Termination of coverage, when, exceptions, certain persons may chooseto continue coverage, requirements.
103.085. Except as otherwise provided by sections 103.003 to 103.080,medical benefits coverage as provided by sections 103.003 to 103.080 shallterminate when the member ceases to be an active employee; except personsreceiving or entitled to receive an annuity or retirement benefit ordisability benefit or the spouse of or unemancipated children of deceasedpersons receiving or entitled to receive an annuity or retirement benefitor disability benefit from the state, participating member agency,institution, political subdivision or governmental entity may elect tocontinue coverage, provided the individuals to be covered have beencontinuously covered for health care benefits:
(1) Under a separate group or individual policy for the six-monthperiod immediately preceding the member's date of death or disability oreligibility for normal or early retirement; or
(2) Pursuant to sections 103.003 to 103.080, since the effective dateof the most recent open enrollment period prior to the member's date ofdeath or disability or eligibility for normal or early retirement; or
(3) From the initial date of eligibility for the benefits provided bysections 103.003 to 103.080; or
(4) Within sixty days of a loss of group coverage, provided that suchcoverage was in place for at least twelve consecutive months immediatelyprior to the loss and that such loss was due to the dependent's terminationof employment or termination of group coverage by the dependent's employer.This subdivision only applies to qualifying dependents of members receivingor entitled to receive an annuity or retirement benefit from the state,participating member agency, institution, political subdivision, orgovernmental entity.
Cost for coverage continued pursuant to this section shall be determined bythe board. If an eligible person does not elect to continue the coveragewithin thirty-one days of the first day of the month following the date onwhich the eligible person ceases to be an employee, he or she may not laterelect to be covered pursuant to this section.
Termination of coverage, when, exceptions, certain persons may chooseto continue coverage, requirements.
103.085. Except as otherwise provided by sections 103.003 to 103.080,medical benefits coverage as provided by sections 103.003 to 103.080 shallterminate when the member ceases to be an active employee; except personsreceiving or entitled to receive an annuity or retirement benefit ordisability benefit or the spouse of or unemancipated children of deceasedpersons receiving or entitled to receive an annuity or retirement benefitor disability benefit from the state, participating member agency,institution, political subdivision or governmental entity may elect tocontinue coverage, provided the individuals to be covered have beencontinuously covered for health care benefits:
(1) Under a separate group or individual policy for the six-monthperiod immediately preceding the member's date of death or disability oreligibility for normal or early retirement; or
(2) Pursuant to sections 103.003 to 103.080, since the effective dateof the most recent open enrollment period prior to the member's date ofdeath or disability or eligibility for normal or early retirement; or
(3) From the initial date of eligibility for the benefits provided bysections 103.003 to 103.080; or
(4) Within sixty days of a loss of group coverage, provided that suchcoverage was in place for at least twelve consecutive months immediatelyprior to the loss and that such loss was due to the dependent's terminationof employment or termination of group coverage by the dependent's employer.This subdivision only applies to qualifying dependents of members receivingor entitled to receive an annuity or retirement benefit from the state,participating member agency, institution, political subdivision, orgovernmental entity.
Cost for coverage continued pursuant to this section shall be determined bythe board. If an eligible person does not elect to continue the coveragewithin thirty-one days of the first day of the month following the date onwhich the eligible person ceases to be an employee, he or she may not laterelect to be covered pursuant to this section.
Termination of coverage, when, exceptions, certain persons may chooseto continue coverage, requirements.
103.085. Except as otherwise provided by sections 103.003 to 103.080,medical benefits coverage as provided by sections 103.003 to 103.080 shallterminate when the member ceases to be an active employee; except personsreceiving or entitled to receive an annuity or retirement benefit ordisability benefit or the spouse of or unemancipated children of deceasedpersons receiving or entitled to receive an annuity or retirement benefitor disability benefit from the state, participating member agency,institution, political subdivision or governmental entity may elect tocontinue coverage, provided the individuals to be covered have beencontinuously covered for health care benefits:
(1) Under a separate group or individual policy for the six-monthperiod immediately preceding the member's date of death or disability oreligibility for normal or early retirement; or
(2) Pursuant to sections 103.003 to 103.080, since the effective dateof the most recent open enrollment period prior to the member's date ofdeath or disability or eligibility for normal or early retirement; or
(3) From the initial date of eligibility for the benefits provided bysections 103.003 to 103.080; or
(4) Within sixty days of a loss of group coverage, provided that suchcoverage was in place for at least twelve consecutive months immediatelyprior to the loss and that such loss was due to the dependent's terminationof employment or termination of group coverage by the dependent's employer.This subdivision only applies to qualifying dependents of members receivingor entitled to receive an annuity or retirement benefit from the state,participating member agency, institution, political subdivision, orgovernmental entity.
Cost for coverage continued pursuant to this section shall be determined bythe board. If an eligible person does not elect to continue the coveragewithin thirty-one days of the first day of the month following the date onwhich the eligible person ceases to be an employee, he or she may not laterelect to be covered pursuant to this section.
