Division 30-Missouri State Employees Retirement System Chapter 3-Missouri State Medical Care Plan
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1 Retirement Rules of Systems Division 30-Missouri State Employees Retirement System Chapter 3-Missouri State Medical Care Plan Title Page 16 CSR Eligible Employees.9 16 CSR Definitions.9 16 CSR Definitions (Rescinded July 10, 1994).9 16 CSR Dependents.9 16 CSR Membership Agreement and Period (Rescinded April 11, 1984) CSR Membership Agreement and Participation Period (RescindedJuly10,1994) CSR Enrollment Options CSR Schedule for Benefits for Non-Medicare-Eligible Participants CSR Contributions (Rescinded July 10, 1994).9 16 CSR Employee s Waiting Period (Rescinded July 11, 1982).9 16 CSR Basic Benefits for Non-Medicare-Eligible Participants (Rescinded April 11, 1984) CSR Summary of Medical Benefits (Rescinded July 10, 1994).9 Judith K. Moriarty (5/27/94) CODE OF STATE REGULATIONS 1 scmtary Of state
2 16 CSR Effective Date of Coverage (Rescinded July 11, 1982) CSR Major Medical Benefits for Non-Medicare-Eligible Participants (Rescinded April 11, 1984) CSR Benefit Provisions and Covered Charges (Rescinded July 10, 1994) CSR Effective Date of Coverage Proviso CSR Schedule of Benefits for Medicare-Eligible Participants (Rescinded April 11, 1984) CSR Limitations CSR General Definitions (Rescinded July 11, 1982) CSR Benefits Available to Medicare-Eligible Participants (Rescinded April 11, 1984) CSR Coordination of Benefits (Rescinded July 10, 1994) CSR Schedule of Benefits (Rescinded July 11, 1982) CSR Extended Benefits for All Participants (Rescinded April 11, 1984) CSR Extended Benefits on Termination of Insurance CSR Maternity Eligibility (RescindedJuly11,1982) CSR Benefit Exclusions Applicable to Basic and Major Medical Programs CSR Conversion Privilege (Rescinded March 26,199O) CSR Hospital Expense Benefits (RescindedJuly11,1982) CSR Coordination of Benefits Under Basic and Major Medical Programs CSR Miscellaneous Provisions (Rescinded July 10, 1994) CSR Successive Periods of Hospital Confinement CODE OF STATE REGULATIONS (5/27/94) Judith K. Moriarty SecretA Of state
3 16 CSR Abortions (Rescinded April 11, 1984) CSR Limitations on Hospital Confinement (Rescinded July 11, 1982).9 16 CSR Termination of Coverage (Rescinded April 11, 1984).9 16 CSR Surgical Expense Benefits 16 CSR Conversion Privilege (Rescinded April 11, 1984) 16 CSR Limitations on Surgical Expense Benefits (Rescinded July 11, 1982) 16 CSR Miscellaneous Provisions 16 CSR Schedule of Maximum Surgical Fees 16 CSR Refunds of Premium Overpayments (Rescinded April 11, 1984) 16 CSR Maternity Hospital Expense and Obstetrical Benefits Under Option I (High (Rescinded July 11, 1982) 16 CSR Confidentiality of Records (Rescinded April 11, 1984) CSR Limitations on Maternity Hospital Expense and Obstetrical Benefits Under Option I (High (Rescinded July 11, 1982). 16 CSR Transfer Between State Departments CSR Medical Expense Benefits (RescindedJuly11,1982) CSR Processing of Medical Care Plan Benefit Claims, 16 CSR Limitations on Medical Expense Benefits (RescindedJuly11,1982) CSR Appeal Procedure (Rescinded April 11, 1984) 16 CSR X-ray and Laboratory Benefits 16 CSR Extension of Coverage by Medical Care Plan and Basic Life Insurance (Rescinded April 11, 1984).I0 Judith K. Moriarty (5/27/94) CODE OF STATE REGULATIONS 3 sceratary Of state
