Minutes of a Regular Meeting, June 22-23, 2004 - Digital Collections
Minutes of a Regular Meeting, June 22-23, 2004 - Digital Collections Minutes of a Regular Meeting, June 22-23, 2004 - Digital Collections
REGENTS’ POLICY MANUALSECTION 3—GENERAL POLICIESResources. Legal Counsel and the Medical Director of the University’s GoddardHealth Center may be asked to review applications and assist in the determination ofeligibility in more complex or questionable cases. When an application review iscompleted, the University will make a Disability determination based on threeoptions:(a) Temporary Disability;(b) Permanent Disability; or(c) Not Eligible for Benefits due to Disability.3) At any time deemed reasonable and necessary, the University reserves the right toreview an active Disability case to determine whether the recipient continues toqualify for Disability Benefits.4) Disability Benefits recipients will be responsible for notifying the University in theevent gainful employment is obtained. Upon receipt of notification, the Universitywill terminate Disability Benefits immediately. If the Disability recipient fails tonotify the University, and notification of the recipient’s employment is otherwisereceived, Disability Benefits will terminate retroactively to the date employmentbegan. The University will send written notification to the Disability recipient thatDisability Benefits received on and/or after the recipient’s employment date are dueand payable to the University.5) All decisions with regard to whether an Eligible Employee has a Disability and isentitled to Benefits due to Disability and shall be made in the sole discretion of theUniversity.RETIREE HEALTH INSURANCEEligible Retirees as described in Subsection (a) below, may continue coverage under the Health Planas provided in Subsection (d) below if they meet the requirements for University Retirement. If anEligible Retiree meets the conditions in this policy for coverage under the Health Plan, the EligibleRetiree shall be eligible for the standard coverage under HealthChoice High Option, at the University’sexpense in addition to any Coverage options available to Eligible Retirees under the Health Plan. If anEligible Retiree shall elect coverage (“Elected Coverage”) other than Standard Coverage, the EligibleRetiree shall pay the cost difference between Standard Coverage and Elected Coverage. The Universityshall notify each Eligible Retiree of the total cost for Elected Coverage, the amount contributed by theUniversity for Standard Coverage and the amount due, if any, for the Eligible Retiree for ElectedCoverage (the ‘Eligible Retiree’s Share’). The Eligible Retiree’s cost for Elected Coverage and StandardCoverage may be different for Eligible Retirees and Eligible Employees and may vary year to year. TheUniversity is committed to providing the same health coverage options to Eligible Retirees as is availablefor Eligible Employees; however, the University reserves the right to amend, modify, or terminate anyprovisions of the policy by Board of Regents’ resolution at any time. Eligible Retirees will continue to beable to insure eligible dependents in accordance with the rules of the Oklahoma State and EducationEmployees Group Insurance Board (OSEEGIB) that administers the Health Plan. See the Summary PlanDescription which relates to the Health Plan for a description of and eligibility for benefits under theHealth plan.THE UNIVERSITY OF OKLAHOMA 200
REGENTS’ POLICY MANUALSECTION 3—GENERAL POLICIES1) Any Eligible Employees who are eligible for the State and Education EmployeesGroup Health Plan through TRS will have their health benefits in accordance withthat plan. Retiree health coverage is a University-paid Benefit for this type ofEligible Employee (but not his/her dependents). This type of Eligible Employeemust be enrolled in the State Health Plan and if eligible for Medicare, be enrolled inboth Part A and B. Medicare will be primary with the State Health Plan beingsecondary. If the Eligible Employee or an insured dependent is not yet eligible forMedicare, the State Health Plan is primary.2) Eligible Employees who are retiring with TRS but do not meet the requirements forRetirement and Benefits under this Policy may qualify to purchase health and dentalinsurance under the Health Plan. Depending on the number of Years of Service, aportion of the premium may be paid by the University in accordance with theUniversity’s standard personnel policies.3) To be eligible to purchase this coverage under the Health Plan as described inSubsection (b) above, the Eligible Employee must have at least 10 Years of Servicethat is “Benefits Eligible” employment with the University and provide a copy of theTRS final contract evidencing retirement under