Enrolling in Health Insurance Benefits at Retirement - Office of Human Resources, Montgomery County Government - How to Prepare Your Packet

Sep 16, 2026

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This class handout explains how to enroll in health insurance benefits at retirement for participants in applicable retirement plans. It guides attendees through a public virtual meeting format, including how to ask questions and how to avoid sharing personal PHI. The document details what is included in the health insurance packet, how the packet is organized into right and left sides, and which forms are required based on Medicare eligibility and plan membership. It also outlines key items to review in the cover letter and lists documents needed to prove eligibility for retirees and dependents, with instructions for ordering missing documents.

LanguageEnglish

CategoryLetters

FormatPDF

Pages53

Reading Time19 min

AccessFree to download

What’s In Your Health Insurance Packet?

Packet organization (Right and Left Sides)

Cover Letter Checklist

Deadlines, premium billing, Medicare eligibility, legal documents

Employee Summary of Benefits Form

Demographics, benefit elections, dependents, eligibility calculation

Documents Required to Prove Eligibility

Retiree and dependent evidence

Ordering documents via vitalchek.com

Enrolling in Health Insurance Benefits at Retirement Class Office of Human Resources, Montgomery County Government After “Joining” the Microsoft Teams meeting… 1. Please disable your “Camera”. 2. Please mute your “Microphone”; Unmute your microphone to ask a question. 3. Please refrain from asking questions until after the presentation is complete. You may raise your hand if you have questions when the presentation is complete. 4. You may type questions in the chat if there is time they will be answered during the Q & A time at the end of the class or thru the chat when the class has ended. 1 2 3 4 Caution: This is a public virtual meeting. Please refrain from asking questions that reveal any personal PHI (protected health information) such as a chronic medical condition or names of specific prescription drugs. Feel free to email questions that you were not able to ask during the presentation to: [HITSRetirement@montgomerycountymd.gov](HITSRetirement@montgomerycountymd.gov) Office of Human Resources, Montgomery County Government 2 What’s In Your Health Insurance Packet? Your packet is divided into Right and Left Sides Left Side of Packet • Cover Letter • Employee Summary of Benefits Form • Premium Cost Share Form(s) • 2026 Health and Life Insurance Retiree Election Form • Retiree Cost Share Election Form • Application for Retiree Health Insurance Benefits Only for members of the RSP, GRIP, or MD State Retirement Plans Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government What’s In Your Health Insurance Packet? (cont.) Your packet is divided into Right and Left Sides Left Side of Packet • Medicare Enrollment Information Letter-Only if Medicare Eligible • Medicare “Request for Employment Information” Form – Only if Medicare Eligible • MD State Summary of Benefits Form – Only if MD State Retirement MD State 2026 Retiree Election Form MD State Rate Sheet MD State Beneficiary Form • Kaiser Medicare Plus Enrollment Form – Only if Age 65 • 2026 Retirement Calendar • Life Insurance Beneficiary Form Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government What’s In Your Health Insurance Packet? (cont.) Your packet is divided into Right and Left Sides . Right Side of Packet • Retiree Monthly Rate Sheet • Caremark Standard Option Prescription Benefit Plan • EyeMed Insight Discount Vision ID Card • EyeMed Retiree Vision Plan Comparison Chart • Important Benefits Contact Information • Retiree Change of Address or Name Form • MCREA Membership Letter and Application Form Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government Cover Letter Please read your cover letter carefully and pay close attention to the following: • Deadline that your completed forms must be returned to OHR, • Billing for Health and Life Insurance Premiums, • Medicare Eligibility, • Legal Documents that must be returned with your completed forms, and • Contact Information for the OHR Health Insurance Specialist Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government Enrolling in Health Insurance Benefits at Retirement Office of Human Resources, Montgomery County Government Employee Summary of Benefits Form This form is an overview of your demographics, current health and life insurance benefit elections, and a list of dependents that you currently cover on your health insurance plans . • On the bottom left side of this form is a list of “Documents Needed for Retirement” • On the bottom right side of this form is the Health Insurance Eligibility Calculation”used to determine the percentage of the insurance premium that you will pay

FAQs

How should participants ask questions during the retirement enrollment class?

Disable your camera and mute your microphone. Refrain from asking questions until the presentation is complete, then raise your hand or type questions in the chat if time allows.

What does the health insurance packet include?

The packet contains a cover letter plus multiple forms, including employee and premium cost-share information, retiree election forms, applications for retiree health insurance benefits, and items related to Medicare eligibility when applicable.

What documents are required to prove eligibility for the retiree and dependents?

Provide one copy of required documents, including a state-certified birth certificate, U.S. Passport, or DD-214 for retiree identification. For dependents, provide official marriage documentation or domestic partner affidavit where required, and proof of a child’s age up to age 26.

Sep 16, 2026

Upload by Fahsai