DE HB281

Amends Delaware's state health care insurance law to modify premium cost-sharing for married couples who are both state employees or pensioners and were first employed on or before December 31, 2011.

Effective January 1, 2018, married couples enrolling in joint coverage are charged 50% of the employee or pensioner cost share premium per month, or $25 per month, whichever is greater (previously $25 flat fee through December 31, 2017).

Establishes separate cost-sharing rules for couples with mixed employment status (one employee and one retiree, or one Medicare-eligible and one non-Medicare-eligible pensioner).

Allows eligible pensioners first employed on or after January 1, 2025, to choose between a Medicare Supplement plan or a Medicare Part C plan for their health coverage.

Designates the act as "The Delaware Medicare Supplement Selection Act."