Healthcare Reimbursement
PREMIUM/CONTRIBUTION REIMBURSEMENT PLAN
(effective January 1,2024) or
HEALTH EXPENSE REIMBURSEMENT BENEFIT
**you can select either (but not both)
- The Benefit shall be $300.00 per calendar year for Full-Time Employees
- The Benefit shall be $100.00 per calendar year for Part-Time Employees
- The Benefit shall be $200.00 per calendar year for Retired Employees
Who is Eligible:
- Full-Time Employees
- Part-Time Employees
- Retired Employees
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PREMIUM/CONTRIBUTION REIMBURSEMENT BENEFIT
Premium contributions toward NYSHIP or any other New York State issued Health Plan applicable to Court Employees, such as employee co-payments, up to $300.00 per calendar year for Full-Time Employees, $100 for Part-Time Employees and $200 for Retired Employees. Payment is limited to such premium contribution required to be made by an employee. To receive reimbursement of a premium contribution, you will need to provide the Fund Office with supporting documentation such as a record of your salary payment. (i.e., a copy of your most recent pay stub indicating a year-to-date payment of the Health Insurance Premium totaling at least $300 for Full-Time Employees, $100 for Part-Time Employees and $200 for Retired Employees)
Reimbursement of Claims
Claims can be submitted at any time until the maximum is met, but not later than the last business day of the year in which reimbursement of the premium contribution is sought.
HEALTH EXPENSE REIMBURSEMENT BENEFIT (ALTERNATE)
The Health Expense Reimbursement Benefit can be used for reimbursement of prescription drug benefits, and Health Insurance Copayments. The benefit shall be $300.00 per calendar year, effective January 2024 for Full-Time Employees, $100 for Part-Time Employees and $200 for Retired Employees. All prescription drugs and health insurance copayment claims shall be processed as part of this benefit.
Reimbursement of Claims
To receive reimbursement from eligible expenses you incur on or after January 1st - December 31st of the calendar year, you will need to complete a claim form and send it to the Fund Office along with all supporting original documentation (Explanation of Benefits (EOB)or other proof of your eligible health care or prescription expenses) that will verify the claim.
No reimbursement will be made without, at minimum, (1) a written statement of an independent 3rd party such as an EOB for you stating that the expense had been incurred and the amount of the expense and (2) a written statement and documentation (e.g., pharmacy receipts or print outs from the participant that the expense has not been reimbursed and is not reimbursable under another health plan coverage.
No reimbursement of eligible health care expenses under this benefit provision shall be made if such expenses have been reimbursed by any other health care insurance, provider or entity or if you have filed a claim for a premium/contribution reimbursement claim during the calendar year.
Claims can be submitted only ONCE A YEAR at any time after the maximum expense amount ($300 for Full-Time Employees, $100for Part-Time Employees and $200 for Retired Employees) but in no event later than the last business day of that calendar year in which the claim was incurred.