Mo. Rev. Stat. ch. 103 – Health Plan for State Employees | Midpage

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Revised Statutes of Missouri

Chapter 103

Mo. Rev. Stat. ch. 103

Health Plan for State Employees

103.003Definitions 103.005Missouri consolidated health care plan established, purpose — powers to carry out plan 103.008Administration to be by board of trustees — members, qualifications, appointment, terms — vacancies 103.010MOSERS medical staff will serve jointly on both boards — rates and services, decisions prior to January 1, 1994, to be made by MOSERS board 103.012Board chairman and vice chairman elected annually by secret ballot — powers and duties 103.014Executive director appointed by board, not to be board member — powers and duties 103.016Executive director and staff to be state employees — board members not to be employed by plan for four years after leaving board, exception 103.019Staff salaries to be set by board 103.020Summons and writs to be served on executive director 103.023Actuary or actuarial firm to give technical advice 103.025Annual audit of records and accounts by CPA 103.027Records to be open to public — annual report on financial condition of plan, content 103.029Attorney at law may be employed for legal advice and representation 103.032Investment counselors may be employed for investment advice, qualifications, duties 103.036Benefit trust fund account to be established by board, purpose — powers of board to carry out duties 103.039Deposit of funds — commingling of funds prohibited — executive director to be responsible, bond required 103.042Board to serve without compensation — expenses authorized — board members performing duties not to suffer loss of their regular compensation 103.045Meetings of board, held where and how set — notice to board members 103.047Board members to have one vote — six members to be quorum — majority vote of trustees present for official actions — meeting not required, procedure to determine will of board 103.050Principal office for plan to be in Jefferson City, seal — courts to take judicial notice 103.055Errors in members or providers receiving more or less than entitled to — board's power to correct or recover overpayments 103.057False statement or falsifying record of plan, penalty 103.059Rules authorized, duties of board 103.061Inspection by board of accounts and records of participants in plan or requesting participants 103.064Subpoena of witnesses or production of records, powers of board 103.067Trustees and employees not to profit from plan transactions — acceptance of gratuity or compensation to influence investment, penalties 103.070Tax exemptions for plan's assets 103.075Plan to become effective on January 1, 1994 — prior to effective date employees' retirement medical care plan to remain in effect 103.078Foster parents permitted to purchase, when 103.079Health care programs sponsored by other state agencies may become part of consolidated plan, procedure — departments may review plan and withdraw, when — higher education entities may become part of consolidated plan, procedure 103.080High deductible plans and health savings accounts to be offered — definitions — premiums — consumer-driven health care plans — rulemaking authority 103.083Medical benefit coverage, board's authority to contract for — comparable benefits for employees relying on spiritual healing 103.084Recommendation to change to an October first plan year for health care provider contracts 103.085Termination of coverage, when, exceptions, certain persons may choose to continue coverage, requirements 103.089Medicare benefits participants, effect 103.095General assembly members, elected officials and employees who cease to hold office may continue coverage — time limitation to elect coverage 103.098Thirty-day enrollment period for state employees, retirees and dependents — preexisting condition not covered for twelve months 103.100Cost of medical benefit program, estimated amount, how computed — notification of authorized medical benefit options — recommendation of portion to be paid by employees — appropriations requested 103.105Participating member agencies to pay executive director monthly — payment deposited in health fund 103.110Certification of costs of providing recommended options — premium amounts, payment — deposit in fund 103.115Consultants, former employees from certain state agencies, judges or teachers to be compensated for advice which will be paid toward medical benefits, amount 103.130Agencies joining plan to be by majority vote of governing body, procedure — coverage to be effective, when — must be offered to all eligible employees, retirees and dependents of agency 103.133Withdrawal from plan — participating agencies and political subdivisions, procedure — termination of plan effective, when 103.136Agencies and political subdivisions, coverage by plan after termination, two-year period, exception, board action 103.138Plan not responsible for liabilities prior to effective date — for participating agencies and political subdivisions 103.141Participating agencies and political subdivisions, persons eligible for plan 103.145Enrollment period of thirty days for employees, retirees and dependents of participating member agency 103.150Coverage to terminate when person no longer employee of participating member agency — exceptions 103.155Reimbursement by participating member agency of start-up costs incurred solely for member agency 103.158Premiums to be paid by participating agencies — deposit into fund 103.163Delinquent participating member agency, effect — first lien on member agency's fund — writ of mandamus for payment 103.165Termination of agency's participation in plan for failure to pay — no payment of claims during period of nonpayment 103.170Deficiency in year participating member agencies withdraw to be prorated by the actuary 103.175Feasibility of agencies and school district retirees not having joined plan to join — board to study and report 103.178Alternative system of benefits for treatment of chemical dependency, pilot project — design of project, report