3309-1-35 Health care.

 

 

 

Rule Summary and Fiscal Analysis (Part A)

 

School Employees Retirement System

Agency Name

 

Joseph Marotta

Division                                                                  Contact

 

300 East Broad Street Suite 100 Columbus OH 43215-3746

614-340-2699

Agency Mailing Address (Plus Zip)                                       Phone                     Fax

3309-1-35

Rule Number

AMENDMENT

TYPE of rule filing

Rule Title/Tag Line              Health care.

RULE SUMMARY

1.  Is the rule being filed consistent with the requirements of the RC 119.032 review? No

2.  Are you proposing this rule as a result of recent legislation? No

3.  Statute prescribing the procedure in accordance with the agency is required to adopt the rule: 111.15

4.  Statute(s) authorizing agency to adopt the rule: 3309.04

5.  Statute(s) the rule, as filed, amplifies or implements: 3309.69

6.  State the reason(s) for proposing (i.e., why are you filing,) this rule:

3309-1-35 is being amended to change the waiver provision in order to comply with Medicare rules, to provide new bases for health care coverage to be cancelled and reinstated, and to add a new eligibility requirement for a subsidy.

7.  If the rule is an AMENDMENT, then summarize the changes and the content of the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE, then summarize the content of the rule:

Amendments to provide that health care coverage for benefit recipients whose

benefits are suspended for failing to submit required documentation shall be cancelled when benefits are suspended and reinstated when benefits are reinstated.

Amendments to reflect that Medicare eligible spouses and dependents must waive their health care coverage, the retiree cannot waive their coverage on their behalf.

Amendments add requirement that, for benefit effective dates on or after August 1, 2008, a member or retiree must have been eligible for health care when employed in order to be eligible for a premium subsidy.

8.  If the rule incorporates a text or other material by reference and the agency claims the incorporation by reference is exempt from compliance with sections

121.71 to 121.74 of the Revised Code because the text or other material is generally available to persons who reasonably can be expected to be affected by the rule, provide an explanation of how the text or other material is generally available to those persons:

This response left blank because filer specified online that the rule does not incorporate a text or other material by reference.

9.  If the rule incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material electronically, provide an explanation of why filing the text or other material electronically was infeasible:

This response left blank because filer specified online that the rule does not incorporate a text or other material by reference.

10.  If the rule is being rescinded and incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material, provide an explanation of why filing the text or other material was infeasible:

Not Applicable.

11.  If revising or refiling this rule, identify changes made from the previously filed version of this rule; if none, please state so:

Removed amendments that established the 740 hour rule regarding premium subsidies, added requirement that person must have been eligible for health care coverage from employer in order to be eligible for a premium subsidy. Added provisions cancelling coverage when benefits are suspended for documentation failures, and reinstating coverage if benefits are reinstated.

12. 119.032 Rule Review Date: 2/1/2011

(If the rule is not exempt and you answered NO to question No. 1, provide the scheduled review date. If you answered YES to No. 1, the review date for this rule is the filing date.)

NOTE: If the rule is not exempt at the time of final filing, two dates are required: the current review date plus a date not to exceed 5 years from the effective date for Amended rules or a date not to exceed 5 years from the review date for No Change rules.

FISCAL ANALYSIS

13.  Estimate the total amount by which this proposed rule would increase / decrease either revenues / expenditures for the agency during the current biennium (in dollars): Explain the net impact of the proposed changes to the budget of your agency/department.

This will have no impact on revenues or expenditures. 0

N/A

14.  Identify the appropriation (by line item etc.) that authorizes each expenditure necessitated by the proposed rule:

N/A

15.  Provide a summary of the estimated cost of compliance with the rule to all directly affected persons. When appropriate, please include the source for your information/estimated costs, e.g. industry, CFR, internal/agency:

N/A

16.  Does this rule have a fiscal effect on school districts, counties, townships, or municipal corporations? No

17.  Does this rule deal with environmental protection or contain a component dealing with environmental protection as defined in R. C. 121.39? No