Boise State University Human Resource Services - Benefits
Insurance - Retiree
Eligibility
A retiree who is a retired officer or employee of a state agency, department, or institution, including state officials, and elected officials and who is receiving retirement benefits from a State Retirement System. Such retirement benefits must equal or exceed the premium charged under this Policy at the time of retirement, or the retiree must have at least ten (10) years of credited state service in a State Retirement System.
Enrollment
Retirees have 60 days from the date they first became eligible to submit an application for coverage. If the application is not submitted within 60 days, then will be considered a Late Enrollee. The effective date would be the first of the month following the application submission.
Health insurance enrollment form for retirees
| Benefit Provision | State Retiree Health Insurance Plans July 1, 2009 to June 30, 2010 |
|||
|---|---|---|---|---|
| Traditional | PPO - In-Network | PPO - Out-of-Network | High Deductible | |
| Deductible | $350 Individual $1,050 Family |
$250 Individual $750 Family |
$500 Individual $1,500 Family |
$2,000 Individual, $6,000 Family |
| Office Visit | Applied to deductible | $20 Co-pay (additional services subject to deductible and coinsurance) | Applied to deductible | Applied to deductible |
| Co-Insurance | 80% / 20% of allowable charges | 85% / 15% of allowable charges | 70% / 30% of allowable charges | 70% / 30% of allowable charges |
| Out of Pocket Maximum | $4,300 Individual 8,600 Family Includes deductible |
$3,250 Individual 6,750 Family Includes deductible |
$6,500 Individual 13,500 Family Includes deductible |
$5,000 Individual, $10,000 Family Included deductible |
| In-Patient Hospital | Subject to deductible and coinsurance | Subject to deductible and coinsurance | Subject to deductible and coinsurance | Subject to deductible and co-insurance |
| Wellness | $250 per person, per plan year benefit for listed procedures, not subject to deductible. After $250, expenses subject to deductible and coinsurance | $20 Office Co-Pay, then 100% for listed procedures. No limits per plan year. Unlisted procedures are subject to deductible and coinsurance | No benefits | $250 per person, per plan year benefit for listed procedures, not subject to deductible. After $250, expenses subject to deductible and coinsurance |
| Pharmacy - No Cap | $10 Co-payment Generic; $18 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent | $10 Co-payment Generic; $18 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent | $10 Co-payment Generic; $18 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent | |
Monthly Medical Premiums
For more information, click here
| PPO Plan | Retiree | Retiree and Spouse | Retiree and Children | Family |
| No Medicare | $562.00 | $997.00 | $722.00 | $1,157.00 |
| One on Medicare | $231.00 | $793.00 | $391.00 | $953.00 |
| Two on Medicare | N/A | $448.00 | N/A | $608.00 |
| Traditional Plan | Retiree | Retiree and Spouse | Retiree and Children | Family |
| No Medicare | $573.00 | $1,020.00 | $746.00 | $1,193.00 |
| One on Medicare | $231.00 | $804.00 | $404.00 | $977.00 |
| Two on Medicare | N/A | $448.00 | N/A | $621.00 |
| High Deductible Plan | Retiree | Retiree and Spouse | Retiree and Children | Family |
| No Medicare | $456.00 | $812.00 | $595.00 | $951.00 |
| One on Medicare | $188.00 | $644.00 | $327.00 | $783.00 |
| Two on Medicare | N/A | $364.00 | N/A | $503.00 |
Sick Leave Entitlement
At the time of retirement, you may convert a portion of
your unused sick leave into a cash equivalent to pay for
retiree medical insurance premiums after retirement.
The payments from this program continue until your unused
sick leave account is depleted. The formula is one half the maximum allowable
hours of unused sick leave times your hourly wage at the time of retirement.
State employees have a maximum allowable unused sick leave
depending on state service hours as follows:
An employee will be eligible
for health care coverage when he/she retires if he/she meets the following
conditions: (1) Was an active employee on or before June 30, 2009; (2)
Is eligible for a retirement benefit from a public employee retirement
service or a retirement service for educators with at least 20,800 hours
of credited state service; and (3) Retires directly from state service.
| Credited Hours of State Service | Estimated Years of State Service | Minimum Hours of Sick Leave needed to get maximum Sick Leave Entitlement | Maximum Allowable Sick Leave Hours |
|---|---|---|---|
| 0-10,400 | 5 | 480 | 240 |
| 10,401-20,800 | 5-10 | 960 | 480 |
| 20,801-31,200 | 10-15 | 1080 | 540 |
| 31,201 and over | 15 and over | 1200 | 600 |
Life Insurance
Boise State University provides life insurance for retirees if they meet one of the following criteria:
- Retire at age 64 with 15 years of BSU service
- Retire at any age with 30 years of BSU service
- Retire at age 55 or older, if age plus years of BSU service total at least 80
Life insurance benefits are paid at the following rates:
- 100% of annual income - to age 65
- 75% of annual income - from ages 65-70
- 50% of annual income - after age 70
Spouse: $1,000
The retiree life insurance benefit is administered through Boise State University, Human Resource Services
Contact Information
State of Idaho's Office of Insurance Management, http://adm.idaho.gov/insurance/retired.htm
1-800-531-0597, 332-1860, ogi@adm.idaho.gov