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Opinion: Good retiree healthcare coverage — a moving target

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Opinion: Good retiree healthcare coverage — a moving target


A response to Medicare or Medicare Advantage – CT employees want a choice by James W. Russell:

I agree with Russell’s frustration over the increasing privatization of Medicare. The health care eco-system, in Connectiut and nationally, is ever-changing and is now very different today than it was in 2018 when the State of Connecticut implemented a private, customized Medicare Employer Group Waiver (EGWP – pronounced “egg-whip”) plan for its’ retirees.

At that time, providers were generally accepting EGWP Medicare beneficiaries nationwide. Today, in-state and beyond, more providers are rejecting private Medicare, both EGWP plans and individual Medicare Advantage (MA) plans, for all the reasons Russell articulated – high claim denials, delayed payments, and crushing administrative requirements – plus, increasingly, extremely low provider reimbursement rates.

Unlike State of Connecticut retirees, Connecticut teacher retirees are not limited to one Medicare plan. Retired Connecticut teachers may choose between a customized EGWP plan (different from state retirees), or original Medicare with a supplement for out-of-pocket costs.

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Only about 10% of retired teachers choose the original Medicare/supplement option. Those who do are typically older individuals with higher health care resource needs who pay dearly for what they get from original Medicare – access to most providers nationwide and for their own treating provider (not an insurance company) to determine their medical needs and amount/length of services.

There’s no perfect solution, and there are unintended consequences for every health care decision balancing access to care, quality, and cost, but the conversation about how best to achieve that balance must be continuous for state retirees, retired teachers, and for one in five state residents insured by Medicare.

In the meantime, the best answer is to fight the fights you can win against private Medicare plans.

A 2018 report by the Centers for Medicare and Medicaid (CMS) Office of the Inspector General (OIG) found that less than one-percent of Medicare beneficiaries appeal a denial, but when they do, 75% of the time, that denial is over-turned on the first appeal.

Challenging insurance companies is critical, even if you do not have the time or energy to pursue a problem yourself. Connecticut has several free insurance assistance options for Medicare beneficiaries, in addition to professional help through the Comptroller’s Office (for state retirees) or the Teacher’s Retirement Board (for retired teachers).

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For further help with free insurance appeals, and other health insurance assistance, such as seeking exceptions to insurance company rules, contact the CT Office of the Healthcare Advocate (866) 466-4446, Healthcare.Advocate@ct.gov; or the private, non-profit law organization, the Center for Medicare Advocacy (860) 456-7790, Communications@medicareadvocacy.org.

Kathleen Holt is the Acting CT Healthcare Advocate. She is an appointed public member of the CT Teacher’s Retirement Board, Chairs the Board of Lawrence and Memorial Hospital, and was previously Associate Director of the Center for Medicare Advocacy.



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Connecticut

Pedestrian killed after being struck by Amtrak train

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Pedestrian killed after being struck by Amtrak train


An investigation is ongoing in Stonington after a person was fatally struck by an Amtrak train Saturday morning, according to Stonington police.

Police were notified around 11:25 a.m. by Amtrak police that a pedestrian was struck by a train between the Route 1 overpass and the Prospect Street and Palmer Street railroad crossing.

When crews arrived, they pronounced the victim dead at the scene.

The train involved is stopped while Amtrak police conduct their investigation and ask the public to avoid the area at this time.

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Authorities say there is no threat to the public.

No further details were released.



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Man shot, critically injured by police in Hartford; mayor says there will be a ‘full review’

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Man shot, critically injured by police in Hartford; mayor says there will be a ‘full review’




Man shot, critically injured by police in Hartford; mayor says there will be a ‘full review’ – NBC Connecticut



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Connecticut moves to crack down on bottle redemption fraud

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Connecticut moves to crack down on bottle redemption fraud


It’s a scheme made famous by a nearly 30-year-old episode of the sitcom Seinfeld.

Hoping to earn a quick buck, two characters load a mail truck full of soda bottles and beer cans purchased with a redeemable 5-cent deposit in New York, before traveling to Michigan, where they can be recycled for 10 cents apiece. With few thousand cans, they calculate, the trip will earn a decent profit. In the end, the plan fell apart.

But after Connecticut raised the value of its own bottle deposits to 10 cents in 2024, officials say, they were caught off guard by a flood of such fraudulent returns coming in from out of state. Redemption rates have reached 97%, and some beverage distributors have reported millions of dollars in losses as a result of having to pay out for excess returns of their products.

On Thursday, state lawmakers passed an emergency bill to crack down on illegal returns by increasing fines, requiring redemption centers to keep track of bulk drop-offs and allowing local police to go after out-of-state violators.

