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Medical Benefits Plan for Retirees in Country Offices (RMBP) - Enroll or Add Dependent

Summary

The Retiree Medical Benefits Plan (RMBP) is a medical insurance plan that provides coverage to eligible country office (CO) staff and their eligible dependents for medical plans.

If the premium payment is not received by the MBP administrator, MBP administrator backup, or RM staff in the CO within 60 days from the active coverage end date, coverage under MBP will end on the last day of the month in which employment was terminated and you will not be enrolled in the RMBP.

  • Eligibility
  • Enrollment options, timing, and deadlines
  • Enroll yourself and/or the eligible family members in the RMBP
  • Add a dependent to your RMBP after the initial 60 days from the start of RMBP

Eligibility for RMBP Coverage:

You meet the eligibility for RMBP coverage if you were a staff member on a local regular, local fixed-term, open, or term appointment that ended on or after January 1, 2002, and upon retirement from the World Bank Group if you:

a.    have at least five years of "qualifying service", which is the total of:

                      i.        All years you have been in the Staff Retirement Plan (SRP) since April 15, 1998; and

                     ii.        Any local regular or local fixed-term service prior to April 15, 1998 when you were eligible for the Termination Grant (including any additional Termination Grant service received as a result of the Past Pension Credit reform), and

b.    meet the "rule of 60" (your age plus years of qualifying service equal at least 60).

You must wait until you reach age 50 to start RMBP coverage, even if you meet the "rule of 60" prior to reaching age 50.

Note:

Staff and their dependents who committed fraud or misconduct against the MBP will not be eligible for RMBP coverage.

Who Can be Covered by the RMBP:

RMBP is a medical insurance plan for:

  • retirees who were enrolled in the Active Medical Benefits Plan (AMBP) prior to their retirement and who meet the RMBP eligibility requirements.
  • eligible dependent(s) for medical plans who were enrolled while the staff member was in the active plan, AMBP. The eligibility of dependents follows the same rules as the AMBP.
  • eligible dependents, regardless of whether they were enrolled while the staff member was in the AMBP, provided they are enrolled within 60 days from the staff member's end of active coverage. The eligibility of dependents follows the same rule as the AMBP.
  • new eligible family members for medical plans acquired after the staff member's retirement due to marriage, birth, or legal adoption, reported and enrolled within 60 days of the event.
  • the surviving spouses or registered domestic partner, in the case of death of a retiree, who had elected to defer RMBP enrollment.

a.  Subsidized coverage is available as long as the spouse or registered domestic partner is the same spouse or registered domestic partner to whom the individual was married or the registered domestic partner at the time of termination.

b.  Coverage can commence on the day the deceased staff member would have been of 50 years of age or older. Proof of comprehensive medical insurance coverage for the three years prior to requesting RMBP coverage.

  • the surviving eligible children of retirees. Subsidized coverage continues until the last day of the month that the child reaches age 26.
  • the surviving spouses or registered domestic partner in the case of death of a retiree who had elected to defer RMBP enrollment.

Note:

Within 60 days of the life event, you must also report any event that reduces the number of covered eligible dependents for medical plans, such as divorce, death, or a child reaching age 26.

Enrollment options, timing, and deadlines:

  • You cannot start RMBP coverage before age 50.
  • If you meet RMBP eligibility criteria prior to your last day of active service, you can elect to defer the start of your RMBP coverage. If you do not make an election within 60 days following the end date of active coverage, the default election is deferral of RMBP coverage to a later date. If enrollment is deferred, you must provide evidence of coverage by another comprehensive medical insurance plan for three years prior to requesting enrollment in the RMBP.
  • If you are retiring at age 67, you have 60 days from your end of active coverage to elect RMBP enrollment. If you do not make this election within 60 days, you must provide evidence of coverage by another comprehensive medical insurance plan for three years prior to requesting enrollment in the RMBP.
  • If you resign before age 67 and are not eligible for a pension or have elected to take a lump sum, you can elect RMBP at any time between age 50 and 67. However, you will need to provide evidence that you have been covered by another comprehensive medical insurance plan for three years prior to requesting enrollment in RMBP.
  • If you resign before age 67 and are eligible for pension but have deferred the start date, you will be eligible for RMBP coverage if you can provide evidence that you have been covered by another comprehensive medical insurance plan for three years prior to requesting enrollment in RMBP.

