6.577 Group hospital and medical insurance -- Employer's and recipients'
1,288 words·~6 min read·
/ky/6-577A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
contributions -- Payment for dependents -- Exemption from premium taxation
-- Eligibility of members with required amount of legislative service.
(1)The board of trustees of the Judicial Form Retirement System shall arrange by
appropriate contract or on a self-insured basis to provide a group hospital and
medical insurance plan for present and future recipients of a retirement allowance
from the Legislators' Retirement Plan. The board may authorize present and future
recipients of a retirement allowance from the Legislators' Retirement Plan who are
under age sixty-five
(65)to be included in the state employees group for hospital
and medical insurance and shall provide benefits for recipients equal to those
provided to state employees having the same Medicare hospital and medical
insurance eligibility status. For recipients of a retirement allowance who are not
eligible for the same level of hospital and medical benefits as recipients living in
Kentucky, the board shall provide a medical insurance premium reimbursement
plan as described in subsection
(5)of this section.
(2)Each employer participating in the Legislators' Retirement Plan shall contribute to
the plan the amount necessary to provide hospital and medical insurance as
provided for under this section. The employer contribution rate shall be developed
by appropriate actuarial method as a part of the determination of the total employer
contribution rate to the Legislators' Retirement Plan.
(a)Depending on the months of service credit on which the retirement allowance
was based, provided that there are at least forty-eight
(48)months, all or a
portion of the premium required to provide hospital and medical benefits
under this section shall be paid in full from the insurance fund established by
KRS 6.575 for all recipients of a retirement allowance from the Legislators'
Retirement Plan as follows:
Months of Service Percentage Paid
48 to 119, inclusive ` 25%
120 to 131, inclusive 50%
132 to 143, inclusive 55%
144 to 155, inclusive 60%
156 to 167, inclusive 65%
168 to 179, inclusive 70%
180 to 191, inclusive 75%
192 to 203, inclusive 80%
204 to 215, inclusive 85%
216 to 227, inclusive 90%
228 to 239, inclusive 95%
240 or more 100%
This paragraph shall not apply to members who begin participating in the
Legislators' Retirement Plan on or after January 1, 2014.
(b)For members who begin participating in the Legislators' Retirement Plan on or
after January 1, 2014:
1. Participation in the health insurance coverage and benefits provided
under this section shall not be allowed until the member has earned at
least one hundred eighty
(180)months of service credited under KRS
6.500 to 6.577 or another state-administered retirement system.
2. A member who meets the minimum service requirements as provided by
subparagraph 1. of this paragraph shall be eligible for a monthly
insurance benefit upon retirement of ten dollars ($10) for each year of
service as a participating member of the Legislators' Retirement Plan.
3. The minimum service required to participate in benefits as provided by
subparagraph 1. of this paragraph shall be waived for a member who is
disabled in the line of duty as defined in KRS 61.621, and the member
shall be entitled to the health benefits payable under this subsection as
though the member has twenty
(20)years of service in the Legislators'
Retirement Plan.
4. The minimum service required to participate in benefits as provided by
subparagraph 1. of this paragraph shall be waived for a member who is
killed in the line of duty as described in KRS 61.621, and the member's
spouse and eligible dependents shall be entitled to the health benefits the
member would have received if he or she had retired with twenty
years of service in the Legislators' Retirement Plan.
5. The monthly insurance benefit amount provided by this paragraph shall
be increased July 1 of each year by one and one-half percent (1.5%). The
increase shall be cumulative and shall continue to accrue after the
member's retirement for as long as a monthly insurance benefit is
payable to the retired member.
(c)The payments for health insurance provided by this subsection shall be made
from the fund only if the recipient agrees to pay the remaining amount, if any,
from his monthly retirement allowance or by any other method equally
insuring payment by him. "Months of service" as used in this section shall not
include service added to determine disability benefits.
(4)Provided the member began participating in the Legislators' Retirement Plan prior
to January 1, 2014, the insurance fund shall pay the same percentage of the
premium for the spouse and dependents of a recipient, or the beneficiary of the
recipient, as the fund pays or paid for the member. No payment shall be made under
this section to a spouse, dependent, or beneficiary of a member who begins
participating in the Legislators' Retirement Plan on or after January 1, 2014, except
as authorized by subsection (3)(b)4. of this section.
(5)The board shall establish a medical insurance premium reimbursement plan for
recipients of a retirement allowance who are not eligible for the same level of
hospital and medical benefits as recipients living in Kentucky having the same
Medicare hospital and medical insurance eligibility status. An eligible recipient
shall file proof of payment for hospital and medical insurance premiums at the
retirement office. Reimbursement to eligible recipients shall be made on a quarterly
basis. The recipient shall be eligible for reimbursement of substantiated medical
insurance premiums for an amount not to exceed the total monthly contribution
determined by the board of trustees. The plan shall not be made available if all
recipients are eligible for the same level of coverage as recipients living in
Kentucky.
(6)Premiums paid for hospital and medical insurance coverage procured under
authority of this section shall be exempt from any premium tax which might
otherwise be required under KRS Chapter 136. The payment of premiums by the
insurance fund shall not constitute taxable income to an insured recipient. No
commission shall be paid for hospital and medical insurance procured under
authority of this section.
(7)Notwithstanding any other statute to the contrary, any member with the minimum
number of months of legislative service required by subsection
(3)of this section
who is also eligible for benefits, or who is receiving benefits from any retirement
plan or system administered by the Commonwealth shall be entitled to hospital and
medical benefits as described in subsection
(3)of this section, except that the
number of months of service credit used in calculating the level of benefits shall be
the sum of the service credited to the member in all the state-administered
retirement systems or plans.
(a)Upon request of the member, the Legislators' Retirement Plan shall compute
the member's combined service in all the state-administered retirement
systems or plans, and calculate the portion of the member's premium to be
paid by the Legislators' Retirement Plan, according to the criteria established
in subsection
(3)of this section. For members who begin participating in the
Legislators' Retirement Plan prior to January 1, 2014, the state-administered
retirement systems or plans shall pay to the Legislators' Retirement Plan the
applicable percentage of the plan's costs of the retiree's hospital and medical
premium which shall be equal to the percentage of the member's number of
months of service in the applicable state-administered retirement system
divided by his total combined service. The amounts paid by all the state-
administered retirement systems or plans shall not be more than one hundred
percent (100%) of the premium amount adopted by the respective boards of
trustees.
(b)A member who elects hospital and medical benefits under this section shall
lose any claim to insurance benefits under any of the other state-administered
retirement systems or plans.