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Health Care Enrollment
Currently, SERS offers health care coverage to qualifying benefit recipients. Here is when you can enroll in SERS’ coverage:
  • When you retire or begin receiving a disability benefit
  • Within 90 days of becoming eligible for Medicare
  • Within 31 days of involuntary termination of other health care coverage or termination of Medicaid
    • Failing to pay the premium or ending coverage because of plan changes does not count as involuntary termination.
If you do not enroll your spouse or children during the initial enrollment period, you can enroll them under the following circumstances:
  • Within 31 days of marriage
  • Within 31 days of the birth or adoption of a child
  • Within 90 days of becoming eligible for Medicare
  • Within 31 days of involuntary termination of other coverage or termination of Medicaid
    • Failing to pay the premium or ending coverage because of plan changes does not count as involuntary termination.

Click here for information on health care eligibility (see page 2).

Dental/Vision Enrollment
You have to be eligible for, but you do not have to be enrolled in, SERS’ health care
coverage to sign up for dental and vision coverage. You must be enrolled in dental and/or
vision coverage in order to enroll your dependents.
 
SERS offers dental and vision coverage through Delta Dental of Ohio and VSP Vision Care.
 
You can enroll in dental and vision coverage at the following times:
  • at retirement
  • during the annual open enrollment period.
Coverage Under More Than One Ohio Retirement System
You cannot waive SERS’ health care coverage in order to enroll in coverage through another Ohio public retirement system. Your primary coverage must be through the retirement system from which you retire.
 
A spouse or dependent who qualifies for retirement under another Ohio public retirement system may not waive coverage under that system in order to take SERS’ health care coverage.
REEMPLOYMENT

If you retire and then take a new job or go back to work for a school employer, you temporarily may lose eligibility for SERS’ health care coverage while you are reemployed. Once reemployment ends, your eligibility will be restored.

Individuals affected are those:

  • Under age 65 not yet eligible for Medicare
  • Eligible for Medicare but not enrolled in Part B

Individuals not affected are those:

  • Enrolled in Medicare Part A and B
  • Enrolled in Medicare Part B only

SERS’ health care eligibility is lost when:

  • You are eligible for medical and prescription coverage through your new employer.
  • You are not eligible for medical and prescription coverage through your new employer but other employees in comparable positions are eligible for coverage. The coverage available to employees in comparable positions must be at the same cost as full-time employees.

You will not lose your eligibility for SERS’ coverage if you do not have access to the employer coverage or it costs employees in comparable positions more than full-time employees pay.

Termination of Eligibility

If you are affected by this rule, you will be notified of the termination date of your SERS health care coverage. Because you must be enrolled in SERS’ coverage in order to enroll your spouse and dependents, termination of your eligibility may affect their coverage.

Regaining Eligibility

Your eligibility for SERS’ health care coverage will be restored after you stop working. Because losing employer coverage is considered involuntary termination of coverage, you will regain eligibility for SERS’ coverage. You will have 31 days to reenroll.

Dependent Coverage

This rule also applies to your spouse. If your spouse has SERS’ health care coverage and takes a new job, your spouse will lose eligibility for SERS’ coverage. Your eligibility or coverage will not be affected by your spouse’s loss of coverage.

If your child has SERS’ coverage and takes a job, that child will not lose SERS’ coverage. Federal law provides that coverage may continue to age 26, regardless of the child’s employment or eligibility for employer coverage.

Please notify SERS if you or your spouse become employed.

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