4 16CSR CSR CSR Limitations on X-ray and Laboratory Benefits Supplementary Accident Expense Benefits Covered Expenses 16CSR CSR CSR Limitations on Covered Expenses.I0 Extension of Hospital, Surgical, Medical, X-ray and Laboratory and Supplementary Accident Benefits Major Medical Expense Benefits Definitions 16CSR30-3.2'70 Definition and Explanation of Deductible (Rescinded July 11, 1982) _. 16CSR Benefits in Excess of Deductible (Rescinded July 11, 1982) 16CSR CSR CSR CSR CSR CSR CSR Preexisting Conditions (Rescinded July 11, 1982).I0 Expenses That Are Not Covered Under Major Medical Expense Benefits 10 Maximum Amount Payable for All Disablements Under Option I (High (Rescinded July 11, 1982).I0 Benefits Payable Upon Common Disaster (RescindedJuly11,1982) Reinstatement of Maximum for Major Medical Expense Benefits Under Option I (High..I0 Extension of Benefits for Major Medical Expense Benefits Under Option I (High.I0 Schedule of Benefits (Rescinded July 11, 1982) _..I0 16CSR Maternity Eligibility (Rescinded July 11, 1982) 4 - CODE OF STATE REGULATIONS (5/27/94) Judith K. Moriarty sccr*ly Of state
5 16 CSR Hospital Expense Benefits (RescindedJuly11,1982) CSR Successive Periods of Hospital Confinement (RescindedJuly11,1982) CSR Limitations CSR Surgical Expense Benefits (RescindedJuly11,1982) CSR Limitations on Surgical Expense Benefits (RescindedJuly11,1982) CSR Schedule of Maximum Surgical Fees (RescindedJuly11,1982) CSR Maternity Hospital Expense and Obstetrical Benefits Under Option II (Low.I1 16 CSR Limitations on Maternity Hospital Expense and Obstetrical Benefits Under Option II (Low 16 CSR Medical Expense Benefits (RescindedJuly11,1982) CSR Limitations on Medical Expense Benefits (Rescinded July 11, 1982) _. 16 CSR X-ray and Laboratory Benefits (Rescinded July 11, 1982) 16 CSR Limitations on X-ray and Laboratory Benefits 16 CSR Supplementary Accident Expense Benefits (RescindedJuly11,1982)...,.,...,..., CSR Covered Expenses Under Option II (Low,11 16 CSR Limitations on Covered Expenses (RescindedJuly11,1982)...,.,..., CSR Extension of Hospital, Surgical, Medical, X-ray and Laboratory and Supplementary Accident Benefits Judith K. Moriarty (S/27/94) CODE OF STATE REGULATIONS saeretfary Of state 5
6 16 CSR Major Medical Expense Benefits Definitions (RescindedJuly11,1982) CSR Definition and Explanation of Deductible (RescindedJuly11,1982) CSR Benefits in Excess of Deductible _. _. 16 CSR Preexisting Conditions (RescindedJuly11,1982) CSR Expenses That Are Not Covered Under Major Medical Expense Benefits _. _. _. _ CSR Maximum Amount Payable for All Disablements (Rescinded July 11, 1982).I1 16 CSR Benefits Payable Upon Common Disaster (Rescinded July 11, 1982) _..I1 16 CSR Reinstatement of Maximum for Major Medical Expense Benefits Under Option II (Low (Rescinded July 11, 1982) CSR Extension of Benefits for Major Medical Expense Benefits Under Option II (Low 16 CSR Termination of Coverage or Option II (Low 16 CSR Definition of Certain Terms Relating to Coordination of Benefits Under Option I (High and Option II (Low Coverage and Other Health Insurance Plans 16 CSR Provision for Coordination of Benefits and Option II (Low Coverage and Other Health Insurance Plans 16 CSR Conversion Privilege and Option II (Low Coverage With Private Insurance Plan CSR Medicare Benefits and Provisions and Option II (Low Coverage CSR Procedures for Payment of Benefits CSR Benefits Payable Upon Termination of the Missouri State Medical Care Plan.12 6 CODE OF STATE REGULATIONS (5/27/94) Judith K. Moriarty Icrehri Of state
