Deadline approaching for health care coverage

The Ohio Public Employees Retirement System will begin fully implementing its new health care plan in 2015.

The new rules are based on changes made in 2012 and amended the following year. They will require members to have at least 20 years of qualifying service credit and be 60 or older before they can retire and become eligible for health care coverage. Retirees can gain health care eligibility with 30 years of service at any age (increasing to 32 years depending on the retirement group they’re in).

These rules begin in January. To qualify for health care under the current rule that requires 10 years of service credit, employees would need to terminate employment no later than Nov. 30 of this year.

A complete list of the OPERS health care changes in on the OPERS website. Here is a summary of some of the changes taking effect in 2015:

  • Age and qualifying service: The new minimum eligibility for allowances is age 60 with 20 years of qualifying service credit, or 30 years of qualifying credit at any age.
  • New allowance tables: Monthly allowances will range between 51 percent and 90 percent of the full monthly premium and will be based on qualifying service and age when the retiree first enrolled in OPERS coverage.
  • Spousal coverage: Spouses will transition to a zero allowance over three years, beginning in 2015.
  • Medicare Part B reimbursement: The three-year transition to a zero reimbursement begins in 2015.

We anticipated increased retirement applications this year. But our preliminary numbers indicate that applications are down 31 percent in October compared to the same month in 2012, when the health care changes were announced.

Please note that OPERS is working on a plan to help retirees who do not qualify for free Medicare Part A coverage to join the upcoming OPERS Medicare Connector.

Michael Pramik

Michael Pramik is communication strategist for the Ohio Public Employees Retirement System and editor of the PERSpective blog. As an experienced business journalist, he clarifies complex pension policies and helps members make smart choices to secure their retirement.

Michael Pramik

Communication Strategist

2 thoughts on “Deadline approaching for health care coverage

  • December 23, 2014 at 9:26 pm

    I totally understand changes to meet current laws and situations. What I don’t understand is why retirement contracts aren’t honored or grandfathered into the decisions.
    Here is an example. Employee A is 9 mos from being vested for 5 yrs. Employee B has 25 yrs and needs to retire at age 64 for disability and then retires at age 65. In the pension planning. Employee B is the mother of Employee A. Since B is divorce she names her daughter A to be beneficiary when she dies and takes a reduce pension amount.employee A quits her job to take care of Employee B and grandmother dependent of Employee B.
    Employee A was 43 at the time of death. Not worried because pension would cover expenses to be caregiver and health care cover Employee A and spouse. Now Employee A age 60 and spouse 61 are being dropped. They both have pre-existing conditions. Spouse is two time cancer survivor and is in the middle of treatment that will end Jan 2015. Spouse is self-employed and pension amount being less than ACA rates are unable to afford.
    What about those in the middle that did plan their finances ahead based on information from OPERS

    • January 6, 2015 at 10:27 am


      In all scenarios, health care is not a benefit as mandated by Ohio law. OPERS provides it as it can, and in order to preserve it for future contributing members, we had to make changes two years ago. One of those changes was to gradually phase out spousal coverage.

      –Ohio PERS


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