Retiree Plans

WCIF offers medical, dental and vision plans to qualifying retirees.

Please note that certain eligibility and enrollment requirements apply for each plan. Because of this, enrolling retirees are sent individual enrollment packets customized for their available plan options.

If you are planning on retiring, please contact your benefits administrator or WCIF's dedicated retiree services at Benefit Solutions, Inc. (BSI) (click here >).

Forms for Retirees
Retirees are sent individual enrollment packets customized for their available plan options. Please contact your benefits administrator or WCIF's dedicated retiree services at Benefit Solutions, Inc. (BSI) (click here >). for your retiree plan options and enrollment forms.
• 2013 Retiree Benefit Enrollment & Change Form
• 2013 Monumental Life Retiree Medical Insurance Enrollment Form
• Department of Retirement Systems (DRS) Deduction Authorization Form For automatic premium deduction from your Washington state retirement


Medical Plans for Pre-65 Retirees
Pre-65 retirees may enroll in a WCIF medical plan that corresponds with their coverage as an active employee.
An employee enrolled in any WCIF Premera medical plan may elect the Premera WCIF 750 Plan upon retirement.		An employee enrolled in any WCIF Group Health medical plan may elect the Group Health Select 750 Plan upon retirement.
Premera Blue Cross PPO Plan*		Group Health Options HMO Plan
Forms \| Contact		Forms \| Contact
2013 Rates		2013 Rates
Summary		Summary
2013		2013
• WCIF 3000		• Select 750
• WCIF 750
WCIF 200 for LEOFF I retirees
Qualified preventive care services >		Qualified preventive care services >
Prescription benefit information >		Prescription benefit information >
Summary of Benefits and Coverage		Summary of Benefits and Coverge
• Premera WCIF 3000 Plan		• Group Health Select 750 Plan
• Premera WCIF 750 Plan
WCIF 200 for LEOFF I retirees

Summary Plan Document		Medical Coverage Agreement
Premera WCIF 750 Plan		Group Health Select 750 Plan
Premera WCIF 200 Plan
Premera Notice of Privacy Practices		Group Health Notice of Privacy Practices
* LifeWise of Washington for members whose employer is located in Clark County
Medical Plan for Post-65 Retirees
Post-65 retirees (and/or dependents) may enroll in a Monumental Life Medicare Supplement plan. These plans works to supplement Medicare Parts A and B, and features a Part D compliant prescription benefit. Post-65 retirees may not participate in a WCIF Premera or WCIF Group Health plan.
Monumental Life (administered through Benistar)
Contact
Summaries \| rates included
2013
• Monumental Life Medicare Supplement Plans

Certificate of Coverage
• Available Soon... Actual documents are specific to individual policyholder

Retiree Dental Plan
Washington Dental Service (WDS)
Forms \| Contact
2013 Rates
Summary
2013
• WDS Retiree Plan
WDS MySmile Web Features

Summary Plan Document
• WDS Retiree Plan
WDS Notice of Privacy Practices >

Retiree Vision Plan
Vision Service Plan (VSP)
Forms \| Contact
2013 Rates
Summary
2013
• VSP Retiree Plan
Eye Health Management Program
Laser Vision Care

Understanding Medicare
Many enrolling retirees have questions about Medicare. A wealth of online resources is available at Medicare.gov for new and seasoned members alike. Another valuable resource is Washington's Statewide Health Insurance Benefits Advisors (SHIBA) Helpline. SHIBA was established by the Washington State Office of the Insurance Commissioner to assist individuals in understanding their Medicare coverage. Learn more and contact SHIBA toll-free at:
		800.562.6900 Click here to visit SHIBA online > email: SHIBAHelpLine@oic.wa.gov