§ 45-18-26. Technical Advice; Annual Actuarial Valuations
The actuary employed or retained by the department shall provide technical advice to the department and to the board regarding the operation of the fund. Utilizing the actuarial assumptions most recently adopted by the board, the actuary shall set annual actuarial valuations of normal cost, actuarial liability, actuarial value of assets, and related actuarial present […]
§ 45-18-10. Right of Continuation of Coverage for Former Employees; Payment of Premiums; Establishment of Terms and Conditions by Board; Appointment as United States Attorney
Any other provision of this part to the contrary notwithstanding, on and after July 1, 1978, any employee who resigns from employment or who fails to be reelected or who does not seek reelection to office and who at the time he or she leaves office or employment has completed eight or more years of […]
§ 45-18-27. Control of Fund by Commissioner; Obligations to Be Paid From Fund; Investment Powers; Prohibition Against Personal Interest
Subject to the supervision of the board, the commissioner shall have control over the fund established by this part. The obligations provided for in this part and all administrative expenses shall be paid from the fund. The department may expend moneys from the fund for any purpose authorized by this part. Subject to the supervision […]
§ 45-18-11. Procedure for Presentation of Claims and Payment of Benefits
Any benefits payable under the plan may be made either directly to the attending physicians, hospitals, medical groups, or others furnishing the services upon which a claim is based or to the covered employee, upon presentation of valid bills for such services, subject to such provisions to facilitate payment as may be made by the […]
§ 45-18-28. Minimum Annual Required Contributions; Employer Responsibilities
The board shall annually determine the minimum annual required contributions sufficient to maintain the fund in an actuarially sound manner in accordance with Governmental Accounting Standards Board Statement No. 43 or any subsequent Governmental Accounting Standards Board statements that may be applicable to the fund. The board may annually establish required employer contributions to the […]
§ 45-18-12. Creation of Health Insurance Fund; Amounts Credited to Fund; Special Reserve; Administrator and Custodian of Fund
There is created a health insurance fund which shall be available without fiscal year limitations for premium, subscription charge, benefits, and administration costs. The amounts withheld from employees and retired employees under this part, all amounts contributed by the state or from federal funds to such health insurance fund, and all amounts contributed by any […]
§ 45-18-13. Deposit of Amounts From Health Insurance Fund Available for Investment in Trust Account; Investment of Funds; Withdrawal of Funds From Trust Account
Any amounts held by the health insurance fund which are available for investment shall be paid over to the Office of the State Treasurer. The state treasurer shall deposit said funds in a trust account for credit only to the health insurance fund. The state treasurer shall invest these health insurance funds subject to the […]
§ 45-18-14. Deductions From Compensation and Benefit Payments of Share of Cost of Coverage Under Plan of Employees; Payment of Contributions to Health Insurance Fund by Departments, Boards, and Agencies of State; Coverage of Employee Appealing Discharge
During any period in which an employee is covered under this part prior to the date of his or her retirement, there shall be withheld from each salary payment or other compensation of such employee, as his or her share of the cost of coverage under this plan, such portion of the premium or subscription […]
§ 45-18-6. Contracts to Provide Insurance Benefits; Invitation of Proposals; Reinsurance Agreements; Issuance of Certificates of Coverage; Redetermination of Contracts; Self-Insurance Plans; Contracts for Administrative Services; Contracts With Health Maintenance Organizations
The board is authorized to execute a contract or contracts to provide the benefits under the plan of health insurance benefits determined upon in accordance with this part. Such contract or contracts may be executed with one or more corporations licensed to transact accident and health insurance business in this state. All of the benefits […]
§ 45-18-6.1. Reimbursement Rates Offered Under State Employees’ Health Insurance Plan
As used in this Code section, the term: “Federally qualified health center” means an entity which meets the definition of a federally qualified health center as described in 42 U.S.C. Section 1905(l)(2)(B). “Medicare” means coverage under both Parts A and B of Title XVIII of the Social Security Act, 42 U.S.C. Section 1395, et seq., […]