Ohio Admin. Code 145-4-11

Current through all regulations passed and filed through October 28, 2024
Section 145-4-11 - Rescission of coverage

The 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benefit recipient or dependent and eligibility for participation in the health reimbursement arrangement plan shall be rescinded if the individual is convicted of falsification under section 2921.13 of the Revised Code regarding any coverage or plan or performs an act, practice or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.

Ohio Admin. Code 145-4-11

Five Year Review (FYR) Dates: 9/29/2023 and 09/28/2028
Promulgated Under: 111.15
Statutory Authority: 145.09, 145.58
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, 01/01/2022
Effective: 1/1/2022
Five Year Review (FYR) Dates: 9/20/2023
Promulgated Under: 111.15
Statutory Authority: 145.09, 145.58
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