Le Moyne College continues its commitment to offer quality health care benefits that are affordable for you and Le Moyne. As you know, health care costs continue to soar nationwide. We have been aggressively working with carriers to develop quality health care options for our employees and retirees as well as innovative ways to control cost to minimize the impact on you and your family.
Eligibility & Cost: Healthcare
Medicare Part B
Summary Material Modification & Cover Letter (effective July 1, 2015)
Summary Material Modification Cover Letter & Notice (effective July 1, 2012)
Summary Plan Description (effective July 1, 2012)
Eligibility & Cost: Healthcare
-Requirements for Employees Retiring on or after July 1, 2012 to be eligible for health care:
- If you are at least age 55 and have 10 years of service you retain access only to the healthcare plans
- If you are at least age 55 and have at least 75 points (age plus service) you retain these benefits on a deferral basis. If you defer healthcare, you are required to maintain continuous health insurance coverage from the date of retirement until reaching 59 1/2. This insurance coverage must be purchased from the College at the full pre-65 retiree premium. Upon turning age 59 1/2 you may begin to receive your Le Moyne College retirement benefits.
- If you are at least 59 1/2 and have at least 75 points (age plus service) you are eligible for the subsidized premium listed below.
The contributions for retirees that meet the age 59 1/2 and point requirements are as follows:
Pre-65: Each retiree will receive premium subsidy based on the following point system (based on age plus length of service upon retirement). *Spousal subsidy is no longer offered. You may enroll in Retiree/Spouse coverage, but there will be no College contribution towards the spousal portion. Please contact HR if you have questions regarding rates, (315) 445-4156.
Points Spend Limit
85+ 65% of premium
75-84 50% of premium
Retiree medical benefits are provided through the Blue PPO-J Plan and the HealthyBlue PPO Plan. These plans are fully-insured experience rated plans. The 2014 Pre-65 rates are as follows:
|HealthyBlue: Retiree (65%)
||$142.06 mo; $1,704.74/yr
|HealthyBlue: Retiree/Spouse (65%)
|HealthyBlue: Retiree (50%)
|HealthyBlue: Retiree/Spouse (50%)
|PPO-J: Retiree (65%)
|PPO-J: Retiree/Spouse (65%)
|PPO-J: Retiree (50%)
|PPO-J: Retiree/Spouse (50%)
2014 Pre-65 Retiree Health and Dental Rate Sheet
Post-65: Each retiree will have an established Healthcare Reimbursement Account (HRA) to be used towards premium payments. The beginning balance for this account depends on the number of points (age plus service) the employee has upon retirement. Each year the remaining balance of the HRA account will be escalated by 3%. The premium amount that can be deducted from the HRA is based on the Aetna Medicare Plan (PPO) annual insurance premium.
2014 Post-65 Retiree Health and Dental Rate Sheet
Le Moyne College offers AETNA Medicare Advantage PPO and PPO-ESA Plans to post-65 retirees. Retirees eligible for the HRA may enroll in this coverage or alternate post-65 coverage. This plan is a fully-insured community rated plan. Here are some of the benefits the Aetna plans offer:
- You have the freedom to receive covered services from any licensed doctor or hospital that is eligible to receive payment from Medicare, agrees to treat you, and accepts Aetna Medicare PPO or PPO-ESA terms and conditions of payment.
- No referrals needed.
- Medicare prescription drug coverage included.
- Coverage for thousands of brand name and generic prescription drugs commonly used by Medicare beneficiaries.
- More than 60,000 participating retail pharmacies nationwide, plus mail order.
- Provides important benefits like preventive services, which may not be included in other health plans available to you.
- Consistent copay amounts help to make your expenses predictable.
- You are covered wherever you travel throughout the United States – and receive emergency medical care worldwide.
- Toll-free phone and online resources for instant access to health information.
- Aetna Aextras at no extra cost: discounts on vision products, chiropractic and other products and services.
Medicare Part B
Medicare Part B premiums are not reimbursed
Pre-65 and Post-65 Retirees dental benefits are provided through Delta Dental. The employee pays the full premium annually. The retiree and the retiree's spouse are eligible to enroll in the dental plan. If you waive your dental benefit, you will not be able to enroll at a future date.
Q. If I was hired on or after January 1, 2011 am I eligible for retiree healthcare or life insurance benefits?
A. No. Employees hired on or after January 1, 2011 are not eligible for College subsidy for the retiree health plan benefits or the retiree group life insurance plan benefits offered by the College. However, if you are at least age 55 with at least 10 years of service upon retirement, you may buy into the College’s retiree health plan for 100% of the full premium.
Q. How long will this policy be in effect?
A. Like all other College policies, the retiree policy will remain in effect indefinitely. However, the College reserves the right to modify or discontinue the policy.
Q. What if I am not sure I can afford to retire?
A. It is never too early to begin planning for retirement. If you are enrolled in the TIAA-CREF basic or supplemental retirement plan, make an individual appointment with the TIAA-CREF representative, Darryl Fiasconaro, by calling (315) 477-9000 TIAA-CREF can prepare retirement estimates designed for your needs or assist you with a long-term strategy for a future retirement date.
Q. Can I change my mind after I opt out of the retiree healthcare benefits?
Q. If I am currently enrolled in the retiree health plan when can I make changes to my plan?
A. You may only make changes during the annual open enrollment period unless you have a qualifying event. Contact the Office of Human Resources for details on what constitutes as a qualifying event.
Q. When and whom do I notify when I am ready to retire?
A. You should notify your supervisor or department chair in writing, with a copy to the Director of Human Resources, about your intention to retire as far in advance as possible. Early notification will allow your supervisor (staff and administrators) or department chair (faculty) time to find a replacement. You should also contact the Director of Human Resources as early as possible so that you can begin the benefits transition process.
Q. Once I retire, will I be invited to College functions and can I use the facilities?
A. Retirees are invited and encouraged to attend special College functions such as the annual holiday party, employee recognition luncheons and various cultural events held on campus. The athletic facilities and library are available to retirees. Please call the individual departments directly for details.
Q. What happens if my dependent child is enrolled or plans to enroll at Le Moyne College at the time I retire?
A. Your dependent may be eligible to receive tuition remission benefits according to the Tuition Remission program stipulations. Your dependent must meet the College’s admission criteria.
Q. Can I take classes at the College after I retire?
A. Yes, retirees can take classes at the College provided there is sufficient space in the class. You must fill out a tuition remission request form prior to enrollment by contacting the Office of Human Resources.
Pre-65 Health Insurance
Retiree Open Enrollment Form
Authorization for Automatic Electronic Payments of Health Insurance
Health Insurance Deferral Form (for retirees less than 59 1/2 years)
Post-65 Health Insurance
Benefit Waiver Form
Reimbursement Request Form
Dental Enrollment Form
Dental Insurance Waiver Form
Dental Claim Form
Conversion & Portability Information