7 16 CSR Provision as to Choice of Doctors CSR Provisions as to Inspection (Rescinded July 11, 1982).I2 16 CSR Abortions CSR Alcohol and Drug Abuse Benefits CSR Uniformity of Benefits for Pregnancy, Childbirth or Related Medical Conditions CSR Medical Benefits for Medicare Participants (Rescinded July 11, 1982),12 Judith K. Moriarty (5/27/94) CODE OF STATE REGULATIONS secretary Of S,l,S 7
8 Chapter 3--Missouri State Medical Care Plan 16 CSR 30-3 Title 16-RETIREMENT SYSTEMS Division 30-Missouri State Employees Retirement System Chapter 3-Missouri State Medical Care Plan 16 CSR Eligible Employees 16 CSR Summary of Medical Benefits 16 CSR Effective Date of coverage 16 CSR Extended Benefits on Termination of Insurance 16 CSR Maternity Eligibility.\ 16 CSR Definitions 16 CSR Definitions 16 CSR Major Medical Benefits for Non-Medicare-Eligible Participants 16 CSR Benefit Provisions and Covered Charges 16 CSR Benefit Exclusions Applicable to Basic and Major Medical Programs 16 CSR Conversion Privilege (Rescinded March 26,199O) 16 CSR Dependents 16 CSR Membership Agreement and Period 16 CSR Membership Agreement and Participation Period 16 CSR Enrollment Options 16 CSR Schedule for Benefits for Non-Medicare-Eligible Participants 16 CSR Effective Date of Coverage Proviso 16 CSR Schedule of Benefits for Medicare-Eligible Participants 16 CSR Limitations 16 CSR General Definitions 16 CSR Benefits Available to Medicare-Eligible Participants 16 CSR Hospital Expense Benefits 16 CSR Coordination of Benefits Under Basic and Major Medical Pr0glXRW 16 CSR Miscellaneous Provisions 16 CSR Successive Periods of Hospital Confinement Under Option I (High 16 CSR Contributions 16 CSR Employee s Waiting Period 16 CSR Coordination of Benefits (Rescinded July 10, 1994) 16 CSR Schedule of Benefits 16 CSR Abortions 16 CSR Limitations on Hospital Confinement Under Option I (High., 16 CSR Basic Benefits for Non- Medicare-Eligible Participants 16 CSR Extended Benefits for All Participants 16 CSR Termination of coverage Judith K. Moriarty (5/27/94) CODE OF STATE REGULATIONS secretary Of state 9
9 m 16 CSR 30-3-RETIREMENT SYSTEMS Division 30--Missouri State Employees Retirement System 16 CSR Surgical Expense Benefits 16 CSR Processing of Medical cart? Plan Benefit Claims 16 CSR Major Medical Expense Benefits Definitions Under Option I (High 16 CSR Conversion Privilege 16 CSR Limitations on Surgical Expense Benefits Under Option I (High 16 CSR Miscellaneous Provisions 16 CSR Schedule of Maximum $I;$$ Fees Under Option I (High (Rkinded July 11,1982) 16 CSR Refunds of Premium overpayments 16 CSR Maternity Hospital Expense and Obstetrical Benefits Under Option I (High 16 CSR Confidentiality of Records 16 CSR Limitations on Maternity Hospital Expense end Obstetrical Benefits 16 CSR Transfer Between State Departments 16 CSR Medical Expense Benefits 16 CSR Limitations on Medical Expense Benefits Under Option I (High 16 CSR Appeal Procedure 16 CSR X-ray and Laboratory Benefits 16 CSR Extension of Coverage by Medical Care Plan and Basic Life InsUlWlCe 16 CSR Limitations on X-ray end Laboratory Benefits Under Option I (High 16 CSR Supplementary Accident Expense Benefits Under Option I (High 16 CSR Covered Expenses 16 CSR Limitations on Covered Expenses 16 CSR Extension