PURPOSE: This rule establishes an appeal procedure regarding coverage and payment of claims by the retirement plan.

1. (1) Claims Procedures. A member, or legal guardian of a member, must apply to the board for commencement of benefits and to elect any option, on the form(s) provided by the Missouri State Employees’ Retirement System (see 16 CSR 30-2.285 for form). Application for benefits and option election forms are to be submitted to the Missouri State Employees’ Retirement System, P.O. Box 209, Jefferson City, MO 65102 or delivered to the office at 906 Leslie Blvd., Jefferson City, MO 65101. If a member does not qualify for benefits due to the requirements specified in sections 104.010, 104.320– 104.620, RSMo or if the board does not approve the option elected by the member, the board, or its designated staff member, will advise the member in writing within thirty (30) days of receiving the application. The notice of denial will contain reasons for denial, any additional information needed to complete the application and information regarding the review process.
2. (2) Request for Review. If a member disagrees with the board’s decision, the member may appeal to the board in writing within sixty (60) days after the date of the letter of denial. The appeal is to be submitted to: Board of Trustees, MOSERS’, P.O. Box 209, Jefferson City, MO 65102. A review of the complaint will be held at the next regularly scheduled meeting of the board of trustees, which is held at least thirty (30) days after the date the appeal is received in the MOSERS’ office unless an earlier date is agreed to by both the claimant and the board. The member or the member’s authorized representative, or both, may appear before the board of trustees. The board of trustees will review the complaint, all evidence on file and submitted by the claimant, as well as any additional 16 CSR 30-2

information presented. The board’s final decision will be issued within sixty (60) days of the date of the review meeting. If any benefits are due as a result of the review process, payment may be retroactive to the date specified by the board. The finding of the board shall be final.

AUTHORITY: sections 104.500, RSMo (Supp. 1988).* Original rule filed April 3, 1985, effective Aug. 26, 1985. Amended: Filed Nov. 25, 1992, effective June 7, 1993. *Original authority 1957, amended 1981, 1984, 1988.