§ 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 […]
§ 45-18-11. 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 […]
§ 45-18-12. 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 […]
§ 45-18-15. Rules and Regulations for Administration of Part; Board to Recommend to General Assembly Schedule of Maximum Fees for Hospitals and Practitioners
The board shall promulgate such rules and regulations as may be required for the effective administration of this part. Such rules and regulations shall include, but not be limited to, rules and regulations establishing the conditions under which employees who originally rejected coverage may acquire coverage at a later date. The commissioner of community health, […]
§ 45-18-16. Certification of Employer Payment Percentage for Ensuing Fiscal Year; Provision in Budgets for Funds for Employer Payments
Not less than 30 days prior to the commencement of the plan year, the commissioner of community health shall certify to the director or chief administrative officer of each state department, bureau, institution, board, commission, or authority having employees covered by this part the amount of percentage adopted by the board as employer payments for […]
§ 45-18-17. Employees to Become Members of Plan Unless Coverage Rejected or Waived; Withdrawal From Plan by Persons Covered by Social Security Medical Care
All persons who become state employees as defined in this part and who are eligible as specified in the rules and regulations of the board shall become members of this health insurance program unless the employee rejects or waives such coverage in writing. Any annuitant or person appointed to an emeritus position or any person […]
§ 45-18-18. Discharge of Certain Debts or Obligations Due Health Insurance Fund
It is the purpose of this Code section to authorize a procedure whereby the commissioner of community health may administratively discharge a debt or obligation due the health insurance fund for employees of the state when the amount is $400.00 or less and: It is manifest that the debt or obligation is uncollectable; or The […]
§ 45-18-19. Confidentiality of Claim Forms and Records
Claim forms and other records which would disclose the nature of the health services provided to an insured shall be maintained on a confidential basis by the health insurance plan. No person shall disclose such records or information to any other person except as necessary for the proper administration of the health insurance plan. History. […]