411 Group Health Insurance
Original Approval Date: April 19, 1995
Revision Effective: March 17, 2026
Supersedes:
Eligibility. The Tri-County Board uses the same insurance plans that are managed by the Miami County Human Resources. Miami County's insurance carrier reserves the right to determine the eligibility of any employee and Miami County and the Board shall not be liable for the rejection of any employee for coverage. Miami County further reserves the exclusive right to select or change such insurance carrier.
Election. Employees may elect coverage under the insurance plan within the guidelines set out forth by Miami County upon employment, or apply for coverage at a later date during open enrollment, or a period of eligibility from a qualifying life event, , provided they follow the application process set forth by Miami County and their carrier. Open enrollment and qualifying life events are subject to restrictions or rejection by the insurance carrier.
If an employee experiences a qualifying event, such as marriage, child birth, divorce, adoption, loss of coverage, the employee may be able to enroll if the request is submitted to Miami County Human Resources within 30 days of the qualifying event. Questions regarding qualifying events can be directed to Miami County Human Resources or their carrier.
Coverage. Eligible newly hired employees shall become covered on the first day of the month following the completion of 30 calendar days of employment.
Payment. Miami County shall determine the minimum amount of the insurance premium to be paid by the employee.
Paid Leave. The Board will continue to pay its share of the health insurance premium for employees on all paid leaves of absence for so long as the employee is in active pay status, as defined by Miami County or leaves covered by the Family Medical Leave Act.
Unpaid Leave of Absence. If an employee is granted unpaid leave after exhausting all available paid leave and/or Family and Medical leave, the Board’s obligation to pay any portion of insurance premium costs will cease the last day of the last month in active pay status. The employee may, however, be eligible for continued coverage at the employee’s sole expense as provided in Policy #412 of this manual.
Notification. Employees desiring insurance coverage shall complete an application obtained from the Miami County Benefits Office. Employees declining coverage shall sign a waiver of coverage at commencement of employment.
Insurance after Returning from Unpaid Leave. Employees who are contemplating applying for unpaid leave should consult with Miami County’s insurance provider regarding the procedure for an employee to reapply for insurance coverage.
Employees should notify the Director of Finance and Administration and Miami County Benefits Office immediately if there are changes in personal circumstances that could affect Health Insurance benefits or needs as there are strict deadlines for reporting such changes that could affect the employee’s eligibility for benefits.
The Board shall immediately inform the Personnel Benefits Office in writing when an employee is separated from service, off work on workers' compensation, on Family and Medical Leave, or on any other unpaid leave of absence.
Revision Effective: March 17, 2026
Supersedes:
Eligibility. The Tri-County Board uses the same insurance plans that are managed by the Miami County Human Resources. Miami County's insurance carrier reserves the right to determine the eligibility of any employee and Miami County and the Board shall not be liable for the rejection of any employee for coverage. Miami County further reserves the exclusive right to select or change such insurance carrier.
Election. Employees may elect coverage under the insurance plan within the guidelines set out forth by Miami County upon employment, or apply for coverage at a later date during open enrollment, or a period of eligibility from a qualifying life event, , provided they follow the application process set forth by Miami County and their carrier. Open enrollment and qualifying life events are subject to restrictions or rejection by the insurance carrier.
If an employee experiences a qualifying event, such as marriage, child birth, divorce, adoption, loss of coverage, the employee may be able to enroll if the request is submitted to Miami County Human Resources within 30 days of the qualifying event. Questions regarding qualifying events can be directed to Miami County Human Resources or their carrier.
Coverage. Eligible newly hired employees shall become covered on the first day of the month following the completion of 30 calendar days of employment.
Payment. Miami County shall determine the minimum amount of the insurance premium to be paid by the employee.
Paid Leave. The Board will continue to pay its share of the health insurance premium for employees on all paid leaves of absence for so long as the employee is in active pay status, as defined by Miami County or leaves covered by the Family Medical Leave Act.
Unpaid Leave of Absence. If an employee is granted unpaid leave after exhausting all available paid leave and/or Family and Medical leave, the Board’s obligation to pay any portion of insurance premium costs will cease the last day of the last month in active pay status. The employee may, however, be eligible for continued coverage at the employee’s sole expense as provided in Policy #412 of this manual.
Notification. Employees desiring insurance coverage shall complete an application obtained from the Miami County Benefits Office. Employees declining coverage shall sign a waiver of coverage at commencement of employment.
Insurance after Returning from Unpaid Leave. Employees who are contemplating applying for unpaid leave should consult with Miami County’s insurance provider regarding the procedure for an employee to reapply for insurance coverage.
Employees should notify the Director of Finance and Administration and Miami County Benefits Office immediately if there are changes in personal circumstances that could affect Health Insurance benefits or needs as there are strict deadlines for reporting such changes that could affect the employee’s eligibility for benefits.
The Board shall immediately inform the Personnel Benefits Office in writing when an employee is separated from service, off work on workers' compensation, on Family and Medical Leave, or on any other unpaid leave of absence.
