Ohio Admin. Code 3307:1-11-06

Current through all regulations passed and filed through December 2, 2024

Section 3307:1-11-06 - Health care services - responsibility for health care coverage

(A) Except as otherwise provided in this rule, this retirement system shall be the system responsible for health care coverage for its eligible benefit recipients.

(B) A benefit recipient is not eligible for primary coverage in a medical plan offered by this retirement system if the benefit recipient is eligible for health care coverage in another Ohio retirement system in the following situations:

(1) When a benefit recipient is receiving a monthly benefit based on the same status as a service retiree, disability benefit recipient or survivor benefit recipient in this retirement system and from another Ohio retirement system and the effective benefit date in this system is

(a) Later than the effective benefit date in the other Ohio retirement system; or

(b) The same as the effective benefit date in the other Ohio retirement system and the benefit recipient has less service credit in this retirement system than in the other retirement system; or

(c) The same as the effective benefit date in the other Ohio retirement system and the benefit recipient has the same service credit in this retirement system as in the other Ohio retirement system and the teacher contributions in the account upon which the benefit in this retirement system is based are less than the employee contributions in the account upon which the benefit in the other Ohio retirement system is based.

(2) Where an eligible disability benefit recipient or survivor benefit recipient of the retirement system is also receiving a service retirement benefit from another Ohio retirement system.

Replaces: 3307:1-11-10

Ohio Admin. Code 3307:1-11-06

Five Year Review (FYR) Dates: 3/19/2021 and 03/19/2026
Promulgated Under: 111.15
Statutory Authority: 3307.04
Rule Amplifies: 3307.39
Prior Effective Dates: 08/01/1998, 07/01/2001 (Emer.), 09/17/2001, 10/23/2007 (Emer.), 01/20/2008, 06/06/2011, 07/10/2014, 06/10/2016

Effective: 6/10/2016
Five Year Review (FYR) Dates: 06/10/2021
Promulgated Under: 111.15
Statutory Authority: 3307.04
Rule Amplifies: 3307.39
Prior Effective Dates: 8/1/98, 7/1/01 (Emer.), 9/17/01, 10/23/07 (Emer.), 1/20/08, 6/6/11, 7/10/2014