411 Group Health Insurance
Original Approval Date: April 19, 1995
Revision Effective: May 20, 2009
Supersedes:
Eligibility. All full-time employees in active pay status who work at least thirty five (35) hours per week may be eligible to participate in the Miami County's health insurance program under the cost sharing arrangement described herein. For employees who work less than thirty five (35) hours per week, eligibility will be based on Miami County’s current insurance carrier agreement and payment arrangement. 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 by Miami County upon employment, or apply for coverage at a later date during open enrollment. Employees may also enroll for coverage at a later date due to loss of other coverage, provided they follow the application process set out by Miami County and their carrier and subject to restrictions or rejection by the insurance carrier.
Coverage. Eligible employees approved for coverage by the insurance carrier at initial appointment become covered on the first day of the month after thirty (30) days in active pay status. Current employees who become covered through the application process will have their coverage date determined by the insurance carrier. Eligible employees who become covered through the open enrollment process will have coverage effective as determined by the carrier’s agreement with Miami County.
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.
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.
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: May 20, 2009
Supersedes:
Eligibility. All full-time employees in active pay status who work at least thirty five (35) hours per week may be eligible to participate in the Miami County's health insurance program under the cost sharing arrangement described herein. For employees who work less than thirty five (35) hours per week, eligibility will be based on Miami County’s current insurance carrier agreement and payment arrangement. 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 by Miami County upon employment, or apply for coverage at a later date during open enrollment. Employees may also enroll for coverage at a later date due to loss of other coverage, provided they follow the application process set out by Miami County and their carrier and subject to restrictions or rejection by the insurance carrier.
Coverage. Eligible employees approved for coverage by the insurance carrier at initial appointment become covered on the first day of the month after thirty (30) days in active pay status. Current employees who become covered through the application process will have their coverage date determined by the insurance carrier. Eligible employees who become covered through the open enrollment process will have coverage effective as determined by the carrier’s agreement with Miami County.
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.
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.
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.
