Local Education Retirement Guide
The Local Education Plan Document at, and the certificates of coverage for voluntary programs like vision and dental are the official legal publications that define eligibility, enrollment, covered and excluded services, benefits and administrative rules of the State Group Insurance Program. You can find the Plan Document and the certificates on the Partners for Health Publications page. If any information in this guide conflicts with provisions in the Plan Document or the certificates of coverage, those documents control. Likewise, if there is any conflict with applicable law, the law shall control.
Eligibility and Enrollment —TCRS participants
Continuing Group Health Coverage
Application to Continue Group Health Coverage
Effective Date of Retiree Group Health Coverage
Individuals Eligible for Medicare
Application for The Tennessee Plan Coverage
Eligibility and Enrollment — Non-TCRS Participants
Continuing Group Health Coverage
Application to Continue Group Health Coverage
Effective Date of Retiree Group Health Coverage
Individuals Eligible for Medicare
General information for all plan members
Cancelling Health, Vision and Dental Coverage
If You Do Not Apply When First Eligible
Reinstatement Following Voluntary Cancellation
Coverage for Dependents in the Event of Your Death
INTRODUCTION
Overview
This guide explains the insurance options available to you at retirement and the rules for each type of coverage. There are two eligibility and enrollment sections. It is important that you refer to the section that applies to you. If you are a Tennessee Consolidated Retirement System participant, see the requirements on page two. If you are a non-TCRS participant, see page four.
For More Information
Your agency benefits coordinator is your primary contact. He/she can provide you with forms and handbooks you need. For questions about eligibility, contact Benefits Administration. Our service center is your main point of contact regarding insurance once you retire.
You can also get copies by calling our office at 615-741-3590 or 800-253-9981 or emailing retirement.insurance@tn.gov. You need to include your Edison ID (found on your Caremark card) and your address in your email.
If you have questions about health coverage (e.g., prior authorization, claims processing or payment, bills, benefit statements or letters from your health care provider or insurance company) contact the insurance company’s member service number on your insurance card. See also, information at the end of this guide about your appeal rights.