(A) If the monthly health care allowance for an enrolled benefit recipient and enrolled dependent exceeds the monthly cost of the health care coverage of the benefit recipient and dependent, the public employees retirement system shall credit an amount equal to the excess allowance to the 401(h) retiree medical account of the benefit recipient.
(B) A 401(h) retiree medical account under this rule shall be invested by the public employees retirement board with other funds held in the 401(h) account. Each 401(h) retiree medical account shall be credited with interest or other earnings at a rate and at such intervals as determined by the board. An administrative fee may be assessed against a 401(h) retiree medical account as determined by the board.
(C) A 401(h) retiree medical account established under this rule shall be available solely for the payment of the qualified medical expenses of a benefit recipient or eligible dependent.
(D) Payment or reimbursement of a qualified medical expense shall occur only after submission of a claim and approval pursuant to rule 145-4-28 of the Administrative Code. Payment of a qualified medical expense shall occur only by payment of a premium for health care coverage. Reimbursement of a qualified medical expense shall occur by direct payment to the benefit recipient. Payment or reimbursement is limited to expenses not paid by social security, medicare, or any other medical and health insurance coverage held by the benefit recipient or eligible dependent, or their employers. Payment or reimbursement may not be made for qualified medical expenses that are deductible by the benefit recipient under any other section of the Internal Revenue Code.
R.C. 119.032 review dates: 09/29/2013
Promulgated Under: 111.15
Statutory Authority: 145.09, 145.58
Rule Amplifies: 145.58, 145.584
Prior Effective Dates: 1/1/07, 1/1/09, 1/7/13 (Emer)