reglab/statecodes huggingface dataset:
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.0035 - Subscriber Change (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.0036 - Spouse Program

Current through Reg. 50, No. 138; July 16, 2024
(1) The spouse
				program is pretax family health insurance coverage where each employee
				contributes to the monthly premiums as determined by the annual funding by the
				Legislature through the General Appropriations Account.
(2) For the purposes of this section,
				"Designated Agent" means an entity the Department may contract with to provide
				benefits administration services, but does not include an employee's agency
				personnel office or other employees of the employee's agency, unless so
				designated in writing by the Division.
(3) Participation in the spouse program is
				voluntary and available to any married state employee whose spouse is also a
				state employee. To enroll in the spouse program, married state employees must
				submit an application completed by both spouses to the Designated Agent within
				the specified timeframe for one of the following events:
(a) Within thirty-one (31) days of marriage
				to another state employee in accordance with Rule
				 60P-2.002 or
				 60P-2.003, F.A.C.; or
(b) Within sixty (60) days of spouse's new
				employment or re-employment with the State of Florida; or
(c) During the annual Open Enrollment
				period.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.004 - Effective Date of Coverage

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				effective date of coverage requested by the employing agency for enrollment or
				changes in coverage in the Health Program by an employee shall always be the
				first day of a month, subject to the following:
(a) Subject to the requirements of
				subsections (2), (3), and (4), the requested effective date for new enrollees
				shall be no later than the first day of the month for which a full month's
				premium may be deducted using single deductions based upon the employee's
				signature date on the application.
(b) The requested effective date shall be no
				earlier than the first day of the month following the employee's signature
				date; however, in no case shall such effective date be prior to or on the
				employee's employment date.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.005 - Other Changes in Information (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 10-11-79, 7-1-80, 9-13-82, 8-7-83,
					 Formerly 22K-1.18, Amended 7-16-86, Formerly 22K-1.205, Amended 8-22-96,
					 Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.006 - Contributions, Underpayments of Contributions, and Overpayments of Contributions

Current through Reg. 50, No. 138; July 16, 2024
(1) Employee
				contributions.
(a) Employee contributions are
				due in advance of each month of coverage and shall be paid as follows:
1. The initial month's employee contribution
				shall be paid by personal check, money order or payroll deduction; however, the
				initial month's premium for surviving spouses or retirees shall only be paid by
				personal checks or money orders. If the employee contribution is not received
				by the Department prior to the end of the month for which coverage is to be
				effective, such coverage shall not be effective.
2. Employee contributions due after the
				initial month shall be payroll deducted if there are sufficient funds to make
				the deduction. If there are insufficient funds for payroll deduction, employee
				contributions shall be paid monthly by personal check or money order.
3. Premiums due from employees who are off
				the payroll, surviving spouses ineligible to receive monthly warrants as
				beneficiaries of deceased employees, retirees, or insureds having continuation
				coverage shall be paid monthly by personal checks or money orders.
4. It shall be the responsibility of the
				employing agency to initiate payroll deductions or receive the employee
				contributions and to timely remit the same to the
				Department.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.007 - Underpayment of Contributions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 17.04,
					 110.123
					 FS.
New 10-8-78, Amended 7-19-79, 10-22-79, 7-1-80, 9-13-82,
					 8-7-83, Formerly 22K-1.20, Amended 7-16-86, 9-25-86, Formerly 22K-1.207,
					 Amended 8-22-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.008 - Overpayment of Contributions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 10-22-79, 7-1-80, 9-12-82, 8-7-83,
					 Formerly 22K-1.21, Amended 7-16-86, Formerly 22K-1.208, Amended 8-22-96,
					 Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.009 - State Contribution (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 10-22-79, 7-1-80, 9-13-82, Formerly
					 22K-1.22, Amended 7-16-86, Formerly 22K-1.209, Amended 8-22-96, Repromulgated
					 1-31-02, Repealed 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.010 - Agency Changes (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 7-1-80, 9-13-82, Formerly 22K-1.23,
					 Amended 7-16-86, 9-25-86, Formerly 22K-1.210, Amended 8-22-96, Repromulgated as
					 Amended 1-31-02, Repealed 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.011 - Retirees

