742-7-10 Long-term care insurance program.

(A) The terms of the long-term care program offered pursuant to section 742.53 of the Revised Code shall be outlined in plan document prepared by the vendor chosen by OP&F’s board of trustees and upon terms and conditions in a form acceptable to OP&F. For any changes after January 1, 2004, the plan committee designated in the health care plan and referenced in paragraph (B) of rule 742-7-13 of the Administrative Code shall have authority to approve such changes, subject to prior board approval only for any changes in the vendor or for the determination of the “members of the family” who are eligible to participate in the program.

(B) The vendor chosen by OP&F’s board of trustees to offer the long-term care coverage shall be responsible for providing a summary plan description to the appropriate individuals.

(C) For purposes of section 742.53 of the Revised Code, “members of their families” shall mean the spouse of the OP&F member or benefit recipient, the parent(s) of the OP&F member or benefit recipient, the parent(s) of the spouse of the OP&F member or benefit recipient, or the adult children of the OP&F member or benefit recipient, subject to certain limitations outlined in the governing plan document.

(D) If the long-term care program is established jointly with another retirement system, the plan shall separately establish the terms and conditions for participation for OP&F members, benefit recipients, and eligible members of their families, as defined in paragraph (C) of this rule.

(E) Contributions for the cost of long-term care coverage shall be paid directly by the eligible participant to the vendor consistent with the governing plan provisions.

(F) OP&F shall not subsidize or underwrite the cost of this program.

HISTORY: Eff 10-6-03

Rule promulgated under: RC 111.15

Rule authorized by: RC 742.10

Rule amplifies: RC 742.45

R.C. 119.032 review dates: 10/06/2008