Oklahoma Administrative Code › Title 260 - Office of Management and Enterprise Services › Chapter 40 - Employee Benefits Department › Subchapter 17 - Benefit Plan Election › Section 260:40-17-3 - Employee election of benefit plans

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Choices of benefit plans shall be made by a new eligible employee within thirty
				(30) days after date of employment. This thirty (30) day period shall be known
				as the employee's enrollment period. Each new employee failing to make such a
				valid election will be deemed to have elected employee-only coverage under the
				HealthChoice High Option Health Plan, HealthChoice Dental Plan, HealthChoice
				basic term life policy, and the HealthChoice disability plan.
(b) Choices of benefit plans shall be made on
				a Plan Year basis by the eligible employees during the enrollment period as set
				by the Plan Administrator. The Plan Administrator will establish eligibility
				requirements for all benefit plan options each year.
(c) Eligible employees are required to elect
				medical, dental, life and disability plans except as provided in the following
				paragraphs. Employees who fail to make a valid election during each designated
				enrollment period will be deemed to have elected the same plans elected during
				the most recent enrollment period during which a valid election was made. Where
				the plan(s) will no longer be available for the upcoming Plan Year, employees
				will be deemed to have elected HealthChoice High Option Health Plan and/or
				HealthChoice Dental.
(d) A former
				employee who is reemployed by the same participating employer within
				twenty-four (24) months after the date of termination of previous employment
				shall not be enrolled for a greater amount of life insurance than the
				individual had at the time of termination of previous employment with the
				employer, unless the individual provides satisfactory evidence of insurability.
				The amount of coverage provided by the employer is specified in the benefit
				administration procedures or guidelines as adopted by the Plan. In the event of
				death, the proceeds of this coverage are payable to the beneficiary listed on
				the most recently signed beneficiary designation subject to the limitations in
				Title 15. [15 O.S. §
									178
				] If no beneficiary form is on file at the EGID, benefits will be paid to the
				decedent's estate.
(e) A former
				active State employee who is reemployed by the State after thirty (30) days
				from termination will not be eligible to reenroll in vision plans, Health Care
				Reimbursement Accounts and Dependent Care Reimbursement Accounts throughout the
				remainder of the current Plan Year unless the employee maintained the Health
				Care Reimbursement Account under the COBRA provisions.
(1) An eligible employee who has retired from
				a branch of the United States military and has been provided with health
				coverage through a federal plan can elect not to participate in the Flexible
				Benefits Plan if the following conditions are met prior to the close of each
				annual enrollment period:
(A) The employee
				must provide proof that he or she is retired from a branch of the United States
				military; and
(B) The employee must
				provide proof of health coverage through a federal plan; and
(C) The employee must make a proper election
				not to participate in the Flexible Benefits Plan.