Employee Benefit Trust
LEOFF I participation criteria
- If LEOFF 1 personnel are insured:
- 75% of all eligible employees must be insured on a Trust-sponsored medical plan (or employer-offered HMO).
- In the police dept, 75% of the entire dept must be insured in a Trust-sponsored medical plan (or employer-offered HMO).
- In the fire dept, 75% of the entire dept must be insured in 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 Regence/Asuris Plan A, the Kaiser $0 copay plan, and the Regence or Kaiser Medicare Advantage Plan (if enrolled on Medicare).
- 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.
Regence Medicare Advantage Plan for LEOFF I retirees – Participation 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 can live anywhere in the US, not in territories.
- LEOFF 1 cannot live outside of the US.
- 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.