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702 KAR 1:035. Group health and life insurance


Published: 2015

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      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.)