TRS. The cost to the EligibleEmployee for this coverage will be as follows:With 10-14 Years of Service and eligible toretire from TRS:With 15-19 Years of Service and eligible toretire from TRS:With 20 or more Years of Service and eligibleto retire from TRS:Eligible Employee to purchase health anddental coverage (University Health Care Plan &Basic Dental Plan) by paying 100% of the cost,Coverage must be elected within 30 days ofbeginning TRS retirement benefit.University will provide coverage (UniversityHealth Care Plan & Basic Dental Plan) and pay25% of the portion of the retiree premium forStandard Coverage otherwise paid by theUniversity. An Eligible Employee will pay theremaining Cost. Coverage must be elected with30 days of beginning TRS retirement benefit.University will provide coverage (UniversityHealth Care Plan & Basic Dental Plan) and pay50% of the portion of the retiree premium forStandard Coverage otherwise paid by theUniversity. Eligible Employee will pay theremaining cost. Coverage must be elected within30 days of beginning TRS retirement benefit.4) In order for the University to pay for the retiree-only Standard Coverage healthinsurance under the University Health Plan after Retirement or to be eligible for theUniversity to pay for such coverage upon incurring of a Disability, the EligibleRetiree or Eligible Employee must have been participating in the University HealthPlan immediately prior to Retirement (including Disability Retirement) for therequired periods as follows:THE UNIVERSITY OF OKLAHOMA 201
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REGENTS’ POLICY MANUALSECTION 3—GENERAL POLICIES1) Any Eligible Employees who are eligible for the State and Education EmployeesGroup Health Plan through TRS will have their health benefits in accordance withthat plan. Retiree health coverage is a University-paid Benefit for this type <strong>of</strong>Eligible Employee (but not his/her dependents). This type <strong>of</strong> Eligible Employeemust be enrolled in the State Health Plan and if eligible for Medicare, be enrolled inboth Part A and B. Medicare will be primary with the State Health Plan beingsecondary. If the Eligible Employee or an insured dependent is not yet eligible forMedicare, the State Health Plan is primary.2) Eligible Employees who are retiring with TRS but do not meet the requirements forRetirement and Benefits under this Policy may qualify to purchase health and dentalinsurance under the Health Plan. Depending on the number <strong>of</strong> Years <strong>of</strong> Service, aportion <strong>of</strong> the premium may be paid by the University in accordance with theUniversity’s standard personnel policies.3) To be eligible to purchase this coverage under the Health Plan as described inSubsection (b) above, the Eligible Employee must have at least 10 Years <strong>of</strong> Servicethat is “Benefits Eligible” employment with the University and provide a copy <strong>of</strong> theTRS final contract evidencing retirement under TRS. The cost to the EligibleEmployee for this coverage will be as follows:With 10-14 Years <strong>of</strong> Service and eligible toretire from TRS:With 15-19 Years <strong>of</strong> Service and eligible toretire from TRS:With 20 or more Years <strong>of</strong> Service and eligibleto retire from TRS:Eligible Employee to purchase health anddental coverage (University Health Care Plan &Basic Dental Plan) by paying 100% <strong>of</strong> the cost,Coverage must be elected within 30 days <strong>of</strong>beginning TRS retirement benefit.University will provide coverage (UniversityHealth Care Plan & Basic Dental Plan) and pay25% <strong>of</strong> the portion <strong>of</strong> the retiree premium forStandard Coverage otherwise paid by theUniversity. An Eligible Employee will pay theremaining Cost. Coverage must be elected with30 days <strong>of</strong> beginning TRS retirement benefit.University will provide coverage (UniversityHealth Care Plan & Basic Dental Plan) and pay50% <strong>of</strong> the portion <strong>of</strong> the retiree premium forStandard Coverage otherwise paid by theUniversity. Eligible Employee will pay theremaining cost. Coverage must be elected within30 days <strong>of</strong> beginning TRS retirement benefit.4) In order for the University to pay for the retiree-only Standard Coverage healthinsurance under the University Health Plan after Retirement or to be eligible for theUniversity to pay for such coverage upon incurring <strong>of</strong> a Disability, the EligibleRetiree or Eligible Employee must have been participating in the University HealthPlan immediately prior to Retirement (including Disability Retirement) for therequired periods as follows:THE UNIVERSITY OF OKLAHOMA 201