Note:

Premium contribution will be higher (the Bank Group's subsidy will be reduced) if you start RMBP coverage before age 62 (for staff who were on board as of December 31, 2015) or before age 65 (for staff who hired on or after January 1, 2016).

Paying RMBP Premiums:

The RMBP premium will be deducted monthly from your pension payment. If your monthly pension payment is not sufficient for the RMBP payment to be paid or you elect to take your pension in lump sum, then you must pay the prorated amount (which is from end of active coverage to June 30) within 60 days from end of active coverage. Submit your payment to your MBP administrator, MBP administrator backup, or RM staff. If your payment is not received within 60 days from the active coverage end date, then coverage under the MBP will end on the last day of the month in which employment was terminated and you will not be enrolled in the RMBP. Payment is recorded against the MBP account by the CO RM staff. Payment is posted to the credit salary adjustment account (G/L 106062110) and the F02368 Retiree Life Event & MBP Enrollment Request is submitted to HR Operations for enrollment in the RMBP.

In June, your MBP administrator and MBP administrator backup will be notified of the renewal premium amount due to cover the period from July 1 of that year to June 30 of the next year. If you are not enrolled in deductions from pension payments, payment must be received by the MBP administrator, MBP administrator backup, or RM staff by September 30. Notifications will be sent via email to all staff regarding open enrollment and renewal periods.

Note:

It is your responsibility to monitor your coverage end date and to make timely payments to avoid lapse in your coverage. Be sure to provide your MBP administrator, MBP administrator backup, and HR Operations with your email contact details.

Staff on Disability:

Staff whose claim for long-term disability (LTD) under Staff Rule 6.22, has been accepted are eligible for RMBP. Coverage is provided during LTD without members paying the RMBP premium, however, members will be responsible for the copay. When LTD ends, eligibility and premium for RMBP for the former staff member (or surviving spouse or registered partner) are based on pensionable service and the age of the former staff member on the date that LTD ends.

Enroll yourself and/or family members in the RMBP

Step

Action

 

Action by Staff

01

Decide on the Coverage Plan – Plan A, B, C, or D.

Important: The decision needs to be made and F02368 Retiree Life Event & MBP Enrollment Request submitted to your MBP administrator or MBP administrator backup within 60 days from end date of active coverage. Your MBP administrator or MBP administrator backup will verify your and/or dependent's eligibility for RMBP coverage and send the completed enrollment form to HR Operations for processing.


Use these helpful tips:

  • Your RMBP contribution depends on:

o  number of enrolled dependents.

o  length of service.

o  final net salary.

o  your age when RMBP starts.

  • Find out how much you will have to pay by following these steps in myHR Self-Service: myHR Self-Service > Insurance > Insurance > C/RMBP Calculator. While the premium will be calculated as annual, you need only to pay the prorated amount as noted in above.

 

Note:
Your final salary will be indexed based on the increases applicable to pensions in your duty country.

The following are examples of how this works:

Example 1: Retirement at the normal retirement age for a staff member who was on board as pf December 31,2015. You retire from the Mexico office at age 62 with 15 years of qualifying service and you want to elect RMBP coverage for you and one family member (Plan B). Your final net salary is MXN808,500. From the Schedule, your RMBP premium in percentage terms is 2.7 percent of your final net salary. Your initial RMBP contribution will be MXN1,819.13 a month (808,500 x 2.6%). This amount will increase each year after retirement in line with the pension increase for the duty country.