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“I’m heartbroken,” said House Speaker Matt Ritter, D-Hartford, who supported the effort to increase deposits to 10 cents and expand the number of items eligible for redemption. “I spent a lot of political capital to get the bottle bill passed in 2021, and never in a million years did I think that New York, New Jersey and Rhode Island residents would return so many bottles.”

The legislation, Senate Bill 299, would increase fines for violating the bottle bill law from $50 to $500 on a first offense. For third and subsequent offenses, the penalty would increase from $250 to $2,000 and misdemeanor punishable by up to one year in prison.

In addition, it requires redemption centers to be licensed by the state’s Department of Energy and Environmental Protection (previously, those businesses were only required to register with DEEP). As a condition of their license, redemption centers must keep records of anyone seeking to redeem more than 1,000 bottles and cans in a single day.

Anyone not affiliated with a qualified nonprofit would be prohibited from redeeming more than 4,000 bottles a day, down from the previous limit of 5,000.

The bill also seeks to pressure some larger redemption centers into adopting automated scanning technologies, such as reverse vending machines, by temporarily lowering the handling fee that is paid on each beverage container processed by those centers.

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The bill easily passed the Senate on Wednesday and the House on Thursday on its way to Gov. Ned Lamont.

While the bill drew bipartisan support, Republicans described it as a temporary fix to a growing problem.

House Minority Leader Vincent Candelora, R-North Branford, called the switch to 10-cent deposits an “unmitigated disaster” and said he believed out-of-state redemption centers were offloading much of their inventory within Connecticut.

“The sheer quantity that is being redeemed in the state of Connecticut, this isn’t two people putting cans into a post office truck,” Candelora said. “This is far more organized than that.”

The impact of those excess returns is felt mostly by the state’s wholesale beverage distributors, who initiate the redemption process by collecting an additional 10 cents on every eligible bottle and can they sell to supermarkets, liquor stores and other retailers within Connecticut. The distributors are required to pay that money back — plus a handling fee — once the containers are returned to the store or a redemption center.

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According to the state’s Department of Revenue Services, nearly 12% of wholesalers reported having to pay out more redemptions than they collected in deposits in 2025. Those losses totaled $11.3 million.

Peter Gallo, the vice president of Star Distributors in West Haven, said his company’s losses alone have totaled more than $2 million since the increase on deposits went into effect two years ago. As time goes on, he said, the deficit has only grown.

“We’re hoping we can get something fixed here, because it’s a tough pill to be holding on to debt that we should get paid for,” Gallo said.

Still, officials say they have no way of tracking precisely how many of the roughly 2 billion containers that were redeemed in the state last year were illegally brought in from other states. That’s because most products lack any kind of identifiable marking indicating where they were sold.

“There’s no way to tell right now. That’s one of the core issues here,” said state Rep. John-Michael Parker, D-Madison, who co-chairs the legislature’s Environment Committee.

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Parker said the issue could be solved if product labels were printed with a specific barcode or other feature that would be unique to Connecticut. Such a solution, for now, has faced technological challenges and pushback from the beverage industry, he said.

Not everyone involved in the handling, sorting and redemption of bottles is happy about the upcoming changes — or the process by which they were approved.

Francis Bartolomeo, the owner of a Fran’s Cans and Bart’s Bottles in Watertown, said he was only made aware of the legislation on Monday from a fellow redemption center owner. Since then, he said, he’s been contacting his legislators to oppose the bill and was frustrated by the lack of a public hearing.

“I know other people are as flabbergasted as I am because they don’t know where it comes out of,” Bartolomeo said “It’s a one sided affair, really.”

Bartolomeo said one of his biggest concerns with the bill is the $2,500 annual licensing fee that it would place on redemption centers. While he agreed that out-of-state redemptions are a problem, he said it should be up to the state to improve enforcement.

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“We’re cleaning up the mess, and we’re going to end up being penalized,” Bartolomeo said. “Get rid of it and go back to 5 cents if it’s that big of a hindrance, but don’t penalize the redemption centers for what you imposed.”

Lynn Little of New Milford Redemption Center supports the increased penalties but believes the solution ultimately lies with better labeling by the distributors. She is also frustrated by the volume caps after the state initially gave grants to residents looking to open their own bottle redemption businesses.

“They’re taking a volume business, because any business where you make 3 cents per unit (the average handling fee) is a volume business, and limiting the volume we can take in, you’re crushing small businesses,” Little said.

Ritter said that he opposed a move back to the 5-cent deposit, which he noted was increased to encourage recycling. However, he said the current situation has become politically untenable and puts the state at risk of a lawsuit from distributors.

“We’re getting to a point where we’re going to lose the bottle bill,” Ritter said. “If we got sued in court, I think we’d lose.”

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