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The Institute will provide you and your eligible spouse with a Defined Dollar Credit

The 2023 DDC will be increasing by 3%.

Your Defined Dollar Credit is a monthly amount intended to help you pay for the cost of your medical coverage, while giving you more flexibility and options for choosing coverage that fits you best. This credit is based on your years of service (up to a maximum of 25+ years) and Medicare eligibility. Since Medicare is your primary coverage, these plans cost less and the defined dollar credit for Medicare-eligible retirees is also less.

You have three ways to participate in the Caltech Retiree Medical Plan:

Participate in a Caltech-sponsored plan. You will pay the monthly plan premium (s) less your Defined Dollar Credit.
If your plan(s) costs more than the amount of your Defined Dollar Credit, you will receive a monthly notice of premium due.

If your plan(s) costs less than the amount of your Defined Dollar Credit, the extra Defined Dollar Credit will be available to you through a Health Reimbursement Account (HRA). You can use your HRA to pay eligible health care expenses. The HRA is administered by Discovery Benefits (DBI).
Have your entire Defined Dollar Credit available to you through a Health Reimbursement Account (HRA).
Enroll in the HRA and use your Define Dollar Credit to purchase a non-Institute health plan and pay other eligible health care expenses. Any premiums deducted from a paycheck must be paid on an after tax basis to be eligible for reimbursement by the HRA account.
Opt out of the Caltech program entirely.
If you choose to opt out of the Caltech Retiree Medical Plan, you will not receive a Defined Dollar Credit. (To receive your Defined Dollar Credit, you must enroll in an Institute-sponsored medical plan or HRA.) If you do not enroll in the Caltech Retiree Medical Plan within two years after your retirement date, and you do not have other continuous medical coverage (other than Medicare), you waive your right to participate in the Caltech Retiree Medical Plan.

Contact WEX

Phone
1-844-561-1334

Fax
1-866-451-3245

Visit WEX Website

FAQs

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Logging in to Setup Your Account with WEX
Once you are on the WEX website you will take the following steps to login:
- Click on the green “login” button located in the top right side of the website
- Next, click on the first select labeled: HSA, FSA, , HRA & Commuter Login (click here for sample)
- New users: on the right hand side of the screen you will click on “New User” to set up your username and password
- Existing users: on the left hand side of the screen you can key in your user name and password and then click on the “login” button
Quick Tip When Calling the WEX Call Center
To bypass listening to all call options for WEX you may do the following:
- To speak to a representative, please press 2..
- If you are a participant in a FSA, HSA, HRA, Transportation or Wellness account press or say 1.
- If you would like to hear the automated menu (no need to talk to a representative) select the following:
- To take advantage of our enhance account servicing options – press or say 1.
- If you are a participant in a FSA, HSA, HRA, Transportation or Wellness account press or say 1.
How do I setup automatic premium reimbursement for my Medicare Part B premiums and Part D premiums, if applicable, that are deducted from my Social Security payments?

You can setup automatic premium reimbursement by completing the WEX "Automatic Premium Reimbursement Request Form". Please complete and return the form to DBI as follows:

Mail: PO Box 2926 ∙ Fargo, ND 58108-2926, or
Email: employerservices@wexhealth.com, or
Fax: 866-451-3245.
How can I look at my HRA balance and transactions?

WEX will mail a welcome packet to you in mid-December which will include information about how to access your new Discovery Benefits HRA account online, how to download the mobile App and file claims.
How do I submit a claim to WEX for my HRA?
Your Welcome Packet from WEX will include instructions; there are several ways to submit claims:
- Fax or mail a paper “Out of Pocket Request Form” to WEX
- Login to WEX and submit a request online
- Use WEX mobile app to file a claim
- Use online bill pay to pay your provider directly from your HRA
How will I be reimbursed by WEX for my HRA claims?

If you have not signed up for direct deposit online, you will receive a check in the mail.
Can I use my Defined Dollar Credit to pay for premiums from another employers’ plan?

Yes, however any premiums deducted from your paycheck must be paid for on an after-tax basis to be eligible for reimbursement from the HRA.
Will my spouse/surviving spouse be eligible for coverage and/or a Defined Dollar Credit?

Yes, the spouse/partner you have when you retire will be eligible for coverage and the Caltech Defined Dollar Credit. If a retiree re-marries the new spouse can join the plan, but Caltech will not provide a Defined Dollar Credit toward the new spouse’s coverage.
What expenses can I claim with the Health Reimbursement Account?
Examples of eligible expenses for you and your eligible spouse may include:
- Medicare Part B premiums deducted from your Social Security check
- Prescription drug copays
- Medical copays
- Dental expenses (non-cosmetic)
- Vision expenses
- Hearing Aid expenses
- After tax health plan premiums deducted from a paycheck. IRS Regulations state that any premiums deducted from a paycheck must be paid for on an after-tax basis to be eligible for reimbursement from the HRA.
Is the Defined Dollar Credit taxable income?

No, when defined dollar credits you receive through the HRA are used for out of pocket healthcare expenses, they are not taxable

Defined Dollar Credit

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