4123-6-05.1 Employer access to the HPP - employer enrollment period established.

(A) Except where the bureau has placed an MCO at capacity pursuant to rule 4123-6-03.3 of the Administrative Code, an employer may be solicited by and may select for its employees’ coverage under the HPP any MCO that has contracted with the bureau. An MCO, or any entity or individual on behalf of the MCO, may directly solicit an employer only during periods of open enrollment as provided in this rule and rule 4123-6-05.2 of the Administrative Code. During such open enrollment direct solicitation, the MCO shall comply with the provisions of rules 4123-6-03.9 and 4123-6-05.3 of the Administrative Code, and with the MCO contract. Each employer may select an MCO, subject to paragraph (B) of rule 4123-6-05.2 of the Administrative Code.

(B) The bureau shall determine an open enrollment period during which time an employer may change its selection of an MCO; however, beginning January 1, 1999, the bureau shall establish an open enrollment period at least once every two years but no more than once in a year.

(C) During employer open enrollment periods, the bureau shall distribute to employers the list of all MCOs contracting with the bureau pursuant to rule 4123-6-03.4 of the Administrative Code.

R.C. 119.032 review dates: 10/27/2004 and 03/01/2009

Promulgated Under: 119.03

Statutory Authority: 4121.12, 4121.30, 4121.31, 4123.05

Rule Amplifies: 4121.121, 4121.44, 4121.441, 4123.66

Prior Effective Dates: 2/16/96, 1/1/99, 4/5/99, 7/17/00, 1/1/03