Part 3 — CATASTROPHIC DISABILITY HEALTHCARE PROGRAM
San Jose Municipal Code · 2026-09 edition · updated 2026-09-29 · San Jose
3.58.300 - Coverage.¶
Subject to the provisions of this Chapter, effective June 16, 2017 and upon IRS approval of the VEBA, a member who is covered by the VEBA shall be entitled to receive a benefit as described under Section 3.58.310 if the requirements of subsections A, B, and C of this Section 3.58.300 are satisfied.
A.
The member is receiving a service-connected disability retirement benefit under the terms of Chapter 3.28; and
B.
The member is not eligible for an unreduced service retirement under Chapter 3.28; and
C.
The member must have exhausted all funds credited to his or her VEBA account.
(Ord. 29904.)
3.58.310 - Catastrophic disability healthcare benefit under VEBA.¶
Subject to the provisions of this Chapter, effective June 16, 2017 and upon IRS approval of the VEBA, a member who meets the requirements of Section 3.58.300 may be entitled to receive a benefit similar to those established under Parts 16 and 17 of Chapter 3.28 of Title 3 of the San José Municipal Code. These provisions entitle a member to a benefit equal to the amount of the premium for single coverage under the lowest cost medical insurance coverage available under the City's retiree medical program. Such benefit
shall cease at the time that such member is eligible for coverage under Medicare. This catastrophic disability healthcare benefit shall be paid from the Federated Retiree Health Care Trust Fund, as applicable.
(Ord. 29904.)
3.58.320 - Limitations on payment of catastrophic healthcare benefit from VEBA.¶
Subject to the provisions of this Chapter, effective June 16, 2017 and upon IRS approval of the VEBA, a member who is receiving a catastrophic healthcare benefit from the plan under Section 3.58.310, shall be subject to the following limitations with respect to eligibility to receive such benefit:
A.
The member must submit, on an annual basis, an affidavit in the form prescribed by the administrator of the VEBA verifying that the member has no other employment which provides healthcare coverage; and
B.
If it is determined that the member has other employment which provides healthcare coverage, the member's eligibility for benefits under this Part 3 of Chapter 3.58 shall automatically cease, subject to the ability for the member to again qualify under this Part 3 if the member subsequently loses such employment-provided healthcare coverage.
(Ord. 29904.)
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