Current through Reg. 50, No. 138; July 16, 2024
(1) An employee who retires on regular
				retirement or who has received approval of disability retirement prior to his
				or her last day of employment and is covered under the Health Program as of the
				last day of employment, must elect one of the following options:
(a) To continue coverage by submitting an
				application in accordance with subsection
				 60P-2.002(2),
				F.A.C. Such application and a personal check or money order for one month's
				full premium must be received by the employee's former agency personnel office
				and forwarded to the Department no later than thirty-one (31) calendar days
				after the employee's last day of employment; or
(b) To terminate coverage under the Health
				Program.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.012 - Employees Not on Payroll/Return to Payroll

Current through Reg. 50, No. 138; July 16, 2024
(1) For all 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 during the calendar month, whether paid biweekly or monthly, shall
				pay the full premium for that month by either payroll deduction, or by personal
				check or money order. The insured employee has the responsibility for remitting
				the required premiums to continue coverage in effect. The agency from which the
				employee goes off the payroll shall be responsible for receiving these premiums
				and forwarding them to the Department pursuant to subsection
				 60P-2.006(5),
				F.A.C.
(2) Leave Without Pay.
(a) An insured employee granted leave without
				pay shall be eligible to continue coverage while on such leave provided the
				employee pays the full premium and notifies the Department in accordance with
				subsection  60P-2.002(6),
				F.A.C.
(b) An employee who does not
				continue coverage while on leave without pay may only apply for reenrollment in
				the Health Program after returning to work and by submitting an application in
				accordance with subsection
				 60P-2.002(6),
				F.A.C., to the agency personnel office within thirty-one (31) calendar days
				after returning to work or during the open enrollment
				period.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.013 - Dismissed Employees (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 6-10-80, Formerly 22K-1.26, Amended
					 7-16-86, 9-25-86, Formerly 22K-1.213, Amended 8-22-96, Repromulgated 1-31-02,
					 Repealed 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.014 - Returned Checks

Current through Reg. 50, No. 138; July 16, 2024
(1) Personal checks
				will be accepted by the Department for payment of premium in accordance with
				Rule  60P-2.006, F.A.C.; however,
				personal checks signed by a person other than the employee for payment of the
				employee's premium must have the following information recorded on the back of
				the check regarding the identity of such person:
(a) The full name;
(b) Residence address, city, state, zip
				code;
(c) Home telephone
				number;
(d) Business telephone
				number;
(e) Place of
				employment;
(f) Sex;
(g) Date of birth;
(h) Height;
(i) Race.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.015 - Terminations and Conversions

Current through Reg. 50, No. 138; July 16, 2024
(1) Coverage
				under the Health Program shall continue through the last day of the month for
				which a premium has been paid.
(2)
				An employee terminated from state employment for any reason or placed in other
				than a salaried position shall not be eligible to continue in the Health
				Program. Upon termination of coverage, the employee may, if eligible, purchase
				continuation coverage available through the Department or purchase a conversion
				plan offered by the servicing agent.
(3) Coverage of an eligible dependent will
				terminate on the last day of the month in which they no longer meet the
				provisions of subsection
				 60P-1.003(6),
				F.A.C.
(4) The Department must
				receive notice within sixty (60) calendar days of the date such eligible
				dependents lose coverage under the Health Program, in order to offer the option
				to purchase continuation coverage available through the Department, otherwise
				the dependents shall be given the right to purchase a conversion plan offered
				by the servicing agent.
(5) A
				surviving spouse who remarries shall not be eligible to continue in the Health
				Program as a surviving spouse but may purchase continuation coverage through
				the Department or purchase a conversion plan offered by the servicing
				agent.
(6) A terminated employee,
				eligible dependent or surviving spouse wishing to purchase continuation
				coverage must apply to the Department within sixty (60) calendar days after
				notification of eligibility for such coverage. A terminated employee, eligible
				dependent or surviving spouse desiring to purchase a conversion plan offered by
				the servicing agent, must apply directly to the servicing agent, in writing,
				within thirty-one (31) calendar days after continuation coverage terminates.
				The servicing agent shall then issue such standard contract or policy as is
				issued to direct payment subscribers and at its stipulated rates then in
				effect.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 10-8-78, Amended 10-22-79, 7-1-80, 9-13-82, 8-7-83,
					 Formerly 22K-1.28, Amended 7-16-86, Formerly 22K-1.215, Amended 8-22-96,
					 Repromulgated 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.016 - Overpayment of Claims (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 7-16-86, Formerly 22K-1.216, Amended 8-22-96,
					 Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.017 - Payment of Claims

