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20 <br /> RetiFee Health Plan Retiree Dependent <br /> TyVe S„p�pjeg � &„n � <br /> Rett ee u .,.J.,.CC Group io() B nim"^ <br /> uu^-,inn <br /> PFeSGFiPtieR <br /> Gey&page <br /> Disability Retireffle.nt undeF age 65 betweeR 10 Greup LOU None <br /> net+Fee 65 aweF with between 10 20 yeaFs n"r e Nene <br /> ef total Orange County service Supplement <br /> PF pti <br /> vrr <br /> b. <br /> ^diVidua1 dependent eeverage fer eurrent ernpleyees. For employees hired on or after July 1,2012, <br /> the County cost may not exceed 50%of the amount it contributes for individual/dependent coverage <br /> for current employees.The retiree is responsible for pays the cost for any group health insurance or <br /> Medicare supplement coverage for the FetrFeethemself or their dependent costing more than the <br /> County contribution. If the retiree waives coverage,the County provides no cash payment in lieu of <br /> such coverage. <br /> (-5h) Retiree Responsibility for Payment of Premiums for Whieh the Retiree is Responsible. <br /> a. The retiree pays Orange County any required premiums monthly.With appropriate notice,the County <br /> _terminates coverage when premiums are more than 30 days past due.The health insurance provider bills <br /> _the retiree directly for any Medicare supplement coverage for a dependent. <br /> (6i) Dependent Under Age 65 at Death of Eligible Retiree. Upon the death of the retiree enrolled in <br /> the County retiree health insurance,the County offers a dependent on group health insurance <br /> continuation of coverage under the Consolidated Omnibus Budget Reconciliation Act(COBRA). <br /> The dependent is eligible for such coverage for up to 36 months(or until attaining age 65) <br /> provided the dependent pays the full cost of this coverage. <br /> (7i) Eligible Retiree Returning to Work in "', G-Lece l Government. <br /> a. If a retiree returns to work after retiring from Orange County with another Ner+h Care-lina Lecal <br /> Ggovernment employer(federal,state,or local) in a position that offers group health insurance <br /> coverage,the retiree may must elect coverage at anetheF lee,'geveFnment^ Intim-,^ with <br /> 9Fa„geGeWRtythe other government employer. <br /> b If a retiree eh^^s^-s to eleet eeveFage at „+heF 19eal g n+;;n ;+ s coverage is subsequently <br /> terminated;coverage_may be reinstated with Orange County. <br /> a-.c. The County Manager shall establish a policy of guidelines and--criteria for eligibility and reinstatement of <br /> such coverage. <br /> (ei) Consolidated Omnibus Budget Reconciliation Act Coverage. <br /> a. Under the Consolidated Omnibus Reconciliation Act(COBRA),Orange County continues healthcare <br /> _coverage to persons who would otherwise lose coverage under a health care plan due to specific events <br /> _provided the employee,covered spouse,domestic partner,and/or dependent child agrees to pay,and <br /> _pays,the cost of this coverage. <br /> Created: 2023-12-19 99:11:24 [EST] <br /> (Supp.No.14) <br /> Page 4 of 5 <br />