145-4-09 Definition of "eligible dependent" for health care coverage.

For coverage commencing on or after January 1, 2011, "eligible dependent" means any of the following:

(A) The spouse of a primary benefit recipient. The spouse shall be an individual of the opposite gender who establishes a marriage by a valid marriage certificate recognized by Ohio law.

(B) The biological or legally adopted child of a primary benefit recipient who is under the age of twenty-six or is permanently and totally disabled prior to age twenty-two. For purposes of this paragraph "permanently and totally disabled" means the individual is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death, or which has lasted or can be expected to last for a continuous period of not less than twelve months.

(C) The grandchild of a primary benefit recipient for whom the benefit recipient has been ordered pursuant to section 3109.19 of the Revised Code to provide for the health care coverage.

Replaces: 145-4-09.

R.C. 119.032 review dates: 09/26/2013 and 09/26/2018
Promulgated Under: 111.15
Statutory Authority: 145.09 , 145.58
Rule Amplifies: 145.38 , 145.46 , 145.58
Prior Effective Dates: 1/1/05, 10/27/06, 1/1/09, 1/1/11