Current through Reg. 50, No. 138; July 16, 2024
Payment of claims for reimbursement of covered expenses under
				  an individual or family coverage is contingent upon certification by the
				  subscriber of the following:
(1) The
				names, sex, social security numbers, addresses and birthdays of eligible
				dependents;
(2) The name and
				address of any insurance company or employer with whom a group health insurance
				policy is carried by the subscriber or dependent and the group number of such
				policy;
(3) Any additional
				information deemed necessary by the Department for the clarification of
				information previously provided.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 7-16-86, Formerly 22K-1.217, Amended 8-22-96,
					 Repromulgated 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.019 - Review of Claims (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-2 - STATE GROUP HEALTH SELF-INSURANCE PLAN › Section 60P-2.020 - Date of Receipt

Current through Reg. 50, No. 138; July 16, 2024
Date of receipt of applications, personal checks, money
				  orders, or agency checks by the Department shall be the date of the
				  Department's date stamp shown.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated
					 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.004 - Eligibility (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.43, 22K-1.043, 22K-1.301,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.005 - Enrollment (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.44, 22K-1.044, 22K-1.302,
					 Amended 8-26-96, Repromulgated 1-31-02, Amended 3-16-05, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.006 - Effective Date of Coverage (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.45, 22K-1.045, 22K-1.303,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.007 - Changes in Coverage (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.46, 22K-1.046, 22K-1.304,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.008 - Changes in Information (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.47, 22K-1.047, 22K-1.305,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.009 - Contributions, Underpayments, and Overpayments

Current through Reg. 50, No. 138; July 16, 2024
(1) Payment of Employee Contributions.
(a) Employee contributions are due in advance
				of each month's coverage.
(b)
				Payroll deductions for insurance coverage should always be made in such a
				manner that a full month's employee contribution has been deducted prior to the
				first day of the following month's coverage using authorized payroll
				procedures.
(c) Personal checks or
				money orders shall only be used for the correction of employee contributions,
				payment while off the payroll or when payroll deductions cannot be made for
				initial enrollment; otherwise, employee contributions shall be made by payroll
				deductions.
(d) The agency shall
				submit all personal checks or money orders to the Department. Each such check
				or money order shall be transmitted in a manner to be received by the
				Department prior to the first day of the month for which the employee
				contribution is being paid. Late payments for employees on leave without pay,
				Workers' Compensation, disability leave, layoff or suspension status, will be
				accepted if they are received by the Department on or before the last day of
				the coverage month for which premiums are being paid; however, payment will not
				be accepted after such date and coverage will be terminated except as provided
				in subsection  60P-3.015(6),
				F.A.C.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.010 - Underpayment of Contributions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.49, 22K-1.049, 22K-1.307,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.011 - Overpayment of Premiums (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.50, 22K-1.050, 22K-1.308,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.012 - State Contribution (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.51, 22K-1.051, 22K-1.309,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.013 - Agency Changes (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.52, 22K-1.052, 22K-1.310,
					 Amended 8-26-96, Repromulgated as Amended 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.014 - Retirees

