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This entry was published on 2014-09-22
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SECTION 160
Regulations governing the health benefit plan; advisory committee
Civil Service (CVS) CHAPTER 7, ARTICLE 11
§ 160. Regulations governing the health benefit plan; advisory
committee. 1. The president, subject to the provisions of this article,
is hereby empowered to establish regulations relating to:

(1) the eligibility of (a) active and (b) retired employees to
participate in the health benefit plan authorized by this article,

(2) the terms and conditions of the insurance and/or plan
administrator contract or contracts, as applied to (a) active employees
and (b) retired employees, and

(3) the purchase of such insurance and/or plan administrator contract
or contracts and the administration of such health benefit plan.

The president shall adopt such further regulations as may be required
for the effective administration of this article, including the right to
require advance payments of any portion of the amount required to be
paid by any participating employer as its share in connection with the
operation of the health benefit plan hereunder.

2. The president, in his discretion, is hereby empowered to make,
amend and rescind, from time to time, regulations establishing a dental
insurance plan which shall be a part of the health insurance plan
authorized by this article. Such regulations may provide for negotiating
unit, employee and employer participation or nonparticipation, employee,
dependent and retiree eligibility or noneligibility and such
contribution rates as the president may determine even though such
regulations establish standards which differ from those applicable by
law to other parts of such health insurance plan. The president is
hereby authorized and directed to provide in such regulations for
participation in the dental insurance plan by retirees; provided,
however, that the claims experience for retirees shall be separately
rated and premiums established separate from other participants in the
plan and provided further that the full costs of participation in such
plan, including all administrative costs, shall be borne by such
retirees. Considering the dental insurance plan as a whole, no
regulation enacted pursuant to this subdivision shall provide or permit
a benefit structure inconsistent with the most efficient and economical
administration of such plan.

3. Notwithstanding any inconsistent provision of this article, no rule
or regulation shall be adopted, repealed or amended, and no other action
taken with respect to state employees affecting the rate of or
eligibility for benefits under this article, without the approval of the
director of employee relations.