702 KAR 1:035.
Group health and life insurance.
RELATES TO: KRS
161.158
STATUTORY
AUTHORITY: KRS 156.070, 161.159
NECESSITY,
FUNCTION, AND CONFORMITY: KRS 161.158 authorizes local boards of education to
administer group insurance coverage for its employees. KRS 161.159 requires the
Kentucky Board of Education to promulgate an administrative regulation to
implement the life insurance program for local school district employees.
This administrative regulation establishes requirements for Department of Education
administration of the group health and life insurance programs for certified
and noncertified employees of local boards of education and interlocal
educational cooperatives.
Section 1.
Definitions. (1) "Blended
employee" means an employee having:
(a) The expectation that he is to be
employed for the full school term (or the remainder of the school term) as
defined in KRS 158.070 in a position with no state certification required;
(b) The expectation that also he is to be
employed for the full school term (or the remainder of the school term) as
established in KRS 158.070 in a position with state certification required;
(c) A combined work hours requirement
equal to a minimum of seventy (70) percent of the school day or month as
established in KRS 158.060; and
(d) Status as a beneficiary or
participant in either of the two (2) retirement systems, CERS or KTRS.
(2) "Interlocal educational
cooperative" means two (2) or more local boards of education governed by
an interlocal cooperation agreement described in KRS 65.210 through 65.300 and
formed to make educational programs and services more efficiently and effectively
available to boards of education on a multidistrict basis.
(3) "Regular, full-time, certified
employee" means an employee with the expectation that he is to perform
duties for the full school term (or the remainder of the school term) as
established in KRS 158.070, and the employment will not require less than
seventy (70) percent of the school day or school month as defined in KRS 158.060.
(4) "Regular, full-time,
noncertified employee" means an employee having the expectation that he is
to be employed for the full school term (or the remainder of the school term)
as established in KRS 158.070, and whose assignments require a minimum of
eighty (80) hours per school month as established in KRS 158.060.
(5) "Unpaid leave" means leave
time without pay beginning the first day of the month following an employee’s
last paid working day.
Section 2. Group
health coverage shall consist of a single contract or the single contract
dollar equivalent applied to any alternate plans of coverage contained in the
master contracts between the Commonwealth and the carriers.
Section 3. Group
life insurance coverage shall consist of benefit amounts as specified in the
master contract between the Commonwealth and the carrier.
Section 4. (1)
Regular full-time certified, noncertified, and blended employees shall be
eligible for state contribution for health and life insurance premiums unless
they are on leave without pay from the local educational agency or interlocal
cooperative.
(2) For purposes
of administration of the group health and life insurance programs for local
school district employees:
(a) Leave
without pay shall include unpaid leave, unpaid sick leave, unpaid educational
leave, and unpaid leave while receiving Workers' Compensation benefits; and
(b) Unpaid leave
shall include the beginning of the first day of the month following an
employee's last paid working day.
(3) An employee
on leave without pay shall not be eligible for state contribution for health
and life premiums until the employee has actively returned to work from leave.
(4) An employee
who has actively returned to work shall be eligible for state contribution for
health and life premiums when he returns to work at least one (1) day of the
next consecutive month after being on leave without pay.
Section 5. The extent of
eligibility for state contribution for health and life insurance premiums shall
be based upon the extent to which a position is funded with state or local
(nonfederal) funds.
Section 6. A
local board of education or interlocal educational cooperative shall provide
the Department of Education accurate employment data on covered employees on a
month-to-month basis. (3 Ky.R. 567; eff. 3-2-77; Am. 6 Ky.R. 495; eff. 5-7-80;
17 Ky.R. 423; eff. 10-14-90; 18 Ky.R. 3518; 19 Ky.R. 392; 1081; eff. 11-9-92;
28 Ky.R. 2442; 29 Ky.R. 107; eff. 7-15-2002.)