Boise State University Human Resource Services - Benefits

Insurance - Retiree

  1. Eligibility
  2. Enrollment
  3. Waiting Periods
  4. Medical Insurance
  5. Dental Insurance
  6. Vision Insurance
  7. Monthly Health Insurance Premiums
  8. Mental Health, Substance Abuse and Employee Assistance Program (EAP) Benefits
  1. When Coverage Ends
  2. COBRA
  3. When You Retire
  4. Basic and Supplemental Life Insurance
  5. NCPERS
  6. Supplemental Insurance Programs
  7. Disability: Short and Long Term


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


Summary of Medical Benefits
Benefit Provision State Retiree Health Insurance Plans
July 1, 2007 to June 30, 2008
  Traditional PPO - In-Network PPO - Out-of-Network
Deductible $350 Individual
$1,050 Family		 $250 Individual
$750 Family		 $500 Individual
$1,500 Family
Office Visit Applied to deductible $20 Co-pay (additional services subject to deductible and coinsurance) Applied to deductible
Co-Insurance 80% / 20% of allowable charges 85% / 15% 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
In-Patient Hospital Subject to deductible and coinsurance Subject to deductible and coinsurance Subject to deductible and coinsurance
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 Not covered, except for screening mammography services at 70% of allowable charges subject to deductible
Pharmacy - Capped $2000 Benefit per plan year $12 Co-payment Generic; $17 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent $12 Co-payment Generic; $17 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent $25 Co-payment, Plus 20% of the balance
Pharmacy - No Cap $12 Co-payment Generic; $17 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent $12 Co-payment Generic; $17 Co-payment Brand with no Generic equivalent; $40 Co-payment Brand with Generic equivalent  

Monthly Medical Premiums

For more information, click here

Retiree Monthly Premium Rates
July 1, 2007 to June 30, 2008
PPO Plan $2000 Prescription Drug Cap Retiree Retiree and Spouse Retiree and Children Family
No Medicare $393 $697 $505 $809
One on Medicare $190 $584 $303 $697
Two on Medicare N/A $368 N/A $479
Traditional Plan $2000 Prescription Drug Cap Retiree Retiree and Spouse Retiree and Children Family
No Medicare $401 $713 $522 $834
One on Medicare $190 $593 $311 $713
Two on Medicare N/A $368 N/A $488
PPO Plan No Cap Prescription Drug Retiree Retiree and Spouse Retiree and Children Family
No Medicare $472 $853 $664 $1044
One on Medicare $269 $740 $461 $932
Two on Medicare N/A $525 N/A $714
Traditional Plan No Cap Prescription Drug Retiree Retiree and Spouse Retiree and Children Family
No Medicare $480 $869 $680 $1069
One on Medicare $269 $749 $469 $948
Two on Medicare N/A $525 N/A $723

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 the maximum allowable hours of unused sick leave divided by 2 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:

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:

  1. Retire at age 64 with 15 years of BSU service
  2. Retire at any age with 30 years of BSU service
  3. 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

For more information regarding the sick leave entitlement, please contact PERSI, 1-800-451-8228 or www.persi.state.id.us