Current through Reg. 50, No. 138; July 16, 2024
(1) An employee who retires and is covered
				under the Life Plan must elect one of the following options:
(a) Submit a request to continue coverage
				during retirement. The request should include the retiree's name, social
				security number, date of retirement, date of last payroll deduction, signature
				of retiree, and date of agreement that the amount of life insurance shall be
				$1, 500 and the AD&D benefits shall not exceed $1, 500. However, the
				benefit for employees who cease active employment due to total disability would
				be based on the annual salary at the time of disability, subject to the age
				change factor. Such request and a personal check or money order for one full
				month's premium must be received by the employee's former agency and forwarded
				along with the original application and any beneficiary change requests to the
				Department no later than thirty-one (31) calendar days after the employee's
				last day of employment; or
(b)
				Submit a request to terminate coverage under the Life Plan. Such request shall
				include an acknowledgement that the retiree may not reenroll at a later date.
				The request shall be submitted to the employee's former agency and forwarded to
				the Department no later than thirty-one (31) calendar days after the employee's
				last day of employment. If the employee does not submit the request within
				thirty-one (31) calendar days after the last day of employment, the agency
				shall immediately prepare a request to terminate coverage and send it to the
				Department. Copies shall be put in the employee's personnel file and given to
				the employee.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.016 - Dismissed Employees (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.55, 22K-1.055, 22K-1.313,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.017 - Returned Checks

Current through Reg. 50, No. 138; July 16, 2024
(1) When a check for
				the employee contribution is returned for nonpayment, a certified letter will
				be mailed directly to the signer of the check requesting payment of the amount
				due plus a service charge of fifteen dollars ($15) or five percent (5%) of the
				face amount of the check, whichever is greater. If the signer of the check is
				someone other than the insured, a certified letter will be mailed to the
				insured, requesting payment of the amount due plus the service
				charge.
(2) An employee whose
				coverage is terminated in accordance with this section may only apply for
				enrollment in the Life Plan during the open enrollment period after making
				restitution for all dishonored checks. A retired employee whose coverage is
				terminated in accordance with this section may not reenter the Life
				Plan.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.56, 22K-1.056, 22K-1.314,
					 Amended 8-26-96, Repromulgated
					 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-3 - STATE GROUP LIFE INSURANCE PLAN › Section 60P-3.018 - Terminations and Conversions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-12-80, Formerly 22K-1.57, 22K-1.057, 22K-1.315,
					 Amended 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0063 - Enrollment

Current through Reg. 50, No. 138; July 16, 2024
(1) Those employees participating in the
				Health Program or Life Plan through premium contributions shall be enrolled in
				the Pretax Premium Plan in accordance with subsection
				 60P-2.002(7),
				F.A.C.
(2) Those employees
				participating in a supplemental insurance plan shall be enrolled in the Pretax
				Premium Plan.
(3) Eligible
				employees may elect to enroll in the Reimbursement Plan within sixty (60)
				calendar days of employment, within thirty-one (31) calendar days of a QSC
				event, or during open enrollment by completing an application in accordance
				with subsection  60P-2.002(2),
				F.A.C. Such application shall include an annual election amount for either or
				both reimbursement account(s).
Specific Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-26-96, Repromulgated
					 4-25-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0065 - Coverage Period (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-26-96, Repromulgated 4-25-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0068 - Change in Participation, Termination, and Continuation of Participation

