New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.2 - Eligibility

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Employees.
(1) An employee shall be eligible for
				coverage under the plan for himself and for his dependents, if any, subject to
				the provisions of this Part and of the appropriate contracts applicable to
				employees and their dependents.
(2)
				No employee may be covered under this plan until he has completed six months of
				service following date of last entry into the service of the State or a
				participating employer. Each appointment, or election, or reinstatement
				following a break in service, shall be considered a new entry into
				service.
(3) Coverage for any
				employee and his dependents shall cease without notice upon termination of his
				status as an employee as defined in section
				74.1 of this Part. The status of
				any person as an employee shall be deemed to terminate upon his severance from
				the payroll for any reason, including retirement, except that for the purpose
				of continuing his coverage under the plan, the status of such person as an
				employee shall be deemed to continue during any period of authorized leave
				without pay or during any other period of separation from the payroll for which
				the employer continues contributions on behalf of the employee and his
				dependents. For the purpose of this plan, employees in vested status, on
				preferred lists or on seasonal layoff are not considered to be on leave without
				pay.
(4) Notwithstanding the
				foregoing, coverage under the plan for any person whose status as an employee
				terminates shall continue through the last day of the calendar month in which
				his employment ceases. Coverage of his enrolled dependents shall continue for
				the same period.
(5)
				Notwithstanding any other provisions of this Part, if the regular work schedule
				of an employee has been not less than half-time per week for at least one year
				and then is reduced to less than half-time per week under circumstances not
				expressly excepted under section
				74.1(c) of this
				Part, the president may, in his or her discretion and upon the request of the
				employer, deem such person's status as an employee to continue for a period not
				exceeding one year for the purpose of continued coverage under the plan.
				Thereafter, if the regular work schedule of such employee continues to be less
				than half-time per week, the president may, from time to time, review the case
				and, in his or her discretion, grant extensions not exceeding one year each
				during which such person's status as an employee may be deemed to
				continue.
(6) In the event both
				husband and wife elect coverage under the plan as employees as defined in
				section 74.1 of this Part, there shall be
				coordination of benefits.
(7)
				Notwithstanding any other provisions of this Part in the event of the death of
				an employee, the coverage hereunder of his dependents shall continue through
				the last day of the calendar month in which death occurs.