The Hawaii Revised Statutes 87A-23(4) requires that State and County retirees and their eligible dependents, who are enrolled in EUTF retiree medical and/or prescription drug benefit plans, be enrolled in Medicare Part B when they become eligible.

If you do not provide proof of Medicare Part B enrollment to the EUTF within 60 days of becoming eligible for or enrolling into an EUTF retiree medical and/or prescription drug plan, your and/or your dependent’s EUTF retiree medical and/or prescription drug plans will be cancelled. Please note that your Medicare-eligible dependents must be enrolled in Medicare Part B in order to be covered under the EUTF retiree medical and/or prescription drug plan, regardless of whether they themselves are retired or actively working.

If you and/or your dependents are Medicare eligible (age 65 or older, qualified disabled, or have end-stage renal disease) and are covered under EUTF retiree medical and/or prescription drug plans, you must submit the following to the EUTF:

• Copy of your and/or your dependent’s Medicare card (indicating enrollment in Medicare Part B)
• Direct Deposit Agreement Form for reimbursement of your and your spouse’s/ partner’s Medicare Part B premiums
• Social Security Administration (SSA) or Centers for Medicare & Medicaid Services (CMS) letter and/or invoice for you and/or your spouse/partner indicating the Medicare Part B premium amount. Medicare retirees that pay a higher income- related monthly adjusted premium must submit a copy of their SSA/CMS letter to the EUTF annually.

As a retiree, you and your eligible spouse/partner qualify for reimbursement of your Medicare Part B premiums, provided you are paying for your Medicare Part B premium, and it is not being paid by another entity such as the Medicare Savings Program or Medicaid.

To receive reimbursement, you must provide the EUTF with proof of your Medicare Part B enrollment, a copy of the letter from the Social Security Administration showing the Medicare Part B premium that you pay, and a complete Medicare Part B Reimbursement Direct Deposit Agreement Form. EUTF will automatically reset your Medicare Part B premium reimbursement to the Medicare standard amount you are paying (minus any penalties) every year to receive full reimbursement. Enrollment into EUTF retiree coverage is not required to qualify for Medicare Part B reimbursement.

Medicare Part B premium reimbursement shall be effective the date the Medicare Part B is effective or the first day of the month the EUTF receives appropriate proof of enrollment in Medicare Part B and a valid direct deposit agreement form, whichever is later. Reimbursement will begin upon receipt of proof of payment to the Social Security Administration or Centers for Medicare & Medicaid Services. Retirees who pay a higher income-related monthly adjusted premium will be reimbursed the higher amount. Please note that EUTF will not reimburse any late enrollment penalties.