1. (a) Employer and employee eligibility are tied together. If the employer is no longer eligible, then the associated employees enrolled under that employer are also ineligible. Employees are mailed a notice 10 days prior to closure of eligibility.

2. (b) The employee's certification period may be terminated when:

   1. (1) termination of employment, either voluntary or involuntary, occurs;
   2. (2) the employee moves out-of-state;
   3. (3) the covered employee dies;
   4. (4) the employer ends its contract with the qualified benefit plan;
   5. (5) the employer's eligibility ends;
   6. (6) a review indicates a discrepancy that makes the employee or employer ineligible;
   7. (7) the employer is terminated from the program;
   8. (8) the employer fails to pay the premium;
   9. (9) the qualified benefit plan or carrier no longer meets the requirements set forth in this Chapter;
   10. (10) the employee becomes eligible for SoonerCare or Medicare;
   11. (11) the employee or employer reports any change affecting eligibility;
   12. (12) the employee is no longer listed as a covered person on the employer's benefit plan invoice;
   13. (13) the employee requests closure; or
   14. (14) the employee no longer meets the eligibility criteria set forth in this Chapter.

Added at 23 Ok Reg 278, eff 10-3-05 (emergency)

Added at 23 Ok Reg 1407, eff 5-25-06

Amended at 24 Ok Reg 101, eff 8-2-06 (emergency)

Amended at 24 Ok Reg 963, eff 5-11-07

Amended at 26 Ok Reg 2169, eff 6-25-09

Amended at 27 Ok Reg 2391, eff 7-1-10 (emergency)

Amended at 28 Ok Reg 1574, eff 6-25-11

Amended at 33 Ok Reg 916, eff 9-1-16