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Ex. OH-055 Order Primary source read

Bulletin 2020-03

Health Insurance Coverage Flexibility for Ohio Employees

Jillian Froment, Director and Superintendent of Insurance, Ohio Department of Insurance · Ohio (Sector regulator)

The COVID Project

The record

Jurisdiction
Ohio
Level
Sector regulator
Authority
R.C. Title 39; Executive Order 2020-01D
Issued
2020-03-20 Mar. 20, 2020
Effective
2020-03-20
End
'during this state of emergency' (June 18, 2021) (read as 2021-06-18)
In force
Mar. 20, 2020 to June 18, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q2
Limitation types
Workplace rulesOther
Addressees
  • all health plan issuers, stop loss insurers, health insuring corporations, MEWAs and non-federal governmental health plans
Functions reached
  • IN insurance underwriting, premium collection and eligibility administration
  • HR employer benefits administration under reduced hours
  • CB employer groups
Collection
Ohio OH

Operative words

Accordingly, the Superintendent hereby orders and directs Insurers to comply with the following requirements during this state of emergency: Employee Eligibility. Insurers must permit employers to continue covering employees under group policies even if the employee would otherwise become ineligible due to a decrease in hours worked per week. Insurers are required to permit employers to continue providing coverage to employees under group policies regardless of any 'actively at work' or similar eligibility requirements in the policy. Additionally, Insurers are prohibited from increasing premium rates based on a group's decreased enrollment or participation due to COVID-19. Grace Period for Premium Payment. All Insurers are to give their insureds the option of deferring premium payments coming due, interest free, for up to 60 calendar days from each original premium due date.

Enforcement

Order of the Superintendent of Insurance; R.C. 3901.04 examination and enforcement authority

Notes

Evidence that the State itself anticipated reduced hours and furloughs across employer groups from March 20, 2020.

Retrieval note

Scanned; page 1 read visually.