Current through Reg. 50, No. 138; July 16, 2024
(1) A participant's salary reduction amount
				shall be increased or decreased automatically to correspond to any changes in
				employee contributions where, during the Plan Year, there has been a change in
				the cost of the premium under the State Health Insurance Program.
(2) An election made under the Pretax Premium
				Plan shall be irrevocable during the Plan Year except when a participant
				experiences a QSC event.
(3) A
				participant may revoke an existing election and make a new benefit election for
				the remaining period of coverage when a QSC event is or has been experienced,
				provided that the new election is consistent with the event and the request for
				such a change is made within thirty-one (31) calendar days of the event's
				occurrence by submission of an application to the Department. Such application
				shall be required in addition to any insurance applications that may be
				required to comply with Chapter 60P-2, F.A.C. The Department shall determine if
				the requested benefit change is consistent with the change in status.
				Documentation of the occurrence of the change in status is required.
(4) Retirees under the State University
				System Phased Retirement Program who elect to continue their coverage shall be
				treated as having taken an unpaid leave of absence upon returning to
				employment, if they return during the same Plan Year.
(5) A participant may revoke an existing
				election if employment is terminated during the Plan Year. However, the
				participant may not make a new benefit election for the remaining portion of
				the Plan Year. A participant who fails to make the required contributions to
				the Medical Reimbursement Account in accordance with the salary reduction
				agreement at any time during the coverage period will have benefit payments
				suspended, regardless of account balance, until payment of required
				contributions resumes.
(6)
				Contributions under any pretax plan shall not be discontinued, except in the
				event of termination of participation as provided in this section. Any
				contribution made under any Plan may not be refunded to the participant.
				Reimbursements made under any Reimbursement Plan shall not be considered
				refunds of contributions.
(7) A
				participant shall continue to participate in any pretax plan until the earlier
				of the following dates:
(a) The date the
				participant ceases to be an eligible employee, unless the participant elects to
				continue coverage in the Medical Reimbursement Account by continuing payment of
				contributions, or
(b) The date on
				which the coverage period ends due to non-payment of contributions for a
				Medical Reimbursement Account, or
(c) The date the Plan Year
				ends.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.007 - Termination of Participation (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-3-89, Amended 4-17-91, Formerly 22FB-1.007, Amended
					 8-26-96, Repromulgated 4-25-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0075 - Benefits (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					  110.161 (5),
					 110.403(1),
					 110.605(1) FS.
					 Law Implemented 110.161,
					  110.205(2),
					  110.403(1)(c),
					  110.603(2) 
					 FS.
New 8-26-96, Repromulgated 4-25-02, Repromulgated as
					 Amended 4-25-02, Amended 10-20-10, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0079 - Continuation of Participation (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-26-96, Repromulgated 4-25-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.0081 - Submission of Claims for Reimbursement

Current through Reg. 50, No. 138; July 16, 2024
(1) The participant shall submit to the
				Department a request which shall include the following:
(a) Social security number, name, address,
				work and home telephone numbers;
(b) A description of the expenses;
1. For medical expenses, the patient's name,
				the dates and descriptions of services, and the expenses the participant is
				claiming for reimbursement;
2. For
				dependent day care expenses, the dependent's name, the dates and descriptions
				of services, and the expenses the participant is claiming that are directly
				associated with the day care provided to the dependent;
(c) A statement certifying that the expenses
				claimed were incurred by the participant or my eligible dependent on the dates
				indicated, such expenses have not and will not be reimbursed by any other plan
				and are eligible for reimbursement, and such expenses are not eligible as
				deductions or credits when filing a federal income tax return;
(d) Signature of the participant, date
				signed, and accompanied by documentation of the expense
				incurred.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.009 - Underpayment

Current through Reg. 50, No. 138; July 16, 2024
(1) If non-payment of the required
				contribution to any plan occurs as a result of an authorized leave without pay,
				the amount of such contribution will be adjusted and payment will resume with
				the next payroll check.
(2) Upon
				receipt of the required contributions, participation in any plan will resume as
				if no break had occurred.
(3) If
				payment of required contributions does not resume, no reimbursement will be
				made for expenses incurred after the last date of the coverage period for which
				the required contribution was made.
(4) Collection efforts will be made to ensure
				that a participant satisfies his annual elections.
Specific Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-26-96, Repromulgated
					 4-25-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.010 - Forfeitures (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.161(5) FS.
					 Law Implemented 110.161
					 FS.
New 8-26-96, Repromulgated 4-25-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-6 - GENERAL PROVISIONS AND DEFINITIONS › Section 60P-6.011 - Shared Savings Program

