The Mamaroneck Union Free School District (the District) provides Medicare Part B premium reimbursement to retirees and their spouses, provided the spouse is enrolled in the current Mamaroneck health insurance plan and is not receiving Medicare reimbursement from another agency.
If either you or your spouse is 65 years of age or older, currently on the Mamaroneck health insurance plan, and receives Medicare Part B benefits, please submit the following documents to the Mamaroneck School District Business Office on or before February 27, 2026, so that your Medicare Part B reimbursement can be processed.
1. 2025 Social Security Administration Benefit notice of Medicare Part B Premium – also known as 2025 Social Security Benefit Verification Letter. This form is mailed directly from the Social Security Administration usually in November 2024
Sample SSA Benefit Statement Letter from Social Security Administration
To obtain a replacement SSA Benefit Verification Letter: https://www.ssa.gov/myaccount/proof-of-benefits.html
2. SSA 1099 Tax Form – also known as 2025 Social Security Benefit Statement, for both you and your spouse if your spouse is eligible. This form is mailed out directly from Social Security in January 2026. If you do not collect Social Security and pay for Medicare Part B on your own, please provide proof of your payments (premium statements and/or cancelled checks).
To obtain a replacement SSA 1099 Tax Form: https://www.ssa.gov/myaccount/replacement-SSA-1099.html
3. Notarized Certificate of Eligibility Form signed by both retiree and retiree's spouse:
Notarized Certificate of Eligibility Form
4. Retiree Payment Form for both you and your spouse.
PLEASE SUBMIT THE RETIREE PAYMENT FORM ONLY IF YOUR BANKING INFORMATION HAS CHANGED SINCE LAST YEAR’S PAYMENT:
Retiree Payment Form (ACH Direct Deposit Form)
Upon receipt and review of the above documents, if appropriate, the District will issue a payment to you and your spouse for the standard Medicare Part B Premium. Payments will be issued on or before April 30, 2026, for the 2025 calendar year. Reimbursements for 2025 will only be paid for documentation received by February 27, 2026.
Please e-mail the required documents to benefits@mamkschools.org
or send by mail by February 27, 2026, to:
Business Office-Medicare Department
Mamaroneck UFSD
1000 West Boston Post Road
Mamaroneck, NY 10543
The maximum monthly benefit reimbursement for 2025 is $ 185.00
SSA Statements & Letters can be obtained online at www.ssa.gov or by calling 1-800-772-1213
Mamaroneck Schools
