Andover Townsman, Andover, MA


March 13, 2014

Insurance switch for retired teachers draws strong opposition

Town officials are considering a switch in health insurance that has some retired teachers panicking at the possibilities.

The change being proposed is to move retired Andover teachers from their current insurance, provided by the state’s Group Insurance Commission (GIC), to the town’s own health care coverage.

The proposal to “acquire” the 415 health care enrollees, which includes retired teachers and those covered with them, could save the town as much as $373,000 a year, town health insurance consultant Ken Lombardi said.

But some currently covered under the GIC fear what could happen if they are moved to the town’s coverage.

“To tell you the truth, I can’t sleep after this was announced,” Pat Malone, whose husband is a retired Doherty Middle School teacher, said. “I’m just shocked that the town would pull GIC from us.”

Central to the discussion taking place is coverage now under the retired teachers’ health insurance plans, and coverage if they were moved to GIC, along with the benefits of one over the other. That discussion includes what is and isn’t covered, the availability of certain doctors and more.

“The issue here is that there’s a financial impact that would benefit the town and benefit the members, but it’s all based on the retiree’s plan choice selection,” Lombardi said.

Lombardi’s presentation ran alongside data of what the 415 members pay in benefits today, and what they’d pay if rolled into the town’s coverage. For those living within a certain region — Massachusetts for Medicare enrollees, and New England for non-Medicare enrollees — staying in-network would cost less, and going out of network would cost much more.

For those living outside of the respective regions, going out of network would be the only option, and they would be billed the same as they are today, according to Lombardi.

Text Only | Photo Reprints

Pictures of the Week