Example 2: Retirement at the normal retirement age for a staff member who was hired on or after January 1, 2016. You retire from the Mexico office at age 65 with 10 years of qualifying service and you want to elect RMBP coverage for just yourself (Plan A). Your final net salary is MXN 800,000. From the Schedule, your RMBP premium in percentage terms is 2.5 percent of your final net salary. Your initial RMBP contribution will be MXN 1,666.67 a month (800,000*2.5%). This amount will increase each year after retirement in line with the pension increase for the duty country.

Example 3: Retirement at the mandatory retirement age. You retire from the New Delhi office at age 67 with 20 years of qualifying service and you want to enroll yourself and two dependents in RMBP (Plan C). Your final salary is INR 950,000. From the Schedule, your RMBP premium in percentage terms is 2.3 percent of your final net salary. Your initial RMBP contribution will be INR 1,820.83 a month (950,000*2.3%). This amount will increase each year after retirement in line with the pension increase for the duty country.

Example 4: Early Retirement. Let's say you are single (no dependents) and retire at age 60 with 25 years of qualifying service from the New Delhi office. You want to start your pension and RMBP coverage immediately. Your final net salary is INR886,600. From the Schedule, you will see that your RMBP premium for Plan A in percentage terms is 1.0 percent of your final monthly net salary. Your initial RMBP monthly contribution will be INR 738.83 a month (886,600 x 1.0%). This amount will increase each year after retirement in line with how much your pension increases.

Example 5: Deferred Retirement. You were on board as of December31, 2015, and left the Abidjan office at age 45 with 15 years of qualifying service. Your final salary is XOF19,844. You decide to start your pension and your RMBP coverage at age 55. You want to continue coverage for yourself, your spouse and one dependent child (Plan C). Your initial RMBP contribution would be 5.6 percent of final salary indexed for inflation for the years from age 45 to age 55. You will need to provide evidence of coverage by a comprehensive medical insurance plan for you and your eligible family members for the three years prior to requesting enrollment in the RMBP.

02

Note:

Once your RMBP coverage starts, your contribution will increase at the same rate as the pension index for your duty country. Your contribution may increase or decrease after retirement depending on the number of dependents covered in the RMBP. You must inform your MBP administrator or MBP administrator backup within 60 days if you add or drop dependents after enrolling in RMBP.

03

Write to HR with the completed form F02368 Retiree Life Event & MBP Enrollment Request for action.

04

Payment will take place in one of the two ways. If you elect to receive monthly pension payments and they are enough to cover your monthly premium, you will be enrolled in deductions from your pension. Otherwise, you will have to pay the prorated premium amount as a lump sum (which is from the end of active coverage to June 30).

You can request the first premium be deducted from final pay. If you wish to do this, you need to send an email to Payroll to request the withholding of the premium due from your final pay. Payroll will advise if the final pay is not sufficient to allow for deduction of premium. In that case, you have 60 days to pay from when active coverage ends.

Warning:

  • If your premium payment has not been made as soon as possible or within 60 days of your end of active coverage, your coverage under the MBP will end on the last day of the month in which your employment was terminated.
  • If you are paying through lump sum, your annual renewal premium must be paid within 60 days of the expiry of your RMBP coverage, by September 30. If the renewal premium is not received by the RM staff, MBP administrator, or MBP administrator backup by September 30, RMPB coverage will end as of June 30.

05

An email will be sent to you, your MBP administrator, and MBP administrator backup, confirming completion of the enrollment process or renewal of coverage. Your new medical insurance card will be issued and sent to your MBP administrator.

 

Add a dependent to your RMBP after the initial 60 days from the start of RMBP

Step

Action

 

Action by Staff

01

Send an email to your MBP administrator or MBP administrator backup informing them about the life event within 60 days of the life event.

02

Complete F02368 Retiree Life Event & MBP Enrollment Request and submit to your MBP administrator or MBP administrator backup.

 

Action by HR Operations

03

Send an email to the MBP administrator or MBP administrator backup confirming completion of the enrollment process.

The medical insurance card for the new enrollee will be mailed to the MBP administrator via CO pouch, only after the cards are received from Cigna first at the Bank Group in Washington, D.C.