Effective July1, 2001, the VCPFA Benefit Trust began disbursing benefit payments from the Premium Reimbursement Plan. The Reimbursement Plan procedures will undoubtedly go through some evolution seeking better efficiency, but the following points are some important aspects each Beneficiary should know. Each Benefit Trust member has previously been sent a booklet of the Reimbursement Plan. The following is not intended to and does not change or replace any aspect of the Plan. Please review the booklet you were sent, laying out the Reimbursement Plan in total. The Reimbursement Plan may be revised from time to time, in which case, a statement in writing of the changes will be made available. Please note the following important features.
The benefit amount is a maximum of $275 per month, not to exceed the actual medical insurance premium paid by the Beneficiary to a medical insurance company. The Benefit Trust’s Trustees may adjust the $275 monthly benefit amount from time to time to maintain the viability of the Trust.
Effective July 1, 2017, the Trustees at their discretion may authorize a monthly supplemental benefit to Eligible Retiree’s that have not yet attained the Medicare Eligibility Age. The Supplemental Benefit is in addition to the basic benefit provided. The combined Basic Benefit and Supplemental Benefit shall not exceed the actual Premiums paid by the Eligible Retiree. Surviving Spouses and Dependents are not eligible for the Supplemental Benefit.
The proof of medical insurance premium payment must be submitted to the VCPFA Office on or before the 15th day of the last month of each quarter. Claims for reimbursement must also be submitted no later than 90 days from the date on which the Beneficiary made the payment. Proof shall be at least, but not limited to, canceled checks drawn to the name of the medical insurance provider, receipt for payment from the medical insurance provider, etc. Those Beneficiaries, who receive their insurance through VCPFA and have the premium amount deducted from their monthly County check, will not have to provide additional proof of payment.
Reimbursement checks will be processed and mailed after the 20th of the month following the end of each sixth month period for reimbursement. Reimbursements are 4made on the following schedule. October, November, December, (4th Quarter) and January, February, March (1st Quarter), one reimbursement check. April, May, June (2nd Quarter) and July, August, September (3rd Quarter) one reimbursement check.