Once you use up your bank dollars and lose coverage as an “Eligible Employee” you have the opportunity to enroll in the retiree coverage offered by the Plan on a self-pay basis provided you meet the retiree eligibility requirements of the Plan; please see the “Retiree Rules” tab. Vision, Accidental Death & Dismemberment, Time Loss, and Vacation benefits are not offered. Dental coverage has been eliminated effective 1/1/2014 for retirees over age 65. Retirees must meet all of the following requirements:
- be retired under the Pension Trust
- is entitled to Medicare; and
- has been credited with at least 20,000 Covered Hours under the Welfare Trust since initial participation under the Plan; and
- have Covered Hours under the Welfare Trust in at least 12 out of the last 48 months before retirement under the Pension Trust (or, if not covered by the Pension Trust, 12 months out of the last 48 before his or her retirement from his or her Contributing Employer or Employers) or at least 50,000 Covered Hours under the Welfare Trust since initial participation under the Plan
- make the required monthly self-payments; and
- has submitted a completed Retired Participant Welfare Trust enrollment form by within 31 days after his or her retirement date under the Pension Trust, within 31 days after losing coverage under this Plan, or as approved in Section 2.3
Dependent spouses and children of retirees may also be covered under the Plan by making the required monthly self-payments.
In the event of the death of the retired participant, (or of a pre-retiree who met the rules for retiree coverage), the participant’s dependent spouse and children may continue to be covered by the Plan by making the appropriate election and monthly self-payments.
If you work after retirement at a job which provides health coverage or in any industry employing workers in the same trade or craft you worked in as an active participant, you and your dependents can not be covered by this Plan. Once you are no longer working as described, you may resume coverage with this Plan as a retiree, provided that you do so immediately and that any work after retirement in your former trade or craft was done under a Teamster collective bargaining agreement.
Benefit Differences from Active Participants
In General Retiree health coverage is very similar to coverage for active participants. The following will summarize the main differences in the area of deductibles, out-of-pocket maximums, and Medicare rules. Annual Deductible Each Participant with Medicare – refer to TEAMStar Retiree Booklet Annual Maximum No dollar limit (visit or procedure limits may apply). Annual Out-of-Pocket Maximum Each Participant with Medicare – refer to TEAMStar Retiree Booklet Life Insurance Benefit $5,000
Medicare Enrollment Required You must enroll for Medicare parts A and B as soon as you are eligible to do so in order to get full benefits from this Plan. Medicare Primary Medicare is considered “Primary” for retirees and their families. This means that all medical bills are first submitted to Medicare for payment. Effective 1/1/2014, the Medicare retirees were transitioned over to TEAMStar as their Medicare supplemental plan. Plan Payment Calculation The TEAMStar plan is considered “secondary” to Medicare. After Medicare pays its portion and sends you an Explanation of Medical Benefits (EOMB) you will submit this with your claim to the TEAMStar plan. Then, the TEAMStar plan will subtract the amount paid by Medicare and pay any remaining allowable amount.
Retiree Rates by Category (effective 1/1/2018)
Medicare Supplemental Plan F
Medicare Part D
Medicare Retiree Life Insurance