Retiree Information & Forms

  • Retiree Health Insurance Information

     

     

    To have your health insurance premium payments automatically taken from your checking account, please complete the application below and return it to Human Resources with a voided check. 

    The Preferred will automatically be informed of any changes in your premium every July, or if you have a change in your policy at any other time of the year. 

    The Preferred Direct Payment Application

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    If you are paying your health insurance premium payments by check, please use the Preferred Payment Coupons for your record keeping.  

    Preferred Payment Coupons

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    The Medicare Creditable Coverage letter is sent to you each October.  This is your proof that you have prescription coverage with your health insurance and do not need to buy a supplemental plan. 

    Your Alt PPO or EPO-20 plan has prescription coverage and you do not need to purchase another supplemental.

    Medicare Prescription Creditable Coverage Disclosure Notice Dated 10/13/2020