Our health insurance premiums are based on the level of benefits offered and overall claims costs incurred by the plan. Premium costs are also affected by medical and prescription drug inflation.

When you become age 65 and enroll in Medicare Part A and Part B, Medicare subsidizes a portion of your health care costs. The plans offered by CTPF for members age 65 and over are designed to work with Medicare and help pay those costs not covered by Medicare.

CTPF eligibility rules state that CTPF must be your final retirement system to be eligible to join a CTPF health insurance plan. TRS rules state you must have 8 years of service to be eligible for their health insurance program, whether or not they are the last retirement system. It is very important to understand the health insurance eligibility rules for each system before you retire.

You can initially enroll in a CTPF plan only once in a lifetime, unless you experience a qualifying event. You can initially enroll when one of the following events occurs:

• Within 30 days after COBRA continuation coverage under the Board of Education or Charter School active employee group health program ends, unless coverage is canceled due to non-payment of premium
• Within 30 days of the effective date of pension benefits
• During the Annual Open Enrollment Period (once in a lifetime)
• Within 30 days of first becoming eligible for Medicare
• When coverage is canceled by a former group plan through no fault of your own

One Time Opt-In

Eligible members may re-enroll in a CTPF health insurance plan one time without a qualified change in status (marriage, birth, death, etc.). Individuals who want to rejoin a CTPF plan must do so during a CTPF Open Enrollment Period. A member applying to re-enroll must have proof of insurance coverage (medical and prescription drug) as of the beginning of the open enrollment period (October 1), and maintain coverage through December 31 of that year. CTPF insurance coverage becomes effective the following January 1.

CTPF requires that you provide your insurance application no later than 30 days after the date your COBRA expires. However, we recommend you submit your enrollment application to CTPF at least one month prior to your COBRA continuation coverage expiring. If CTPF does not receive your application by that date, you will have to wait until CTPF’s next Open Enrollment period, which occurs from October 1 - 31 each year.

No, the Pension Fund does not offer dental insurance. Dental plans are available from the Retired Teachers Association of Chicago, or you can purchase coverage directly from an insurance company.

CTPF offers bimonthly Medicare “Birthday Webinars” designed to help members turning 65 evaluate their health insurance options and enroll in Medicare. You will receive a personal invitation to this event if you or your dependent are currently covered on a CTPF health plan and are turning 65 this year. You can also begin the Medicare enrollment process by visiting your local Social Security Administration (SSA) office or by going to www.Medicare.gov. We suggest you start the enrollment process three months prior to your 65th birthday. If you are already collecting SSA retirement benefits, your enrollment in Medicare is automatic. Register for all webinars at ctpf.org/calendar. 

To qualify for enrollment in a CTPF plan at age 65 or over, you must be enrolled in both Medicare Part A and Part B. If you choose not to enroll in Medicare Part A and Part B at age 65 and are currently covered under a pre-65 CTPF plan, your CTPF health insurance coverage will terminate effective on the last day of the month before your birthday month. In addition, Medicare penalizes you for late enrollment (not enrolling when first eligible). CTPF does not offer any plans for members age 65 and over without Medicare Part A and Part B.

The 2025 Health Insurance Handbooks provide cost and benefit details for the prescription coverage associated with each CTPF-sponsored health insurance plan.

• 2025 Health Insurance Medicare Handbook 
• 2025 Health Insurance Non-Medicare Handbook

The Health Insurance Marketplace, or “Health Insurance Exchanges,” were created by the Affordable Care Act to make health insurance accessible to the 57 million people under age 65 that did not have health insurance. Those who already have health insurance coverage are not required to utilize the Health Insurance Marketplace.