145-4-11. Rescission of coverage

The health care, dental, and vision coverage of an enrolled benefit recipient or dependent and eligibility for participation in the health reimbursement arrangement plan shall be rescinded if the individual is convicted of falsification under section 2921.13 of the Revised Code regarding any coverage or plan or performs an act, practice or omission that constitutes fraud or makes an intentional misrepresentation of material fact regarding the coverage or plan. The effective date of the termination of coverage or plan participation shall be the earlier of the date of the conviction or the act, practice or omission that constitutes fraud or an intentional misrepresentation of material fact, unless otherwise limited by Ohio law. The retirement system shall notify the individual of the rescission at least thirty days prior to processing the rescission. The rescission of a benefit recipient's coverage applies to all enrolled dependents and all coverage and plan options.

Replaces: 145-4-05

Five Year Review (FYR) Dates: 10/10/2018 and 09/29/2023
Promulgated Under: 111.15
Statutory Authority: 145.58, 145.09
Rule Amplifies: 145.58, 145.584
Prior Effective Dates: 08/20/1976, 12/09/1988, 04/01/1993, 06/29/1996, 05/04/2000, 10/09/2000, 03/22/2002, 08/08/2002, 01/01/2003, 04/15/2004, 01/01/2005, 01/01/2007, 01/01/2009, 01/01/2011, 01/01/2012, 09/10/2012, 12/10/2012, 01/07/2013 (Emer.), 03/24/2013, 01/01/2014, 01/01/2015, 01/01/2016

Prior History: (Effective: 1/1/2016
Five Year Review (FYR) Dates: 09/29/2018
Promulgated Under: 111.15
Statutory Authority: 145.09, 145.58
Rule Amplifies: 145.58, 145.584
Prior Effective Dates: 8/20/76, 12/9/88, 4/1/93, 6/29/96, 5/4/00, 10/9/00, 3/22/02, 8/8/02, 1/1/03, 4/15/04, 1/1/05, 1/1/07, 1/1/09, 1/1/11, 1/1/12, 9/10/12, 12/10/12, 1/7/13 (Emer.), 3/24/13, 1/1/14, 1/1/15)