Summary Retiree Medical Insurance Plan (RMIP) participants are required to join the National Health Plan (NHP) for which they are eligible and in which they can participate on the same level as other nationals of their country of residence. The NHP program, Medicare, applies to U.S. citizens and U.S. permanent residents.
Effective 01/01/2016, U.S. based retirees enrolled in Medicare will have to enroll in the Employee Group Waiver Program (EGWP) if they wish to continue the pharmacy coverage through the World Bank Group. Non-enrollment in EGWP plan will result in cancellation of pharmacy coverage from the Medicare effective date after 1/1/2016. Attention: NHP enrollment for self, spouse, or registered domestic partner must be reported to HR Operations.
A staff member in the U.S. participating in Medicare will receive the following discount or premium reimbursement based on his/her NHP enrollment:
- U.S. Medicare Part A: No discount**
- U.S. Medicare Part B: Full Reimbursement of standard premium and, if applicable, Income Related Monthly Adjustment Amount (IRMAA) Part B
- U.S. Medicare Part D: IRMAA Part D
- Other National Health Plan: 40 or 20 percent discount per participant based on the selected RMIP coverage
Note: **The amount of the discount/reimbursement is subject to change.
For a retiree enrolled in the Dual Plan or Family Plan, the discount would be one-half of these amounts for each retiree and spouse/domestic partner participant who is enrolled in NHP. For the Medicare Part B premium, each retiree and each spouse/domestic partner will receive full reimbursement.
For more information, refer:
Note: Upon retirement, all changes in address details must be reported to the Pension Administration Unit by completing Form 2374 (Change of Contact Information) electronically. Any updates to the contact information must bear the signature of the retiree, spouse, or beneficiary recipient. Step | Action | | | Action by Staff | 01 | Fill the following: - Retirees enrolled in Non U.S. Health Plan:
- Retirees enrolled in U.S. Health Plan Medicare: for retirees enrolled in Medicare.
- form
o SSA Letter for Medicare and IRMAA reimbursements is required since it is proof of payment to the Medicare Department. Refer to page 2 of this form for a sample of the SSA letter. Note: If you have missed the letter from SSA, you can obtain a copy by contacting SSA at 1-800-772-1213. | 02 | Upon enrollment with NHP, send the forms with proof of NHP/U.S. Medicare enrollment to HR Operations using only one of the following methods: | | | Action by HR | 03 | Send an email confirmation to the staff member on the NHP discount or premium reimbursement, if applicable, and if the email address is provided.
The RMIP NHP discount or Medicare premium reimbursement is authorized the effective date of the coverage or up to 36 months retroactive from the date that proof of coverage is received by HR Operations. For the enrolled individuals, the NHP coverage will become the primary insurance, and the RMIP will be secondary.
Premium reimbursement will be included in the retiree¡¯s monthly pension payment. For retirees who do not receive a monthly pension, the reimbursement will offset their monthly direct bill from Aetna.
EGWP enrollment is currently managed by SilverScript and processed within a minimum of 30 days from the date Medicare details are entered in Peoplesoft. All participants will receive a welcome packet with the SilverScript card to be used for all pharmacy claims. Note: Until the member receives the SilverScript card with the coverage effective date, the member has to use the CVS card received with the initial RMIP enrollment. |
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