b'Reducing Your Cost HIPAA Authorized RepresentativeCTPF Health Insurance Premium Subsidy If you want a family member to assist you with health CTPF members whose final teaching service was withinsurance issues, you can submit a HIPAA Authorized CTPF may receive a health insurance premium subsidy.Representative Designation form, available at www.ctpf.org The subsidy, set annually, pays a percentage of healthor from Member Services. Your Authorized Representative insurance costs for eligible CTPF annuitants. The CTPF Boardmay discuss your health insurance options, but cannot of Trustees approved a 60% subsidy, effective January 1,make care or treatment decisions.2021. The subsidy is subject to change at the discretion of the Board.Power of Attorney See page 15 for more information about the healthIf you would like a family member or other representative insurance premium subsidy program. to act on your behalf, you must submit a completed power of attorney form to CTPF and to each of your health Medicare Part A Premium Subsidy insurance carriers. Members who retired with a pension benefit effectiveFrauddate of July 1, 2016, or later, who must pay for MedicareFalsifying information and/or documentation to obtain Part A coverage, will not receive a CTPF premium subsidyhealth insurance coverage through CTPF will result in a loss for this cost. This does not impact CTPF subsidies forof health insurance. Medicare Part B, Part D, supplemental health plans, or annuitants with pension benefit effective dates prior toDisclaimerJuly 1, 2016. See page 33 for more information. If this summary description differs from the plan text or any plan term or condition, the official contract document governs. This handbook contains information regarding benefits voluntarily provided by CTPF. Plan provisions may change without prior notice. All plans are subject to and must comply with any applicable state or federal law. To the extent this summary description differs from current or future applicable state or federal law, the applicable state or federal law governs.HEALTH INSURANCE CHECKUPCTPF health insurance plans do not include dental coverage. CTPF annuitants Dentalmay enroll in dental insurance offered through private insurers or a group plan Plans through the Retired Teachers Association of Chicago. See page 47 for contact information. 10 CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK'