(A) For the purpose of this rule:
(1) "Age and service retirant" shall mean a
			 former member that applied for and was granted retirement benefits as described
			 in section 5505.16 of the Revised Code.
(2) "Benefit recipient" shall mean an age and
			 service retirant or disability retirant that is receiving a pension benefit as
			 described in division (A)(1) of section 5505.17 of the Revised Code that
			 qualifies for health care coverage pursuant to paragraph (D) of this rule.
			 Benefit recipient does not include a member participating in the "Deferred
			 Retirement Option Plan."
(3) "Dependent" shall mean a spouse as defined in
			 this rule.
(4) "Disability retirant" shall mean a former
			 member that applied for and was granted retirement benefits as described in
			 section 5505.18 of the Revised Code.
(5) "Eligible dependent" shall mean a dependent
			 that qualifies for health care coverage pursuant to paragraph (F) of this
			 rule.
(6) "Health care service credit" shall
			 include:
(a) Credit earned as an
				employee as defined by division (A) of section 5505.01 of the Revised
				Code;
(b) Military service
				credit purchased pursuant to division (D) of section 5505.16 of the Revised
				Code;
(c) Credit granted under
				section 5505.201 of the Revised Code; and
(d) Years of
				participation in the deferred retirement option plan pursuant to section
				5505.51 of the Revised Code.
(7) "Health reimbursement arrangement plan" or
			 "HRA" shall mean the HPRS amended and restated health reimbursement
			 arrangement plan, effective November 1, 2023, from which the reimbursement of
			 qualifying medical expenses may be made. The HRA may have component plans as
			 determined by the HPRS board. The text of the HPRS health reimbursement
			 arrangement plan shall not be incorporated into this or any other rule of the
			 Administrative Code.
(8) "Member" shall have the same meaning as
			 division (I) of section 5505.01 of the Revised Code.
(9) "Monthly health care allowance" or
			 "monthly allowance" shall mean the monthly amount that is allocated
			 to each individual enrolled in the health reimbursement arrangement plan. The
			 monthly allowance shall be determined by the board and offered in the form of a
			 notional credit to the health reimbursement arrangement consistent with the
			 provisions of the plan.
(10) "Retirant" shall mean an age and service
			 retirant or disability retirant.
(11) "Spouse" shall mean a wife or husband of a
			 retirant or member as set forth in a statutorily-valid
			 certificate.
(B) Except as provided in this rule, the rights of an
		  individual participating in the health reimbursement arrangement plan to a
		  monthly allowance or to reimbursement, including eligibility and coordination
		  of coverage, shall be governed exclusively by the provisions of the HPRS health
		  reimbursement arrangement plan. 
(1) All provisions of this rule are subject to current
			 health care contracts and amendments.
(2) The board may implement cost control measures as it
			 deems necessary.
(C) Notwithstanding any other provision of this rule, any
		  benefit recipient or eligible dependent that is or becomes employed by the
		  state highway patrol in any capacity shall be ineligible for health care or
		  prescription coverage.
(D) The following benefit recipients shall be eligible for
		  health care:
(1) Except as provided in paragraph (D)(3) of this rule, a
			 benefit recipient that began receiving a pension pursuant to division (A)(1) of
			 section 5505.17 of the Revised Code, or deferred retirement under section
			 5505.16 of the Revised Code, or elected to participate in the deferred
			 retirement option plan pursuant to section 5505.51 of the Revised Code before
			 November 1, 2023;
(2) Except as provided in paragraph (D)(3) of this rule, a
			 benefit recipient that began receiving a pension pursuant to division (A)(1) of
			 section 5505.17 of the Revised Code or elected to participate in the deferred
			 retirement option plan pursuant to section 5505.51 of the Revised Code on or
			 after November 1, 2023 shall be eligible for health care coverage only if he or
			 she has twenty or more years of health care service credit;
(3) A benefit recipient granted a disability pursuant to
			 section 5505.18 of the Revised Code.
(E) The board may require documented proof of marriage,
		  guardianship, or parenthood. The board reserves the right to deny or cancel
		  coverage if the benefit recipient or dependent does not comply with the
		  board's request for documents.
(F) After the death of a retirant or member, dependents may
		  become eligible for health care coverage, subject to the following
		  conditions:
(1)  
(a) If the retirant or
				member was or was eligible to be a benefit recipient, and was eligible for
				health care coverage under paragraph (D) of this rule, at the time of death;
				or
(b) If the retirant or
				member was not eligible to be a benefit recipient at the time of death, the
				dependent becomes eligible the date on which the member would have been
				eligible to enroll pursuant to paragraph (D) of this rule.
(G) An individual who receives benefits in accordance with
		  section 5505.16, 5505.17, or 5505.18 of the Revised Code may be reimbursed for
		  medicare part B premiums upon the receipt of evidence of coverage, up to a
		  maximum amount established by the board.
The reimbursement amount for calendar year 2017 and each year
		  thereafter shall be zero.
(H) Any person eligible to receive a monthly allowance or
		  reimbursement under the health reimbursement arrangement plan shall inform the
		  retirement system, in writing, not later than thirty days after the person no
		  longer meets the requirements of the health reimbursement arrangement
		  plan.