145-4-05 Rescission of coverage.  

  • Text Box: ACTION: Final Text Box: DATE: 12/09/2015 8:18 AM

     

     

     

    TO BE RESCINDED

     

    145-4-05                      Rescission of coverage.

     

     

    The health care, dental, and vision coverage of an enrolled benefit recipient or dependent shall be rescinded if the individual is convicted of falsification under section 2921.13 of the Revised Code regarding any coverage or performs an act, practice or omission that constitutes fraud or makes an intentional misrepresentation of material fact regarding the coverage. The effective date of the termination of coverage 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 options.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    145-4-05                                                    TO BE RESCINDED                                        2

    Replaces:                                                              145-4-03(I)

    Effective:                                                             01/01/2016

    Five Year Review (FYR) Dates:                         09/29/2015

    CERTIFIED ELECTRONICALLY

    Certification

    12/09/2015

    Date

    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

Document Information

Effective Date:
1/1/2016
File Date:
2015-12-09
Last Day in Effect:
2016-01-01
Five Year Review:
Yes
Rule File:
145-4-05_FF_R_RU_20151209_0818.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 145-4-05. Rescission of coverage