“No-Cost” Basic Retirees
Who is eligible
A former participant of the Benefit Fund who initially retired on or after January 1, l985 and is in receipt of a monthly pension from either the New York State Retirement System or a related organization (as defined by the Fund) is eligible for retiree coverage, provided that the former participant satisfies at least one of the following conditions:
- He or she initially left employment with Suffolk County or a related organization on or after age 55 and had 10 years of employment in either organization; or
- He or she is currently age 55 or older and had 10 years of employment with Suffolk County or a related organization and has maintained continued coverage with the Fund by self-paying from the date of separation from the employer through to the age of 55; or
- He or she is in receipt of a disability retirement benefit from either the New York State Retirement System or a related organization.
Dependents of eligible retirees are covered for benefits and are defined as the retiree’s spouse, domestic partner, unmarried dependent children who have not reached their l9th birthday, and unmarried dependent children who are full time students and have not reached their 25th birthday. Coverage is also extended to unmarried children, regardless of age, who are incapable of self-sustaining employment by reason of mental retardation or physical handicap who became so prior to age 19.
Coverage is not extended to dependents of deceased retirees members. However, upon the death of the retired member, the dependent may choose to continue coverage under COBRA. The Fund office must be contacted within 60 days of the death for the qualified beneficiary/dependent to be eligible for continuation of coverage.
Payment will not be made for any benefit that is claimed after a period that exceeds one year from the calendar year in which services were rendered. Services rendered in 2014, for example, must be claimed no later than December 31, 2015.
It is the responsibility of the retiree to inform the Fund of his or her eligibility for coverage. In a case of late notification, payment will be made only for claims submitted in the calendar year in which services were rendered.