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Medicare Reimbursement

The purpose of the Medicare Reimbursement Plan is to reimburse eligible retirees for the cost of Medicare premiums. Please see the Plan Document provided for more details.

Announcements

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. 

On Feb. 6, 2007, the Board of Trustees ratified the Medical Reimbursement programs and improved eligibility criteria to include all retirees and dependents. Reimbursements occur quarterly March, June, September and December of each year. Submit your documentation by March 15 in order to be inclided in the first quarter reimbursement cycle.  Read More...
Plan Documents
 Medicare Premium Reimbursement Plan SPD  
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This is the Medicare Parts A and B Premium Reimbursement Plan Summary Plan Description.

  File size: 115 K
 Medicare Reimbursement Plan Policy Statement  
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This is the Medicare Reimbursement Plan Policy Statement.

  File size: 340 K
Forms
 Direct Deposit Form  
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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. 

(Updated 2-13-2012)

  File size: 70 K
 Medicare A & B Premium Claim Form  
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Medicare A & B Premium Claim Form - Request for Reimbursement
This form must accompany reimbursements processed on or after January 1, 2012. Complete sections B & C.
(Updated 12-19-2011)
  File size: 122 K

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