Upon retire­ment, any Employ­ee shall be eli­gi­ble for the Retiree Health Insur­ance Pro­gram where such Employ­ee meets the fol­low­ing requirements:

(A) Employ­ee is age fifty-five (55) or old­er upon retire­ment, or in the case of a SLEP Employ­ee, is age fifty (50) or old­er; and

(B) Employ­ee has com­plet­ed twen­ty (20) total years of full-time employ­ment with any com­bi­na­tion of Eli­gi­ble Coun­ty Enti­ties with at least five (5) con­sec­u­tive years of full-time employ­ment with any com­bi­na­tion of Eli­gi­ble Coun­ty Enti­ties at the time of retire­ment; and

(C) Employ­ee is enrolled in a Coun­ty health insur­ance plan at the time of retire­ment; and

(D) Employ­ee pro­vides the Coun­ty with a signed and nota­rized irrev­o­ca­ble state­ment of retire­ment and irrev­o­ca­ble elec­tion to par­tic­i­pate in the Retiree Health Insur­ance Pro­gram; such forms shall be pro­vid­ed by the Coun­ty.