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Centers for Medicare & Medicaid Services

Virginia – Early Retiree Reinsurance Program

Rising health care costs have made it difficult for employers to provide quality, affordable health insurance for workers and retirees while also remaining competitive in the global marketplace. The percentage of large firms providing workers with retiree health coverage has dropped from 66 percent in 1988 to 29 percent in 2009.1 Health insurance premiums for older Americans are over four times more expensive than they are for young adults,2 and the deductible these enrollees pay is, on average, almost four times that for a typical employer-sponsored insurance plan.3

The Affordable Care Act creates a new program called the Early Retiree Reinsurance Program to help address this challenge that employers and older employees are facing.  The Early Retiree Reinsurance Program provides $5 billion in financial assistance to employers and unions to help them maintain coverage for early retirees age 55 and older who are not yet eligible for Medicare.

Businesses, other employers, and unions that are accepted into the program will receive reimbursement for medical claims for early retirees and their spouses, surviving spouses, and dependents. Savings can be used to reduce employer health care costs, provide premium relief to workers and families, or both. Applicants who are approved into the program receive reinsurance for the claims of high-cost retirees and their families (80 percent of the costs from $15,000 to $90,000). The program ends on January 1, 2014 when State health insurance Exchanges are up and running.

HHS has approved the following sponsors from Virginia. More applications are being approved each day.

  • T. Massey Coal Company, Inc.
  • A1000 The Rector and Board of Visitors of the University of Virginia
  • Air Line Pilots Association, International
  • Alfa Laval Inc
  • Alleghany Highlands School Division*
  • Alpha Natural Resources, Inc. (f/k/a Foundation Co
  • Altria Client Services Inc.
  • Appomattox County School Board*
  • AREVA INC.
  • Augusta County Board of Supervisors
  • Augusta County School Board
  • Augusta County Service Authority
  • Bedford County Public Schools
  • Buckingham County School Board
  • BVU Authority*
  • C&O Employees Hospital Association
  • Campbell County School Board*
  • Chesapeake Public Schools
  • Chesterfield County Administrator
  • Chesterfield County School Board
  • City of Alexandria Virginia Sanitation Authority
  • City of Charlottesville
  • City of Danville
  • City of Fredericksburg, Virginia
  • City of Galax
  • City of Hampton
  • City of Hopewell
  • City of Lynchburg
  • City of Newport News
  • City of Norfolk
  • City of Portsmouth
  • City of Richmond
  • City of Roanoke
  • City of Salem*
  • City of Staunton
  • City of Staunton School Board
  • City of Suffolk
  • City of Virginia Beach
  • Colonial Williamsburg Foundation
  • Commonwealth of Virginia Department of Human Resource Management (DHRM)
  • Council of Independent Colleges in Virginia Benefits Consortium*
  • County Board of Arlington Virginia
  • County of Fairfax
  • County of Henrico, Virginia
  • County of Loudoun, Virginia
  • County of Roanoke
  • County of Rockingham VA
  • Danville School Board
  • Dominion Resources, Inc.
  • Estes Express Lines
  • Evonik Goldschmidt Corporation
  • Fairfax County Public Schools
  • First Community Bancshares, Inc.
  • Franklin County Public Schools
  • Galax City of*
  • Gannett Co., Inc.
  • General Dynamics Corporation
  • Gloucester County School Board*
  • Grayson County School Board
  • Greene County Public Schools
  • Halifax County Public Schools
  • Hampton Roads Sanitation District Commision
  • Hampton School Board
  • Hanover County Board of Supervisors
  • Hanover County School Board
  • Hauni Richmond Inc*
  • Henry County Board of Supervisors
  • Henry County School Board
  • James City County
  • Lafarge North America, Inc
  • Landmark Media Enterprises, LLC
  • Lee County School Board
  • Logistics Management Institute
  • Loudoun County School Board
  • lronworkers Local 79 Health Fund
  • Luxury-Domain, LLC
  • Lynchburg City Schools
  • NALC Health Benefit Plan for Employees and Staff
  • National Rural Electric Cooperative Association
  • National Telecommunications Cooperative Association
  • Navy Federal Credit Union
  • Newport News Public Schools
  • Norfolk Redevelopment and Housing Authority
  • Norfolk Southern Corporation
  • NTELOS Inc.
  • NVR, Inc.
  • Old Dominion Transit Management Co. d/b/a GRTC Transit system
  • Operating Engineers Local 147 Health Fund
  • Patrick County School Board
  • Pentagon Federal Credit Union*
  • Pittsylvania County Public School*
  • Plumbers and Fitters Local 110 Benefit Trust
  • Plumbers and Fitters Local 540 Medical Benefits Trust Fund
  • Poquoson city public schools
  • PORTSMOUTH SCHOOL BOARD
  • Prince William County Government
  • Prince William County School Board
  • Prince William County Service Authority
  • Rawl Sales & Processing Co.
  • Reynolds Foil Inc
  • Richmond Metropolitan Authority
  • Riverside Management Services, Inc.
  • Rockingham County School Board
  • Rolls-Royce Corporation
  • Rolls-Royce North America Inc.
  • Russell County School Board
  • School Board of Frederick Co., VA
  • School Board of the City of Norfolk
  • Scott County School Board
  • Scott County, Va
  • Society for Worldwide Interbank Financial Telecommunications, Inc.
  • Southern States Cooperative, Inc.
  • Spotsylvania County Board of Supervisors*
  • Spotsylvania County School Board
  • Stafford County Government
  • Stafford County Public Schools
  • STIHL Incorporated
  • Swedish Match North America Inc.
  • Tazewell County School Board
  • Teamsters Joint Council No. 83 of Virginia Health & Welfare Fund
  • Thales USA, Inc.
  • The Bureau of National Affairs, Inc.
  • Tidewater Electrical Industry Health Fund
  • Titan Atlantic Cement Industrial and Commercial SA
  • Town of Blacksburg*
  • United Mine Workers of America
  • Universal Leaf Tobacco Company, Inc.
  • Valley Vocational Technical Center
  • Virginia Bankers Association Group Benefits Trust
  • Virginia Beach City Public Schools
  • Virginia United Methodist Pensions, Inc.
  • Volkswagen Group of America, Inc.
  • Washington and Lee University
  • Washington County School Board
  • Washington Gas Light Company
  • Waynesboro City Public Schools
  • Williamsburg-James City County Public Schools*
  • Winchester School Board
  • York County School Division

*New program participants as of May 24, 2011.  List to be updated monthly.

[1] Kaiser / HRET. Employer Health Benefits: 2009 Survey.
[2] Center for Policy and Research. Individual Health Insurance 2009.
[3] Kaiser Family Foundation. 2010. Survey of People Who Purchase Their Own Insurance.

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