The purpose of the Peralta CCD Medicare Reimbursement Plan is to reimburse eligible retirees for the cost of Medicare premiums. Please see the Plan Document provided for more details.
Did you know that you may be eligible to recieve a reimbursement of your Medicare Premiums? The Distirict reimburses premiums paid by the retiress and spouse or domestic partner. All you have to do is provide verification of the amount paid. If you are on the Districts Kaiser plan, make sure that you are enrolled in the Kaiser Senior Advantage Plan.
This is the 2013 Medicare Reimbursement Plan Policy Statement.
This is the Medicare Parts A and B Premium Reimbursement Plan Summary Plan Description.
2014 Medicare A & B Premium Claim Form - Request for Reimbursement. This form must accompany reimbursements processed on or after January 1, 2014 through December 31, 2014. Complete sections B & C.
2013 Medicare A & B Premium Claim Form - Request for Reimbursement. This form must accompany reimbursements processed on or after January 1, 2013 through December 31, 2013. Complete sections B & C.
This is the Medicare A & B Enrollment Exceptions and/or Acknowledgement Form.
Attached is the Direct Deposit Form for Benefit Dynamics. PLEASE NOTE: All new retirees will be REQUIRED to sign up for direct deposit at the time of retirement in order to begin receiving reimbursement.