145-4-15 Income-based discount program.

(A) As used in this rule, "household income" means the aggregate of all income and wages of a benefit recipient enrolled in health care coverage, plus the income and wages of the benefit recipient's spouse and any individual that could be claimed as the dependent of the benefit recipient for purposes of federal income taxes.

(B) The public employees retirement board may offer a discount on the monthly premium for health care coverage to eligible benefit recipients and eligible dependents whose household income is below an amount determined by the board. The board shall establish the requirements that must be met to qualify for the discount.

(C) If offered under paragraph (B) of this rule, an eligible benefit recipient must apply for the discount annually on a form provided by the public employees retirement system. The system may request documentation to validate the benefit recipient's eligibility for the program. Failure to accurately complete the enrollment form or provide the requested documentation will prevent enrollment in the program for that year.

(D) If the retirement system determines that the benefit recipient has made false or incomplete representations to qualify for the discount described in this rule, the benefit recipient shall reimburse the retirement system for any discounts improperly received and shall be ineligible to receive the discount at any time in the future.

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: 145.58
Prior Effective Dates: 1/1/07