ADDENDUM
B INSURANCE COVERAGE FOR RETIREES
Coventry School District
Insurance Coverage for Retirees The inclusion of Dental Benefit Within
The Health Benefit Provision of Contract (See Appendix E5)
1. For the purpose of this Addendum agreement only, Health Coverage shall be defined as Health and Dental insurance.
2. Except as otherwise provided herein, retirees who are eligible must select the full program, including both Health and Dental, or he/she will be considered to have waived his/her eligibility rights.
3. A retiree who has attained the age of 60 years or older and who has coverage under his/her spouse’s plan shall be eligible for the contractual premium allowance as follows:
A. By purchasing health coverage benefits within a spouse’s plan, beyond the benefits already provided, not to exceed the benefit levels in the District’s plan, the cost shall not exceed the premium cost the District pays for its own plan benefits. Where the primary health care provider will allow, the premium for such coverage shall be paid by the District directly to the carrier. In the event that the primary carrier will not accept such payment, the premium amount shall be paid directly to the retiree, subject to the issuance of a 1099 form at year end; and/or
B. By purchasing dental benefits when such benefits are not included in a spouse’s plan, a retiree and/or his/her spouse may enroll in the District dental plan as an individual, provided that the District’s contribution for such coverage shall not exceed the contract premium allowance limit.
4. A retiree who has attained the age of (See Appendix E5) years or older and who maintains coverage in a non-District plan, other than that obtainable through a spouse, shall not be eligible for the District dental coverage, but will be eligible for the contractual premium allowance necessary to cover the cost of non-District health benefit, not to exceed the contract premium allowance limit. Where the primary health care provider will allow, the premium for such coverage shall be paid by the District directly to the carrier. In the event that the primary carrier will not accept such payment, the premium amount shall be paid directly to the retiree, subject to the issuance of a 1099 form at year end.
5. No retiree or his/her spouse shall be eligible for the contracted premium allowance prior to reaching the ages as stipulated in Appendix E5.
6. Persons who retired prior to this agreement shall be eligible for the above health benefits, provided she/he meet the eligibility requirements as set forth herein.