Current through Reg. 50, No. 138; July 16, 2024
(1) The Shared
				Savings Program allows the enrollee of a state group health insurance plan or
				state-contracted health maintenance organization (HMO) to collect a Reward for
				receiving a healthcare service or bundled service provided through the online
				transparency platform established under section
				 110.12303(3),
				F.S., or receive a bundled surgery or other bundled medical procedure through
				the use of the Department's contracted entity authorized under section
				 110.12303(2),
				F.S. A "Reward" is the amount that will be credited to an enrollee's account or
				reimbursed to the enrollee for out-of-pocket healthcare expenses based on the
				date the enrollee or eligible dependent receives the healthcare service. An
				enrollee is limited to one Reward for receiving a healthcare service or bundled
				service.
(2) To earn a Reward by
				utilizing the online transparency platform, the enrollee or the enrollee's
				eligible dependent must have:
(a) Complied
				with any prior approval or prior authorization required under the enrollee's
				HMO or State group health insurance plan for the healthcare service;
(b) Received a covered healthcare service
				under the enrollee's health insurance plan; and
(c) Shopped for the healthcare service
				through the online transparency portal within 12 months from the date of the
				healthcare service.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
For the purpose of administering this Plan, the following
				  words and terms shall have the meaning indicated:
(1) "Active work" or "actively at work" means
				the actual expenditure of time and energy by the employee, performing duties
				pertaining to the employee's job in the place where and in the manner in which
				such job is performed on a continuing basis.
(2) "Basic daily earnings" means the
				employee's annual salary divided by 364.
(3) "Employee" means an individual holding a
				salaried Senior Management Service or Selected Exempt Service position with any
				state agency.
(4) "Plan" shall mean
				the State of Florida Group Disability Income Insurance Plan adopted pursuant to
				Section  110.123(3),
				Florida Statutes.
(5) "Sickness"
				means illness or disease and is inclusive of pregnancy and resulting
				childbirth, miscarriage, abortion or complications.
(6) "Totally disabled" means that the
				employee is completely unable, due to sickness or injury or both, to perform
				the duties pertaining to his or her employment and is under the direct care of
				a physician.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgated
					 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.002 - Eligibility (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.003 - Enrollment (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5),
					 20.05(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.004 - Effective Date of Coverage

Current through Reg. 50, No. 138; July 16, 2024
The effective date of coverage for an employee under the Plan
				  shall be as follows:
(1) The date of
				an employee's appointment to an eligible position; unless the employee is
				disabled or under a physician's care on account of sickness or injury and not
				actively at work on that date, the effective date will be the date the employee
				resumes active work.
(2) An
				employee may elect to refuse coverage by signing a refusal statement and
				submitting it to his or her personnel office.
(3) The effective date of an employee who has
				previously refused coverage will be the first day of the month following the
				receipt of the employee's written request to enroll; unless the employee is
				disabled or under a physician's care on account of sickness or injury and not
				actively at work on that date, the effective date will be the date the employee
				resumes active work.
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgated 1-31-02, Amended
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.005 - Benefits

Current through Reg. 50, No. 138; July 16, 2024
If an employee, while insured under the Plan and as a result
				  of sickness or injury, becomes totally disabled, the Plan will pay biweekly
				  benefits to the employee for the period of such disability. Such benefits are
				  payable in an amount of sixty-five (65) percent of the employee's basic daily
				  earnings at the date of disability. Benefits are payable from the first benefit
				  day of any one continuous period of disability up to a maximum of one year (364
				  days) subject to the following:
(1)
				The "first benefit day" shall be the later of:
(a) The thirty-first (31st) day of continuous
				disability,
(b) The date following
				the day that an employee exhausts all accumulated leave credits including
				annual leave, sick leave, sick pool leave and personal holiday
				leave.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.006 - Payment of Premiums

