Hawaii Administrative Rules › Title 24 - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Sec2 5.00 - HEALTH AND OTHER BENEFIT PLANS › Section 24-5.03 - Mandatory Enrollment in Medicare Part B and Medicare Part D for Retired Employees and Cancellation Due to Failure to Enroll

Current through June, 2024
(a) Retired
			 employee-beneficiaries or dependent-beneficiaries of retirees shall submit
			 proof of enrollment in the federal Medicare Part B medical insurance plan when
			 the employee-beneficiary or dependent-beneficiary becomes eligible to enroll in
			 the federal Medicare Part B medical insurance plan if enrolled in a medical
			 and/or prescription drug plan. Notwithstanding Rule 4.05, the effective date of
			 the Fund medical and/or prescription drug coverage shall be the later of the
			 effective date of the Medicare Part B coverage or the medical and/or
			 prescription drug coverage enrollment date, provided that proof of enrollment
			 in Medicare Part B is submitted.
Failure to provide proof of enrollment in Medicare Part B
				within sixty (60) days of eligibility shall result in loss of coverage
				retroactive to the date of eligibility.
(b) Employee-beneficiaries who retire and are
			 eligible for Medicare Part B at the time of retirement and their dependent
			 beneficiaries who are eligible for Medicare Part B at the time of the
			 employee-beneficiary's retirement shall provide proof of enrollment in Medicare
			 Part B at the time of retirement or within sixty (60) days of retirement.
			 Failure to provide proof of enrollment in Medicare Part B within sixty (60)
			 days of retirement shall result in loss of medical and prescription drug
			 coverage retroactive to the date of retirement.
(c) Retired employee-beneficiaries and their
			 spouses/partners shall be reimbursed quarterly the cost of their Medicare Part
			 B premiums, including income-adjusted Medicare Part B premiums, less penalties.
			 Reimbursements shall be made using direct deposit.
(1) Medicare Part B premium reimbursements
			 shall be effective the date the Medicare Part B is effective or the first day
			 of the month that the fund receives appropriate proof of enrollment in Medicare
			 Part B, a valid direct deposit agreement and proof of payment to the Social
			 Security Administration or Centers for Medicare & Medicaid Services,
			 whichever is later.
(2) If a
			 retired employee-beneficiary's direct deposit is returned by the financial
			 institution, a notice from the Fund will be sent to the retired
			 employee-beneficiary. The retired employee-beneficiary has sixty (60) days from
			 the date of the notice to submit a valid direct deposit agreement to avoid a
			 break in their reimbursement. Failure to provide a valid direct deposit
			 agreement within sixty (60) days of the date of the notice will result in
			 cancellation of Medicare Part B premium reimbursements retroactive to the first
			 day of the month of the quarter that the direct deposit was returned. If the
			 reimbursement is cancelled, the retired employee-beneficiary's Medicare Part B
			 premium reimbursements can be reinstated when a valid direct deposit agreement
			 is received with an effective date of the first day of the month that the valid
			 direct deposit agreement is received.
(3) Retired employee-beneficiaries and/or
			 their spouses/partners shall provide the Fund appropriate proof of an
			 income-adjusted Medicare Part B premium. If proof is submitted to the fund more
			 than two years after the effective date of the income-adjusted premium, the
			 fund shall only reimburse for a two year retroactive period.
(4) Each public employer shall pay to the
			 Fund a contribution equal to the amount paid by the Fund to the retired
			 employee-beneficiaries and their spouses/ partners.
Payment of these reimbursements shall be made only for those
				persons who are enrolled in the Medicare Part B medical insurance plan and pay
				their Medicare Part B medical insurance premiums to the Social Security
				Administration or Centers for Medicare & Medicaid Services.