Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 260. Office of Management and Enterprise Services |
Chapter 50. Employees Group Insurance Division - Health, Dental, Vision and Life Plans |
Subchapter 5. Coverage and Limitations |
Part 5. HEALTHCHOICE LIFE BENEFITS |
SECTION 260:50-5-20. Term life coverage
Latest version.
- (a) Group Term Life Benefits. A former employee who is reemployed by the same participating employer within twenty-four [24] months after the date of termination of previous employment shall not be enrolled for a greater amount of life insurance than the individual had at the time of termination of previous employment with the employer, unless the individual provides satisfactory evidence of insurability. Additionally, the amount of life insurance cannot exceed the amount of the guaranteed issue based on the employee's current salary, unless the individual provides satisfactory evidence of insurability. The amount of coverage provided by the employer is specified in the benefit administration procedures or guidelines as adopted by EGID. However, to elect this benefit, the member must be either a) enrolled in one of the group health plans offered through EGID or b) be enrolled in other qualified health coverage. In the event of death, the proceeds of this coverage are payable to the beneficiary listed on the most recently signed beneficiary designation subject to the limitations in Title 15. [15 O.S. §178] If no beneficiary form is on file at EGID, benefits will be paid to the decedent's estate.(b) Unlimited contestability period. There shall be no time limitation imposed upon EGID, during which coverage based on evidence of insurability submitted to EGID can be contested, if it is found that materially erroneous, false, inaccurate, or misleading information was provided in order to obtain optional or supplemental coverage in excess of any guaranteed amounts of coverage. In the event EGID determines coverage was granted based upon erroneous, false, inaccurate or misleading information, and that such information was material to EGID providing any optional or supplemental coverage, EGID shall extinguish its liability by tendering a refund of premiums paid to the insured or the beneficiary.