Guidance from the State Health Benefit Plan on documenting and submitting records relating to HB 385 for TRS Beneficiaries returning to work as classroom teachers in a full-time capacity
SHBP recommends employers submit retirees who are hired under HB385 as benefits ineligible as follows:
When submitting a NEMP record, if the employer marks “N” in position #370 (benefits ineligible) on the AUF, then the retiree will continue coverage as a SHBP Retiree without interruption. The health premium deductions will continue from the retiree’s retirement annuity. The employer will not have a financial obligation for the retiree’s health coverage.
If the NEMP record is transmitted as benefits eligible when submitting a NEMP record, i.e., the employer marks “Y” in position #370 (benefits eligible) on the AUF, then the retiree will transition to health coverage as a New Hire. The health premium deductions will cease from the retiree’s retirement annuity and the employer will have a financial obligation for the retiree’s health coverage as a new hire.
If the employer submits a retiree who has Medicare as benefits eligible, it may affect the retiree’s insurance election. If the retiree is over 65 years of age and/or enrolled in a SHBP Medicare Advantage plan option, that option will be terminated, and the retiree will be required to choose a SHBP commercial plan option.
*Please note: The above guidance does not pertain to retirees returning to work in other capacities. In applicable circumstances, retirees who do not have coverage will be able to gain/regain SHBP coverage if returning to work in a benefits eligible position when properly notated on the NEMP record as benefits eligible.