Fla. Admin. Code Ann. R. 60P-2.011 - Retirees
(1) An employee who retires on regular
retirement or who has received approval of disability retirement prior to his
or her last day of employment and is covered under the Health Program as of the
last day of employment, must elect one of the following options:
(a) To continue coverage by submitting an
application in accordance with subsection
60P-2.002(2),
F.A.C. Such application and a personal check or money order for one month's
full premium must be received by the employee's former agency personnel office
and forwarded to the Department no later than thirty-one (31) calendar days
after the employee's last day of employment; or
(b) To terminate coverage under the Health
Program.
(2) An employee
who applies for disability retirement and who has not been approved or rejected
prior to his or her last day of employment, but was covered under the Health
Program as of the last day of employment, shall have the following options:
(a) The employee may continue coverage in the
Health Program pending such approval or rejection by paying the full monthly
premium by personal check or money order to the Department in accordance with
Rule 60P-2.006, F.A.C. If coverage is
continued and:
1. The disability retirement
is subsequently approved, the employee must complete an application in
accordance with paragraph
60P-2.011(1)(a),
F.A.C.
2. The disability retirement
is subsequently rejected, coverage under the Program will terminate the end of
the month in which such application is rejected. However, the subscriber may
apply for continuation coverage offered by the administrator or convert to a
direct pay plan offered by the Servicing Agent pursuant to Rule
60P-2.015,
F.A.C.
(b) The employee
may elect not to continue coverage in the Health Program pending the
determination of disability retirement and thereby allow such coverage to
terminate on the last day for which contributions have been paid. If coverage
is allowed to terminate and:
1. The disability
retirement is subsequently approved, the employee may apply for reenrollment in
the Health Program subject to the following requirements:
a. The employee shall complete an application
in accordance with paragraph
60P-2.011(1)(a),
F.A.C., indicating the disability retirement status and submit to the former
agency personnel office who must forward such application to the Department no
later than thirty-one (31) calendar days after the date of approval of the
disability retirement;
b. The
retiree shall pay all back premiums from the date of termination of coverage
within thirty-one (31) calendar days after the date of approval of the
disability retirement since coverage must be continuous.
2. The disability retirement is subsequently
rejected, coverage under the Program will terminate on the last day for which
premiums had been paid and the subscriber shall not be eligible for
reenrollment in the Health Program, continuation coverage nor conversion to a
direct pay plan.
(3) An employee who does not elect to
continue coverage as provided in this Section or terminates coverage after
retirement shall not be eligible to reenter the Health Program at a later date
unless subsequently reemployed by the State.
Notes
Specific Authority 110.123(5) FS. Law Implemented 110.123 FS.
New 10-8-78, Amended 7-1-80, 9-13-82, Formerly 22K-1.24, Amended 7-16-86, Formerly 22K-1.211, Amended 8-22-96, Repromulgated 1-31-02.
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