Page 16 - B12797-ITDR-Enrollment-Guide-2020

Frequently asked questions—General
Do I need to do anything during
open enrollment to continue coverage through Caltech?
No. If you do nothing you will be automatically enrolled in your existing plan. However, your plan rates may increase even if you don’t
make changes.
Can I use my Defined Dollar Credit to pay for premiums from another employers’ plan?
Yes, however any premiums deducted from your paycheck must be paid for on an after-tax basis to be eligible for reimbursement from the HRA.
Will my spouse/surviving spouse be eligible for coverage and/or a Defined Dollar Credit?
Yes, the spouse/partner you have when you retire will be eligible for coverage and the Caltech Defined Dollar Credit. If a retiree re-marries the new spouse can join the plan, but Caltech will not provide a Defined Dollar Credit toward the new spouse’s coverage.
How do I make monthly premium payments?
You will be mailed an invoice each month by the Caltech Retiree Service Center.
Can I have my premium automatically deducted from my bank account?
Yes, you will receive a bill 30 days in advance of when the premium is due. Your monthly premium is due by the 1st of each month. You may sign up to have your monthly premium payments automatically deducted from your bank account. This deduction takes place on the 5th business day of each month. Call the Caltech Retiree Service Center to request an auto pay sign up form or go online at www.caltechretireebenefits. com to sign up to have your premium deducted from your bank account.
What happens if I don’t pay my bill?
Your coverage will be terminated if you fail to make timely payments and coverage will not be reinstated until past due premiums are paid in full.
If you are having issues paying your bill, please contact the Caltech Retiree Service Center.
How can I ensure my monthly premium is received and processed led by Mercer in a timely manner?
• Include your certificate number on your check
• Mail your payment by the 20th of the month using the envelope included with your bill and be sure to include your payment stub as it has all the information needed to promptly process your payment
Is my dependent child eligible for coverage?
Yes, children who are under age 26 or disabled can be on the plan. However, Caltech will not provide a Defined Dollar Credit for dependent children.
What expenses can I claim with the Health Reimbursement Account?
Examples of eligible expenses for you and your eligible spouse may include:
• Medicare Part B premiums deducted from your Social Security check
• Prescription drug copays
• Medical copays
• Dental expenses (non-cosmetic)
• Vision expenses
• Hearing Aid expenses
• After tax health plan premiums deducted from a paycheck. IRS regulations state that any premiums deducted from a paycheck must be paid for on an after-tax basis to be eligible for reimbursement from the HRA.
16