Retiree Health Insurance - Service and Maintenance
Retiree Health Insurance
Service & Maintenance employees employed prior to January 19, 1992, who retire with ten years of credited service may be eligible to receive a subsidy for part or all of their health insurance.
Retirement for this purpose is ending active service under the following conditions:
- Age 55 or greater, and
- one of the following:
- age 65 (with 10 years of credited service)
- the sum of age and service greater than or equal to 75, e.g. age 55 and 20 years of service, or age 60 and 15 years of service.
- Retirees and their spouses under age 65 at the time of retirement can continue to participate in the same medical plans as an active employee. The University will contribute 100% of the same amount that it would contribute if the staff member continued to be employed by the University.
- Retirees and their spouses over the age of 65 at the time of retirement must enroll in Medicare Part A and B. The University provides a Medicare Supplement and a Major Medical Plan, in which the University and the retiree share the cost of the plan. A Medicare Risk HMO is also available at no cost to the retiree.
- Retirees and their spouses over the age of 65 will also be eligible to receive a reimbursement in the amount of 100% of the premium paid for their Medicare Part B insurance. Proof of enrollment in Medicare Part B is required to initiate this payment.
For employees who retire from the University after January 1, 1998, a new Medicare Risk HMO (United Healthcare) will become the standard, fully subsidized plan for retirees at age 65. A Medicare HMO is a managed care plan with a network obtained from the professionals and facilities that are part of the plan. Retired employees electing the Medicare Risk HMO are not eligible to use the Yale Health Service Center.
The Medicare Supplemental package, which is a fee-for-service plan allowing for unlimited choice of provider, will continue to be an available option.
For retirees who were employed after January 19, 1992 and with 10 but less than 20 years of credited service on the date of retirement, the University will contribute 80% of the same amount that it would contribute if the staff member continued to be employed by the University. At age 65 the University will contribute toward the cost of either the Medicare Supplement or the Medicare Risk HMO.