefits: Health insurance benefits payable from any other source will reduce the benefits payable from the village. Each applicant shall sign an affidavit annually attesting that the applicant is not eligible for insurance benefits from any other source, unless there is another source. If there is another source, the applicant shall notify the village of that source no later than five (5) business days from that source becoming available to the applicant or the applicant's beneficiaries.
B. Disclosure of Health Insurance Coverage: The applicant has an on-going obligation and shall update health insurance coverage information provided and failure to do so may result in the denial of benefits and/or reimbursement to the village for duplicate coverage. If duplicate coverage has been received by a PSEBA beneficiary, further PSEBA benefits will be denied until the village has been fully reimbursed by the PSEBA beneficiary for what it would have been credited if it had known about other coverage.
C. Reimbursement: Receipt of health insurance benefits from other sources without notice to the village shall require the applicant to reimburse the village for the value of those benefits.
D. Medicare Eligibility: The applicant shall notify the village when the applicant becomes Medicare eligible regardless of the status of the enrollment period, so the village may assist with the transition to Medicare coverage and/or adjust health insurance benefits or PSEBA benefits accordingly. (Ord. 2020-20, 9-22-2020)