3309-1-51. Long-term care coverage

(A) The school employees retirement system may contract directly with an insurer to establish a program that provides contracts for long-term care insurance for members and benefit recipients of the system and members of their families. If the program is established jointly with another retirement system, the contract shall separately establish the terms and conditions for participation through the school employees retirement system.

(B) Members of the school employees retirement system who have contributed to the system during the previous eighteen months may make application to participate in contracts effective on and after July 1, 1994 for long-term care coverage offered pursuant to section 3309.691 of the Revised Code, provided:

(1) Application for coverage shall be made directly to the insurer during enrollment periods specified by the school employees retirement system; and

(2) Determination of eligibility for participation under the terms of any such contract shall be made by the insurer with approval of the school employees retirement system.

(C) The recipient of any monthly benefit may participate in contracts for long-term care coverage, subject to the same conditions as those applicable to members under the terms of paragraph (B) of this rule.

(D) Payment for coverage shall be made by the member or benefit recipient to the insurer in such amounts and by such methods as determined under the contract for long-term care coverage.

(E) A spouse, parent or parent-in-law of any individual who has made application pursuant to paragraph (B) or (C) of this rule may apply for coverage subject to the same terms and conditions as those applicable to members under the terms of paragraph (B) of this rule, provided that in the case of a spouse, the individual participating pursuant to paragraph (B) or (C) of this rule agrees to remit the cost of such coverage along with his or her own payment.

Five Year Review (FYR) Dates: 02/01/2017 and 02/01/2022
Promulgated Under: 111.15
Statutory Authority: 3309.04
Rule Amplifies: 3309.691
Prior Effective Dates: 6/10/94, 5/3/02

Prior History: (R.C. 119.032 review dates: 02/06/2012 and 02/01/2017
Promulgated Under: 111.15
Statutory Authority: 3309.04
Rule Amplifies: 3309.691
Prior Effective Dates: 6/10/94, 5/3/02 )