Missouri Code of State Regulations › Title 22 - MISSOURI CONSOLIDATED HEALTH CARE PLAN › Division 10 - Health Care Plan › Chapter 2 - State Membership › Section 22 CSR 10-2.030 - Contributions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment revises the Missouri
				  Consolidated Health Care Plan contribution methodology for retiree coverage;
				  removes language related to the Medicare Prescription Drug Only Plan; and
				  renumbers as necessary.
(1)
				Total premium costs for various levels are based on employment status, retiree
				status, eligibility for Medicare, and various classifications of dependent
				participation as established by the plan administrator.
(2) The Missouri Consolidated Health Care
				Plan (MCHCP) contribution toward the premium for active employee coverage shall
				be determined by the plan administrator.
(3) The MCHCP contribution toward the premium
				for Family Medical Leave Act (FMLA) leave of absence coverage shall be the same
				as for active employees.
(4) The
				MCHCP shall not make a contribution toward the premium for terminated vested
				(including terminated non-vested elected state officials and employees), leave
				of absence (except for FMLA leave of absence), foster parents, or Federal
				Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage.
(5) The MCHCP contribution toward the premium
				for long-term disability coverage shall be equal to the amount that was
				contributed toward the comparable rate tier in 2002.
(6) The Missouri Consolidated Health Care
				Plan (MCHCP) contribution toward retiree coverage is based on either of the
				following:
(A) The contribution percentage is
				calculated by using the number of full creditable years of service at
				retirement as reported to MCHCP by Missouri State Employees' Retirement System
				(MOSERS) or Public School Retirement System (PSRS) multiplied by two and one
				half percent (2.5%). The resulting product shall be capped at sixty-five
				percent (65%), or in other words the retiree's years of service is capped at
				twenty-six (26) years.
1. Medicare retirees.
A. For Medicare retirees, the contribution
				percentage is multiplied by the retiree only Medicare Advantage Plan total
				premium. The resulting product is the MCHCP contribution, which shall be
				subtracted from the Medicare Advantage total premium. The difference is the
				amount of the retiree contribution toward the total premium.
B. For Medicare retirees covering
				Medicare-eligible dependents, MCHCP will contribute for the dependent portion
				of the premium the lesser of the following: the contribution percentage
				multiplied by the Medicare Advantage premium, or the dollar amount MCHCP
				contributes for the dependent portion of the PPO 1250 premium for an active
				employee at the rate tier the retiree has selected.
C. For Medicare retirees covering
				non-Medicare eligible dependents, MCHCP will contribute for the dependent
				portion of the premium the lesser of the following: the contribution percentage
				multiplied by the difference in premium of the retiree only Medicare Advantage
				Plan and the premium of the dependent portion of the PPO 1250 Plan at the rate
				tier the retiree has selected, or the dollar amount MCHCP contributes for the
				dependent portion of the PPO 1250 premium for an active employee at the rate
				tier the retiree has selected.