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Nonmedical Retiree Premium Assistance Program Plan Year 2021 July 1, 2020, June 30, 2021PLEASE NOTE: Since our office is closed due to the COVID-19 virus, PEA is NOT mailing Medicare Premium & Benefit

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How to fill out non-medicare retiree premium assistance

01

Contact the HR department of your employer to inquire about the available non-medicare retiree premium assistance program.

02

Fill out the necessary forms provided by the HR department.

03

Provide any required documentation such as proof of retirement and income eligibility.

04

Submit the completed forms and documentation to the HR department for review and approval.

05

Once approved, enroll in the selected health insurance plan and start receiving the premium assistance benefits.

Who needs non-medicare retiree premium assistance?

01

Retirees who are not eligible for Medicare yet and need assistance paying for their health insurance premiums.

02

Individuals who have retired from their previous employer but still require health insurance coverage.

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What is non-medicare retiree premium assistance?

Non-medicare retiree premium assistance is financial support provided to retirees who are not eligible for Medicare to help them pay for their health insurance premiums.

Who is required to file non-medicare retiree premium assistance?

Retirees who are not eligible for Medicare and are receiving premium assistance from their former employer are required to file non-medicare retiree premium assistance.

How to fill out non-medicare retiree premium assistance?

Non-medicare retiree premium assistance can be filled out by providing information about the retiree, their former employer, premium assistance amount, and any other requested details on the designated form.

What is the purpose of non-medicare retiree premium assistance?

The purpose of non-medicare retiree premium assistance is to help retirees who are not eligible for Medicare afford their health insurance premiums and maintain coverage.

What information must be reported on non-medicare retiree premium assistance?

Information that must be reported on non-medicare retiree premium assistance includes the retiree's personal details, former employer information, premium assistance amount received, and any other relevant data requested on the form.

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