Retiree “Self-Pay” Enhanced Plan Payments

Description

If you signed up for a new two year plan on 9/1/22 or later the payment options are only Semi-Annual & Annual.

If you are not sure what rate you should pay please contact the Benefit Fund before making your payment so we can confirm your Two Year plan dates and rates.

Retiree “Self-Pay” Applications MUST be received by the Fund PRIOR to making an online payment. The Retiree “Self-Pay” form can be found here.

All “Self-Pay” Enhanced Retiree Plan benefit packages include various benefit options equal to the Active Members coverage levels (Bereavement and Survivors benefits NOT included).

As a retiree participating in the Suffolk County Municipal Employee Benefit Fund (“Fund”) you have the option of purchasing a comprehensive Pre-Paid Legal Services Plan when you enroll in one of the Fund’s “Self-Pay” Enhanced Retiree Plans-2018 (SPERP). This new legal plan is a powerful tool that can help you and your family better manage the legal challenges which confront all of us in today’s complex world – this new legal plan replaces the current legal voucher program, which is no longer available.

  1. Premium Plan includes:
  • General Dental – Unlimited for each eligible individual, per calendar year.
  • Implants – Two dental implants included a year.
  • Orthodontia – $1,995 for each eligible individual, per lifetime. In-network covered in-full with at least a $1,000 co-pay.
  • Periodontal – Yearly for each eligible individual, per calendar year.
  • Hearing Aids – $400 for each eligible individual, for co-pay reimbursement of your out-of-pocket expenses (after payment from medical coverage); once every 36 months.
  • Optical – $100 for each eligible individual, once per calendar year.
  1. Premium Plus Plan includes:
  • General Dental – Unlimited for each eligible individual, per calendar year.
  • Implants – Two dental implants included a year.
  • Orthodontia – $1,995 for each eligible individual, per lifetime. In-network covered in-full with at least a $1,000 co-pay.
  • Periodontal – Yearly for each eligible individual, per calendar year.
  • Hearing Aids – $400 for each eligible individual, for co-pay reimbursement of your out-of-pocket expenses (after payment from medical coverage); once every 36 months.
  • Optical – $100 for each eligible individual, once per calendar year.
  • Prescription Drug Co-Payment Reimbursement – up to $25 per eligible prescription/up to $400 per family, PLUS $1.00 each for every script over $400; per calendar year..
  • Tax Preparation – $70 for the preparation of the 1040 form per member, per calendar year, effective 1/1/2019.

The Platinum Plan, with legal, is no longer available, however, you may add the Pre-Paid Legal Services Plan to either one of the  two (2) SPERP Plans

The Pre-Paid Legal Services Plan, can be an add-on to both SPERP plans for $108/yr. Discounts, for annual or semi-annual payments for the Legal Plan, is not permitted.

 

Additional information

Coverage Year

2024

Plan Options

Premium, Premium Plus

Coverage Options

Individual, Individual +1, Family

Payment Options

Semi-Annual, Annual