of Hospital, Surgical, Medical, X-ray and Laboratory and Supplementary Accident Benefits 16 CSR Definition and Explanation of Deductible Under Option I (High 16 CSR Benefits in Excess of Deductible 16 CSR Preexisting Conditions 16 CSR Expenses That Are Not Covered Under Major Medical Expense Benefits 16 CSR Maximum Amount Payable for All Disablements Under Option I (High 16 CSR Benefits Payable Upon g;ny Disaster Under Option I (High 16 CSIE Reinstatement of Maximum for Major Medical Expense Benefits (Rescinded July l&1982) 16 CSR Extension of Benefits for Major Medical Expense Benefits 16 CSR Schedule of Benefits 10 CODE OF STATE REGUtATlONS (5/27/94) Judith K. Moriarty Sccrdary Of state
10 Chapter 34vlissouri State Medical Care Plan 16 CSR CSR Maternity Eligibility 16 CSR Limitations on Medical Expense Benefits Under Option II (Low 16 CSR Preexisting Conditions 16 CSR Hospital Expense Benefits 16 CSR X-ray and Laboratory Benefits 16 CSR Expenses That Are Not Covered Under Major Medical Expense Benefits 16 CSR Successive Periods of Hospital Confinement Under Option II (Low 16 CSR Limitations on X-ray and Laboratory Benefits Under Option II (Law 16 CSR Maximum Amount Payable for All Disablements Under Option II (Low 16 CSR Limitations Under Option II (Low 16 CSR Supplementary Accident Expense Benefits Under Option II (Low 16 CSR Benefits Payable Upon ppay Disaster Under Option II (Low 16 CSR Surgical Expense Benefits Under Option 11 (Low 16 CSR Covered Expenses 16 CSR Reinstatement of Manimum for Major Medical Expense Benefits.. 16 CSR Limitations on Surgical Expense Benefits Under Option II (Low 16 CSR Schedule of Maximum Fp;$;;l Fees Under Option II (Low 16 CSR Limitations on Covered Expenses 16 CSR Extension of Hospital, Surgical, Medical, X-ray and Laboratory and Supplementary Accident Benefits 16 CSR Extension of Benefits for Major Medical Expense Benefits 16 CSR Termination of Coverage or Option II (Low 16 CSR Maternity Hospital Expense and Obstetrical Benefits Under Option II (Low 16 CSR Limitations on Maternity Hospital Expense and Obstetrical Benefits 16 CSR Medical Expense Benefits (Rescinded July X,1982) 16 CSR Major Medical Expense Benefits Definitions Under Option II (Low 16 CSR Definition and Explanation of Deductible Under Option II (Low (Rescinded July l&1982) 16 CSR Benefits in Excess of Deductible 16 CSR Definition of Certain Terms Relating to Coordination of Benetits and Option II (Low Coverage and Other Health Insurance Plans 16 CSR Provision for Coordination of Benefiti Under Option I (High and Option II (Low Coverage and Other Health Insurance Plans Judith K. Moriarty (5/27/94) CODEOFSTATE REGUlATlONS secretary Of state II
11 m 16 CSR 30-3-RETIREMENT SYSTEMS Division 30-Missouri State Employees Retirement System 16 CSR Conversion Privilege and Option II (Low Coverage With Private Insurance Plan 16 CSR Medicare Benefits and Provisions and Option II (Low Coverage 16 CSR Procedures for Payment of Benefits 16 CSR Benefits Payable Upon Termination of the Missouri State Medical Care Plan 16CSR ProvisionastoChoiceof DO&r8 16 CSR Provisions as to Inspection 16 CSR Abortions 16 CSR Alcohol and Drug Abuse Benefits 16 CSR Uniformity of Benefits for Pregnancy, Childbirth or Related Medical Conditions 16 CSR Medical Benefits for Medicare Participants 12 CODE OF STATE REGULATIDNS (5/27/94)
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