Employee Benefit Trust

LEOFF 1 criteria

• If LEOFF 1 personnel are insured:
• 50% of the entire employer's benefit eligible employees must be insured on a Trust-sponsored medical plan (or employer-offered HMO).
• 100% of eligible LEOFF 1’s not on Medicare and on Medicare must be insured on a AWC medical plan.
• LEOFF 1 actives are only eligible for Regence/Asuris Plan A.
• LEOFF 1 retirees are only eligible for LEOFF 1 retiree plans.
• 100% of the medical premium must be employer paid.
• LEOFF 1 retirees can change coverage between Regence/Asuris and Kaiser one time during open enrollment. Plan transition is also allowed if the LEOFF 1 is covered on Kaiser and moves outside the Kaiser service area.

Medicare Advantage Plan for LEOFF 1 retirees – Criteria

• LEOFF 1 must be entitled to Medicare benefits under Part A and enrolled in Part B.
• LEOFF 1 must be retired, not active.
• LEOFF 1 cannot live outside of the United States (U.S.), and must live within the U.S., which is defined as a jurisdiction that is one of the 50 states and includes Washington, D.C.
• 100% participation for LEOFF 1 retirees meeting the above 4 rules is required.
• LEOFF 1’s must sign an enrollment form authorizing this change in coverage.
• Employers can enroll their LEOFF 1’s the first of any month – however enrollment forms must be received by the AWC Trust on the 21st of the month prior to the effective date.