What is the Retiree Opt-in form?
The opt-in form is ICUBA's pre-enrollment form for retiree coverage. After you complete the form, your elections are sent to the applicable carriers to enroll you in retiree coverage.
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If you are currently enrolled in Retiree coverage with Ameriflex and need to drop coverage, download the form linked here, and return it to Ameriflex.
What if I am
under age 65?
If you retire before attaining age 65, you are eligible to participate in the ICUBA BCBS medical plan, Delta dental plan, and EyeMed vision plan that you were enrolled in at the time of your retirement.
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Retirees can cover their eligible spouses/dependents who were covered at retirement.
When should I elect Medicare Part A?
If you qualify for premium-free Part A, you should enroll when you turn 65. If you have to pay a premium for Part A, you can delay Part A until you (or your spouse) stop working or lose employer sponsored coverage.
You will NOT pay a penalty for delaying Part A, as long as you enroll within 8 months of losing your coverage or stopping work (whichever happens first).
When is Retiree coverage active?
Retiree coverage is usually active within 10 business days of submitting the opt-in form. Depending on when you opt-in, you may experience a gap in coverage.
Coverage will be retroactive from your eligibility date once your elections have been received.
ICUBA's carriers need about 10 business days to process your elections.
What if I am
age 65 or older?
If you retire at age 65 or older, you can enroll in the Medicare Supplement from Amwins by calling (888) 883-3757 Monday through Friday from 8:00 AM to 8:00 PM (EST).Payments for the Medicare Supplement are made directly to Amwins.
You can continue your ICUBA dental and vision coverage by submitting the opt-in form below
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When should I elect Medicare Part B?
You can delay Part B until you (or your spouse) stop working or lose employer sponsored coverage, and you will NOT pay a penalty for delaying Medicare, as long as you enroll within 8 months of losing your coverage or stopping work (whichever happens first).
Retiree coverage is not considered employer sponsored health insurance.
Will I get new member ID cards?
If you or your spouse are electing the AmWINS Medicare Supplement plans, you will receive new ID cards once your coverage is active.
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If you are continuing with ICUBA plans, your member ID number will remain the same for medical, dental, and vision insurance.
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What is Medicare
Part A?
Medicare Part A helps cover inpatient hospital care, skilled nursing facility care, hospice care, and home health care.
Most people will not pay a premium for Medicare Part A and should enroll when they turn 65, even if they have health insurance from an employer.
How do I contact Ameriflex?
Online account access for COBRA and Retiree administration is available at https://cobra.myameriflex.com/.
Call customer service at (888) 868-3539* or by email at service@myameriflex.com.
When calling Ameriflex customer service for Retiree coverage, you will need to select the COBRA option from the interactive voice menu.
Where can I learn about Medicare?
Florida SHINE (Serving Health Insurance Needs of Elders) Program provides health insurance information and counseling assistance to Medicare beneficiaries.
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Florida SHINE is a FREE resource to help transition to Medicare.
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What is Medicare
Part B?
Medicare Part B helps cover services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, and some preventive services.
If you or your spouse are covered by employer sponsored insurance, you can wait to elect Part B.
Where do I make payments?
Under 65: medical, dental, and vision payments are made to Ameriflex.
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65 and older: Medicare Supplement payments are made directly to Amwins. ACH setup is required.
65 and older: Dental and vision payments are made to Ameriflex.
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Opt-in required for newly retired members
Only complete the opt-in form if you are planning to enroll in retiree coverage with ICUBA or Amwins.
Please note, retiree coverage is only available to eligible retirees as determined by your employer.
Retirees under 65 can continue Medical, Dental, and Vision insurance with ICUBA and make payments to Ameriflex.
Retirees 65 and older can continue Dental and Vision insurance with ICUBA and make payments to Ameriflex. If you are 65 or older and choose to enroll in the Medicare Supplement with Amwins, you will make payment directly to Amwins via ACH.
If you are unsure of your eligibility, please contact your employer's Human Resources or Benefits Department. Submitting the opt-in form is not a guarantee of benefits, nor does it imply eligibility for benefits under an ICUBA Retiree Insurance Plan.
To best view the opt-in form, please visit this page on your personal computer. Your mobile device may not properly display the online form.
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Online account access for COBRA and Retiree administration is available at https://cobra.myameriflex.com/
Customer service is available by phone at (888) 868-3539* or by email at service@myameriflex.com.​
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*Please note when calling Ameriflex customer service for Retiree coverage, members will need to select the COBRA option from the interactive voice menu.
