New York Codes, Rules and Regulations
Title 4 - DEPARTMENT OF CIVIL SERVICE
Chapter V - Regulations Of The Department Of Civil Service (president's Regulations)
Part 75 - Managerial/confidential Group Term Life Insurance Plan
Section 75.2 - Eligibility
Universal Citation: 4 NY Comp Codes Rules and Regs ยง 75.2
Current through Register Vol. 46, No. 12, March 20, 2024
(a) Employees.
(1) An employee shall be eligible for
coverage under the plan for himself and for his dependents, if any, subject to
the provisions of this Part and to the plan.
(2) Coverage for any employee and his
dependents shall cease without notice upon termination of his status as an
employee as defined in section
75.1 of this Part.
The status of any person as an employee shall be deemed to terminate upon his
severance from the payroll, except that for the purpose of continuing his
coverage under the plan, the status of such person as an employee shall be
deemed to continue:
(i) during any period of
authorized leave without pay; and
(ii) in the event of the employee's
retirement.
(3) In the
event both husband and wife are covered under the plan as employees or retirees
or both, they both shall be eligible for coverage as dependents.
(i) Cessation of eligibility. Upon the
termination of the plan by the State, or by an employee or retiree by reason of
default in the payment of premiums or by withdrawal or expulsion or otherwise,
the coverage and eligibility for coverage shall cease as of the last day for
which the required premiums have been paid to the carrier.
(ii) Disqualification. The president may
disqualify from participation in the plan any employee or retired employee who
has secured or attempted to secure participation in the plan for himself or
another by fraud, deception or a false statement of a material fact. No
employee or retiree shall be disqualified or denied benefits pursuant to this
subdivision until he is given a written statement by the president of the
reasons therefor and afforded an opportunity to make an explanation and submit
facts in opposition to such action, such explanation to be submitted to the
president by the employee or retiree not later than 10 days following the
issuance of the notice by the president required by this subdivision. Such
employee may be restored to the plan on approval of the president and subject
to such conditions as may be imposed by the president.
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