Attention retirees who currently use the Pay My Provider feature at WageWorks to pay your Medicare supplemental insurance premiums directly from your WageWorks account: You will need to pay your insurance premiums directly to your carrier and submit a claim for reimbursement to PayFlex.
While PayFlex does have a feature called "Pay Them," that feature currently can only be used to pay for doctor and hospital services. It cannot be used to pay insurance premiums. Going forward, you can sign up forPayFlex's Automatic Reimbursement for Insurance Premiums so that you only have to submit one claim for reimbursement and you will automatically be reimbursed each month for your Medicare supplemental insurance premium.
As you know, once a retiree reaches age 65, the federal Medicare program becomes the retiree's primary health insurance plan. Historically, DTE Energy had provided supplemental coverage to Medicare through its retiree group health care plans. Beginning in 2013, DTE Energy changed the way it provides that supplemental Medicare benefit to retirees and their spouses or surviving spouses who are age 65 years old or older identified in the chart below.
|DTE Electric Non-represented||1/1/2012||On or after 4/1/1994|
|DTE Gas Non-represented||1/1/2012||On or after 1/1/1992|
|Citizens Gas Non-represented||1/1/2012||On or after 1/1/2014|
|Local 17||9/24/2012||On or after 11/6/2012|
|Local 223 Electric, Gas T&SO||6/7/2010||On or after 8/3/2013|
|Local 70, 132, 799N||6/6/2011||On or after 8/3/2013|
|Local 799 T&SO||10/9/2010||On or after 8/3/2013|
|Local 39||8/30/2010||On or after 1/2/2013|
The current program is called the Retiree Health Access (RHA) Program. Under the new program, DTE will provide each eligible participant an allocation in a Retiree Reimbursement Account (or RRA, described below) to purchase individual Medicare supplemental insurance coverage, to pay for medical expenses not covered by Medicare, or both. To assist participants in choosing the Medicare supplemental insurance coverage that best suits their needs, DTE Energy has partnered with the RHA Program. The RHA Program offers personal attention from licensed RHA Benefit Advisors and provides access to online comparison tools. The RHA Program is provided at no cost to retirees. You can contact an RHA Benefit Advisor by calling 1.844.866.8257.
Your RRA will receive an initial allocation from DTE Energy as of your Effective Date. Your Effective Date is the first of the month in which the youngest covered member of your household turns age 65. This defined term is used throughout the communications you will receive, so it is important that you remember your Effective Date.
|Please note: You will not be able to access or use your RRA until your Effective Date.|
The amount of the initial allocation (Base Allocation) for each retiree, dependent spouse or surviving spouse entering the RHA Program is:
Under current provisions of the RRA Plan document, the annual allocation amount will be increased annually by the lesser of 2% or the increase in the Consumer Price Index for Medical Care, Total, then rounded up to the next nearest increment of $5. Under the current formula, the annual allocation may not be increased for any year, but will not be decreased. This annual adjustment formula is subject to change in future years.
As adjusted, the allocation amount for 2016 is:
In the year in which you first become eligible for an RRA, the initial allocation will be the current annual allocation applicable to you multiplied by a fraction, with the numerator being the number of months during the year you are eligible for the RRA and the denominator being 12. For example, if you become eligible for your RRA on August 1, 2015 and you retired after January 1, 2013, your RRA allocation will be 5/12 of the annual allocation for your first year, or $3,385 x 5/12 = $1,410.42. You will receive the full annual allocation in subsequent years.
PayFlex is the vendor who will be administering the RRA beginning January 1, 2015. You can call PayFlex toll-free at 1.855.652.0112 or you can log on to www.rhaexchange.com/dte and click the PayFlex icon to get to the PayFlex member website. On the PayFlex website, you can access all of the forms you will need to set up your banking information, authorize your spouse or other designated individual to access your account and receive your personal information, request a reimbursement (for eligible medical expenses, including one-month requests for premium reimbursement) or set up a recurring premium reimbursement (submit this form once and the reimbursement is made automatically on a monthly basis).
A presentation was prepared to help familiarize you with the PayFlex website.
The following communications are available for your reference:
Your eligibility for, and benefits under, any DTE Energy benefit plan (including the Retiree Reimbursement Account Plan) are governed exclusively by the official plan documents. The descriptions provided are for your convenience only and do not replace or supersede the official terms of the plans. Any inconsistencies between this information and the official plan documents and any ambiguities in this information are controlled by the official plan documents. Medical coverage provided through an individual insurance policy purchased with assistance from the RHA Program or through any insurance policy the premiums for which you are reimbursed through your RRA is not provided under a DTE Energy benefit plan.