Sec. 105. Medicare coordination efforts for postal service employees and retirees
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Chapter 89 of title 5, United States Code, is amended by inserting after section 8903b the following: In this section— the term contract year means a calendar year in which health benefits plans are administered under this chapter; the term Medicare part A means the Medicare program for hospital insurance benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.); the term Medicare part B means the Medicare program for supplementary medical insurance benefits under part B of title XVIII of the Social Security Act ( 42 U.S.C. 1395j et seq. ); and the term Postal Service employee or annuitant means an individual who is— an employee of the Postal Service covered under this chapter; or an annuitant covered under this chapter whose Government contribution is paid by the Postal Service or the Postal Service Retiree Health Benefits Fund under section 8906(g)(2).
For contract years beginning on or after January 1, 2015, the Office shall establish enrollment options for health benefits plans that are open only to Postal Service employees and annuitants, and family members of a Postal Service employee or annuitant, who are enrolled in Medicare part A and Medicare part B. The enrollment options established under this subsection shall be in addition to any other health benefit plan or enrollment option otherwise available to Postal Service employees or annuitants under this chapter and shall not affect the eligibility of a Postal Service employee or annuitant for any another health benefit plan or enrollment option under this chapter.
Any Postal Service employee or annuitant, or family member of a Postal Service employee or annuitant, who is enrolled in Medicare part A and Medicare part B may enroll in 1 of the enrollment options established under paragraph (1). Eligibility to enroll in an enrollment option established under paragraph
(1)shall be determined without regard to the requirements under section 8905(b). The Office shall ensure that the aggregate actuarial value of coverage under the enrollment options established under this subsection, in combination with the value of coverage under Medicare part A and Medicare part B, shall be not less than the actuarial value of the most closely corresponding enrollment options for each plan available under section 8905, in combination with the value of coverage under Medicare part A and Medicare part B. The enrollment options established under paragraph
(1)shall include— an individual option, for Postal Service employees or annuitants enrolled in Medicare part A and Medicare part B; a self and family option, for Postal Service employees or annuitants and family members who are each enrolled in Medicare part A and Medicare part B; and a self and family option, for Postal Service employees or annuitants— who are enrolled in Medicare part A and Medicare part B; and the family members of whom are not enrolled in Medicare part A or Medicare part B. The Office may establish more specific enrollment options within the types of options described under subparagraph (A). In determining the premiums for the enrollment options under paragraph (4), the Office shall— establish a separate risk pool for individuals eligible for coverage under any of those options; and ensure that— the premiums are reduced from the premiums otherwise established under this chapter to directly reflect the full cost savings to the health benefits plans due to the complete coordination of benefits with Medicare part A and Medicare part B for Postal Service employees or annuitants, or family members of Postal Service employees or annuitants, who are enrolled in Medicare part A and Medicare part B; and the cost savings described under clause
(i)result solely in the reduction of— the premiums paid by the Postal Service employee or annuitant; and the Government contributions paid by the Postal Service or other employer. The Office shall establish the enrollment options and premiums under this section in consultation with the Postal Service. . The table of sections for chapter 89 of title 5, United States Code, is amended by inserting after the item relating to section 8903b the following: 8903c. Coordination with Medicare for Postal Service employees and annuitants. . The amendments made by subsection
(a)shall apply with respect to contract years beginning on or after January 1, 2015. Section 1837 of the Social Security Act (42 U.S.C. 1395p) is amended by adding at the end the following new subsection: In the case of any individual who, as of the date of enactment of the Postal Reform Act of 2013 , is a Postal Service employee or annuitant (as defined in section 8903c(a) of title 5, United States Code) at the time the individual is entitled to part A under section 226 or section 226A and who is eligible to enroll but who has elected not to enroll (or to be deemed enrolled) during the individual’s initial enrollment period, there shall be a special enrollment period described in paragraph (2). The special enrollment period described in this paragraph, with respect to an individual, is the 1-year period beginning on July 1, 2014. In the case of an individual who enrolls during the special enrollment period provided under paragraph (1), the coverage period under this part shall begin on the first day of the month in which the individual enrolls. . Section 1839(b) of the Social Security Act ( 42 U.S.C. 1395r(b) ) is amended by striking (i)(4) or
(l)and inserting (i)(4), (l), or
(m).
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Sec. 105
Medicare coordination efforts for postal service employees and retirees
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