Ohio Admin. Code 3349-7-70 - Group insurance benefits
(A) Purpose
To promote the health and wellbeing of a quality workforce, through the provision of competitive group insurance benefits.
(B) Scope
This rule applies to all full-time employees of the university, including but not limited to, faculty, administrative staff, unclassified hourly staff and classified civil service employees. This rule does not apply to student employees.
(C)
Definitions
(1) Consult rule
3349-7-01 of the Administrative
Code.
(2) "Dependent Child" under
federal law refers to the biological child, stepchild, or adopted child of an
employee who is under the age of twenty-six and does not have their own
insurance coverage through an employer. Pursuant to state law, a dependent
child can also include the biological child, stepchild, or adopted child of an
employee who is under the age of twenty-eight
twenty-sixand is:
unmarried; a resident of Ohio or a full-time student at an accredited public or
private institution of higher education; not employed by an employer that
offers any health benefit plan for which the child is eligible; and not
eligible for insurance coverage under medicaid or medicare.
(3) "Eligible Dependents
Dependent"
include
includes the spouse of an eligible employee,
who has a completed spousal affidavit on file in human
resources or as specified in a lawful separation agreement or divorce
decree, and all dependent children as defined in this rule.
(4) "Eligible Employee" includes full time
employees of the university including faculty, administrative staff,
unclassified hourly employee and classified civil service employees. Part-time
employees who work thirty hours or more are eligible
for group insurance benefits. Employees who work less than thirty hours
and student employees are not eligible.
(5) "Group Insurance Benefits" are a
selection of benefits received by an eligible employee provided in accordance
with the financial resources and priorities of the university, which include medical, prescription, vision, dental,
disability and life.
(6)
"Spouse" refers to individuals who are recognized as lawfully married under the
law of any state.
(D)
Rule statement
Group insurance benefits, full-time employees
(1) The university may allow for a number of
different group insurance benefit options. Information concerning these options
are contained in separate provider publications.
(2)
Elected
If an employee
starts on the first day of the month, elected group insurance benefits
are effective on the employee's first date of employment
unless otherwise noted.
If an employee starts anytime after the first day of
the month, elected group insurance benefits are not effective until the first
of the month following the hire date.
(3) Coverage for each dependent will be
effective with the latter of:
(a) The
effective date of full-time appointment for the eligible employee;
or,
(b) The date on which a person
became an eligible dependent.
(4) The eligible employee must notify the
human resources department of any changes in eligibility status for all
dependents.
(5) Eligibility for
group insurance benefits terminates based on any of the following events:
(e)(d) A group rule
terminates; or
(f)(e) The university
elects to terminate coverage for a given benefit.
(a) The employee is no longer a full-time
employee of the university;
(b) A
dependent no longer meets the definition of "eligible dependent"; or
(c) The death of an employee. All group
insurance benefits for the surviving spouse and dependent children
terminates
terminate on the last day of the
second month following the month
in which
of
the death of an eligible employee occurs;
(d) The retirement of an employee.
Group insurance benefits coverage terminates on the date of retirement for
those employees who are recipients of Ohio retirement system benefits (except
for life insurance). For employees hired before January 1, 1992, comprehensive
medical coverage for eligible dependents of Ohio retirement system retirees
continues if:
(i) The retired employee had ten
consecutive years of full-time service with the university immediately prior to
retirement; and
(ii) The eligible dependent was
insured when the retired employee's health insurance benefits coverage
terminated.
(6) Employees on approved leaves of absence
without pay may continue group insurance benefits for up to one year at their
expense.
(7) Group insurance
benefits remain in effect while an employee is on active military duty for up
to thirty-one days. Employees are responsible for their contribution for any
health insurance premiums during this thirty-one day period. Employees with
longer periods of active military service may elect to continue group insurance
benefits for up to eighteen
twenty-four
months under COBRA at their expense.
(8)
Arrangements
may be made for
Human resources will provide
information on continuation of group insurance benefits for the eligible
employee or eligible dependents as required under
cobra
COBRA.
by contacting the human resources
department.
Notes
Promulgated Under: 111.15
Statutory Authority: 111.15
Rule Amplifies: 3350.12
Prior Effective Dates: 02/02/2015, 02/14/2019
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(A) Purpose
To promote the health and wellbeing of a quality workforce, through the provision of competitive group insurance benefits.
(B) Scope
This rule applies to all full-time employees of the
(C) Definitions
(1) Consult rule 3349-7-01 of the Administrative Code.
(2) "Dependent Child" under federal law refers to the biological child, stepchild, or adopted child of an employee who is under the age of twenty-six and does not have their own insurance coverage through an employer. Pursuant to state law, a dependent child can also include the biological child, stepchild, or adopted child of an employee who is under the age of twenty-eight and is: unmarried; a resident of Ohio or a full-time student at an accredited public or private institution of higher education; not employed by an employer that offers any health benefit plan for which the child is eligible; and not eligible for insurance coverage under medicaid or medicare.
(3) "Eligible Dependents" include the spouse of an eligible employee, or as specified in a lawful separation agreement or divorce decree, and all dependent children as defined in this rule.
(4) "Eligible Employee" includes full time employees of the university including faculty, administrative staff, unclassified hourly employee and classified civil service employees. Part-time employees and student employees are not eligible.
(5) "Group Insurance Benefits" are a selection of benefits received by an eligible employee provided in accordance with the financial resources and priorities of the university .
(6) "Spouse" refers to individuals who are recognized as lawfully married under the law of any state.
(D) Rule statement
Group insurance benefits,
(1) The university may allow for a number of different group insurance benefit options. Information concerning these options are contained in separate provider publications.
(2) Elected group insurance benefits are effective on the employee's first date of employment unless otherwise noted.
(3) Coverage for each dependent will be effective with the latter of:
(a) The effective date of full-time appointment for the eligible employee; or,
(b) The date on which a person became an eligible dependent.
(4) The eligible employee must notify the human resources department of any changes in eligibility status for all dependents.
(5) Eligibility for group insurance benefits terminates based on any of the following events:
(a) The employee is no longer a full-time employee of the university ;
(b) A dependent no longer meets the definition of "eligible dependent"; or
(c) The death of an employee. All group insurance benefits for the surviving spouse and dependent children terminates on the last day of the second month following the month of the death of an eligible employee;
(d) The retirement of an employee. Group insurance benefits coverage terminates on the date of retirement for those employees who are recipients of Ohio retirement system benefits (except for life insurance). For employees hired before January 1, 1992, comprehensive medical coverage for eligible dependents of Ohio retirement system retirees continues if:
(i) The retired employee had ten consecutive years of full-time service with the university immediately prior to retirement; and
(ii) The eligible dependent was insured when the retired employee's health insurance benefits coverage terminated.
(e) A group rule terminates; or,
(f) The university elects to terminate coverage for a given benefit.
(6) Employees on approved leaves of absence without pay may continue group insurance benefits for up to one year at their expense.
(7) Group insurance benefits remain in effect while an employee is on active military duty for up to thirty-one days. Employees are responsible for their contribution for any health insurance premiums during this thirty-one day period. Employees with longer periods of active military service may elect to continue group insurance benefits for up to eighteen months at their expense.
(8) Arrangements may be made for continuation of group insurance benefits for the eligible employee or eligible dependents under cobra by contacting the human resources department .
Notes
Promulgated Under: 111.15
Statutory Authority: 111.15
Rule Amplifies: 3350.12