Current through Reg. 50, No. 138; July 16, 2024
(1) The employing
				agency will pay 100% of the premium for each employee participating in the
				Plan, while that employee is on the active state payroll.
(2) The employing agency will pay 100% of the
				premium for an employee on an approved medical leave, unless the employee is
				receiving Plan benefits.
(3) In the
				event of an employee changing agencies and remaining in a Senior Management or
				Select Exempt position, the agency employing on the first day of a month will
				be responsible for paying 100% of the premium for that month.
(4) The employee may pay the full monthly
				premium by submitting a personal check or money order to his or her personnel
				office for transmittal to the Department:
(a)
				If the employee is on an approved leave without pay, but not to exceed six
				months.
(b) In the event of layoff,
				but not to exceed one month.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.007 - Employing Agency Change (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgted as Amended 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-9 - STATE GROUP DISABILITY INCOME SELF INSURANCE PLAN › Section 60P-9.009 - Termination of Coverage

Current through Reg. 50, No. 138; July 16, 2024
The date of termination of coverage will be as
				  follows:
(1) In the event of
				termination of employment, the employment termination date.
(2) In the event the employee requests to
				cancel coverage, the last day of the month in which the Department receives a
				signed waiver of coverage.
(3) In
				the event an employee terminates his or her position in Senior Management or
				Select Exempt status but remains a state employee, the last day of the month
				for which premiums have been paid.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-26-96, Repromulgated
					 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.001 - Eligibility (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.002 - Enrollment and Effective Date of Coverage

Current through Reg. 50, No. 138; July 16, 2024
(1) An employee may apply for enrollment in a
				supplemental insurance plan through his or her personnel office during:
(a) During the first sixty (60) calendar days
				of state employment or a new term of office;
(b) During open enrollment;
(c) Within thirty-one (31) days of a QSC of
				losing group health coverage;
(d)
				Within thirty-one (31) days of a QSC of an increase in the number of work hours
				for an employee.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.003 - Change in Coverage

Current through Reg. 50, No. 138; July 16, 2024
(1) An employee may
				elect, change, or cancel coverage within thirty-one (31) days of a Qualified
				Status Change (QSC) event if the change is consistent with the event pursuant
				to subsection  60P-2.003(7),
				F.A.C., or during the open enrollment period.
(2) The employing agency shall request an
				effective date for a change in coverage in accordance with Rule
				 60P-10.004, F.A.C.
(3) The Department shall approve a coverage
				change if the completed application is submitted within thirty-one (31)
				calendar days of the QSC event and the proper documentation is
				provided.
(4) If an employee wants
				to decline coverage after reviewing any underwritten policy by any company,
				such employee must complete and sign the required application terminating the
				election prior to the end of the month in which coverage would take
				effect.
Specific Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated
					 1-31-02.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.004 - Effective Date of Coverage (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Amended 4-18-05,
					 Repealed 3-30-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.005 - Payment of Premiums

Current through Reg. 50, No. 138; July 16, 2024
(1) Premiums are
				due one month in advance of each month of coverage and shall be paid as
				follows:
(a) For employees on payroll,
				premiums shall be payroll deducted;
(b) For employees off payroll, premiums shall
				be paid monthly by personal check or money order and forwarded to the
				supplemental company.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.006 - Overpayment of Premiums (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Repealed
					 3-2-17.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.007 - Agency Changes (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated as Amended 1-31-02, Repealed
					 1-20-16.
Florida Administrative Code › 60 - DEPARTMENT OF MANAGEMENT SERVICES › 60P - Division of State Employees' Insurance › Chapter 60P-10 - SUPPLEMENTAL INSURANCE PLAN › Section 60P-10.008 - Leave Without Pay/Suspension (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 110.123(5) FS.
					 Law Implemented 110.123
					 FS.
New 8-22-96, Repromulgated 1-31-02, Repealed
					 1-20-16.