Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.015 - Employees Not on Payroll

Current through Reg. 50, No. 138; July 16, 2024
(1) For
				employees not on payroll, premiums shall be paid in monthly amounts by personal
				check or money order during the period the employee is not on the payroll. An
				employee who is not on the payroll for an entire payroll period, whether paid
				biweekly or monthly, should have the total monthly premium for that month paid
				by either payroll deduction, or by personal check or money order. The employing
				agency shall be responsible for receiving premiums and forwarding them to the
				Department pursuant to Rule
				 60P-3.009, F.A.C.
(2) Leave without pay. An employee on
				approved leave without pay shall be eligible to continue coverage while on such
				leave provided the employee pays the full premium. An employee who does not
				continue coverage while on approved leave without pay may only apply for
				reenrollment in the Life Plan after return to work and submitting an
				application in accordance with subsection
				 60P-3.005(2),
				F.A.C., to their personnel office within thirty-one (31) calendar days after
				return to work or during the open enrollment period.
(3) Suspension. A suspended employee may
				continue coverage during the period of suspension by paying the full premium.
				An employee on suspension who does not continue insurance coverage may only
				apply for reenrollment in the Life Plan after return to work and submitting an
				application in accordance with Rule
				 60P-3.005, F.A.C., during the
				thirty-one (31) calendar day period after return to work or during the open
				enrollment period. If an employee successfully appeals a suspension and
				receives full back pay, the employee is then entitled to the state contribution
				during the time of the suspension, provided he or she was receiving the state
				contributions prior to the suspension.
(4) An employee on approved leave without pay
				or suspension as described in this section who does not pay premiums to
				continue coverage during such leave or suspension because of circumstances
				subsequently deemed "extreme hardship" by the Department, may apply for
				reinstatement of coverage within thirty-one (31) calendar days after return to
				active work by making a request to the Department and agreeing to pay all back
				premiums. Such requests must be in writing and submitted through the employee's
				agency. The employee must demonstrate by clear and convincing evidence that the
				existence of a severe financial hardship resulting from the loss of income or a
				sudden or unexpected illness or accident to the employee or dependent. If the
				Department approves the employee's request, reinstatement will occur upon the
				Department's receipt of a personal check or money order for the premiums for
				the period not on payroll.
(5)
				Layoff. An employee who is laid off in accordance with a plan approved by the
				Department shall be eligible to continue coverage while laid off not to exceed
				two (2) years from the date of layoff, provided the employee pays the
				appropriate employee contribution. An employee who does not continue coverage
				during such two year period, may only apply for reenrollment in the Life Plan
				after return to work and by submitting an application in accordance with
				subsection  60P-3.005(2),
				F.A.C., within thirty-one (31) days of returning to work or during the open
				enrollment period.
(6) Workers'
				Compensation disability leave. An employee who is on Workers' Compensation
				disability leave is eligible to continue in the Life Plan and shall be entitled
				to the state contribution during such leave. The employee shall pay the
				employee contribution by personal check or money order and submit it to the
				agency on a month-to-month basis during the period the employee is not on the
				payroll. The agency shall be responsible for forwarding such checks or money
				orders to the Department within five (5) business days. An employee who does
				not continue coverage under the Life Plan while on Workers' Compensation
				disability leave may only reenroll in the Life Plan during the open enrollment
				period after returning to work.
(7)
				Less than year round employment.
(a) An
				employee on an academic contract, or if regularly employed for less than twelve
				(12) months, has worked at least eight (8) months during the prior consecutive
				twelve (12) month period, is eligible to continue in the Life Plan and receive
				the state contribution for a period not to exceed four (4) months while such
				employee is off the payroll.
(b)
				Employee contributions for such employees must be paid by advance payroll
				deductions, by collecting a single personal check or money order for the
				employee contribution for the entire period the employees will not be on the
				payroll or on a month-to-month basis.