You are responsible for paying all premiums. Failure to keep your premiums current will result in cancellation of your insurance coverage.
If you are assessed a Part D-Income Related Monthly Adjustment Amount, you will be notified by the Social Security Administration. You will be responsible for paying this extra amount. If you are required to pay the extra amount, and you do not pay it, you will be disenrolled from the plan and lose both your medical and pharmacy benefit.
NEW RETIREES/LTD MEMBERS
Depending on when the Retirement System receives your benefit elections, you may owe one or more months of health and/or dental premiums.
After enrolling, check your pension deductions. If the premium deduction has not occurred or the deduction is incorrect by your first full (not the estimated) pension check, immediately contact ADOA Benefit Services Division at 602-542-5008.
PREMIMUM BENEFIT SUBSIDY
The Arizona State Retirement System (ASRS), the Public Safety Personnel Retirement System (PSPRS), the Elected Officials Retirement Plan (EORP) and the Corrections Officer Retirement Plan (CORP) may provide payment subsidies toward insurance premiums for eligible members and dependents who elect health coverage through ADOA Benefit Services Division.
No basic premium benefit subsidy is provided to Retirees in the University Optional Retirement Plan or to PSPRS or CORP members who are LTD members.
Your retirement system will determine if you are eligible for a premium benefit subsidy and the amount to which you may be entitled.
To determine your basic premium benefit subsidy, you need to know:
- Your years of credited service in your retirement system or Plan if you are an ASRS or EORP member (years of service is not a criterion for CORP and PSPRS members).
- Your coverage type (i.e., single or family coverage).
- Medicare eligibility.
Determining Your Costs
Calculating your monthly costs, premium benefit subsidy, and pension check can be simple. Each retiree’s circumstances are different, but understanding how all the pieces work together will make it an easy process. Use the worksheet link below to guide you.
1st: The premium benefit subsidy for the basic program varies depending on your years of service with the State of Arizona, the retirement system you are enrolled in, and the insurance plan in which you enroll.
2nd: ADOA, ASRS, and PSPRS offer retiree health insurance plans. Premiums differ depending on the plan option selected and whether you are enrolled in single or family coverage.
Basic Benefit Premium Subsidy Rates and Worksheet
NON-DIRECT PAY MEMBERS
If the sum of your premium benefit subsidy and pension is greater than or equal to the total monthly premium, you will be considered a non-direct pay member. Non-direct pay members are not billed.
DIRECT PAY MEMBERS
If you are or become a direct pay member, you will receive a billing notice regarding future premium payments. If you do not receive a billing notice within 90 days, contact ADOA Benefit Services Division at 602-542-5008.
For more information on your subsidy, contact ASRS at 602-240-2000 or 1-800-621-3778 outside of Phoenix, TTY: 602-240-5333