8 chapters · 604 sections in this title.
§ 103.003 RSMo Definitions
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103.003. Definitions. — As used in sections 103.003 to 103.175, the following terms mean: (1) "Actuarial reserves", the necessary funding required to pay all the medical expenses for services provided to members of the plan but for which the claims have not yet been received by t…
§ 103.005 RSMo Missouri consolidated health care plan established, purpose — powers to
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103.005. Missouri consolidated health care plan established, purpose — powers to carry out plan. — For the purpose of covering medical expenses of the officers, employees and retirees, the eligible dependents of officers, employees and retirees and to the surviving spouses and ch…
§ 103.008 RSMo Administration to be by board of trustees — members, qualifications,
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103.008. Administration to be by board of trustees — members, qualifications, appointment, terms — vacancies. — 1. The general administration and the responsibility for the proper operation of the plan is vested in a board of trustees of thirteen persons, as follows: the director…
§ 103.010 RSMo MOSERS medical staff will serve jointly on both boards — rates and
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103.010. MOSERS medical staff will serve jointly on both boards — rates and services, decisions prior to January 1, 1994, to be made by MOSERS board. — MOSERS medical staff will serve jointly on both boards. All decisions on rates and services for dates prior to January 1, 1994, …
§ 103.012 RSMo Board chairman and vice chairman elected annually by secret ballot — powers
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103.012. Board chairman and vice chairman elected annually by secret ballot — powers and duties. — The board shall elect by secret ballot one member as chairman and one member as vice chairman in January of each year. The chairman shall preside over the meetings of the board and …
§ 103.014 RSMo Executive director appointed by board, not to be board member — powers and
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103.014. Executive director appointed by board, not to be board member — powers and duties. — The board shall appoint an executive director, not one of their number, who shall be the executive officer of the board and shall have charge of the offices, records and employees of the…
§ 103.016 RSMo Executive director and staff to be state employees — board members not to
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103.016. Executive director and staff to be state employees — board members not to be employed by plan for four years after leaving board, exception. — The executive director and all other employees of the plan shall be state employees and eligible for all corresponding benefits.…
§ 103.019 RSMo Staff salaries to be set by board
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103.019. Staff salaries to be set by board. — 1. Employees of the plan shall receive such salaries and necessary expenses as shall be fixed by the board. 2. Subject to the provisions of the constitution, the board of trustees shall have exclusive jurisdiction and control over the…
§ 103.020 RSMo Summons and writs to be served on executive director
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103.020. Summons and writs to be served on executive director. — Any summons or other writ issued by the courts of the state shall be served upon the executive director. -------- (L. 1992 H.B. 1574 § 1 subsec. 10)
§ 103.023 RSMo Actuary or actuarial firm to give technical advice
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103.023. Actuary or actuarial firm to give technical advice. — The board shall employ or contract with an actuary or firm of actuaries familiar with health care financing as technical advisor to the board on matters regarding the operation and funding of the plan from an actuaria…
§ 103.025 RSMo Annual audit of records and accounts by CPA
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103.025. Annual audit of records and accounts by CPA. — The board shall arrange for annual audits of the records and accounts of the plan by a certified public accountant or firm of certified public accountants. -------- (L. 1992 H.B. 1574 § 1 subsec. 12, A.L. 2013 H.B. 116)
§ 103.027 RSMo Records to be open to public — annual report on financial condition of
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103.027. Records to be open to public — annual report on financial condition of plan, content. — The board shall keep a record of its proceedings, which shall be open to public inspection. The board shall prepare annually and make available a report showing the financial conditio…
§ 103.029 RSMo Attorney at law may be employed for legal advice and representation
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103.029. Attorney at law may be employed for legal advice and representation. — The board may employ or contract with an attorney at law or firm of attorneys to be the legal advisor of the board and to represent the board in all legal proceedings. -------- (L. 1992 H.B. 1574 § …
§ 103.032 RSMo Investment counselors may be employed for investment advice,
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103.032. Investment counselors may be employed for investment advice, qualifications, duties. — The board may employ or contract with an investment counselor or counselors to be the investment advisor to the board. The board may delegate to such investment counselor authority to …
§ 103.036 RSMo Benefit trust fund account to be established by board, purpose — powers of
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103.036. Benefit trust fund account to be established by board, purpose — powers of board to carry out duties. — The board shall set up and maintain a benefit trust fund account in which shall be placed all payroll deductions, payments, and income from all sources. All property, …
§ 103.039 RSMo Deposit of funds — commingling of funds prohibited — executive director to
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103.039. Deposit of funds — commingling of funds prohibited — executive director to be responsible, bond required. — All moneys received by or belonging to the plan shall be paid to the executive director and promptly deposited by the executive director to the credit of the plan …
§ 103.042 RSMo Board to serve without compensation — expenses authorized — board members
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103.042. Board to serve without compensation — expenses authorized — board members performing duties not to suffer loss of their regular compensation. — The board shall serve without compensation for their services as such, but shall be paid for any necessary expenses incurred in…
§ 103.045 RSMo Meetings of board, held where and how set — notice to board members
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103.045. Meetings of board, held where and how set — notice to board members. — The board shall meet within the state of Missouri not less than once per calendar quarter, at a time set at a previously scheduled meeting or at the request of the chairman or any four trustees acting…
§ 103.047 RSMo Board members to have one vote — six members to be quorum — majority vote
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103.047. Board members to have one vote — six members to be quorum — majority vote of trustees present for official actions — meeting not required, procedure to determine will of board. — Each trustee shall be entitled to one vote. Six trustees shall constitute a quorum for the t…
§ 103.050 RSMo Principal office for plan to be in Jefferson City, seal — courts to take
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103.050. Principal office for plan to be in Jefferson City, seal — courts to take judicial notice. — The principal office of the plan shall be in Jefferson City. The plan shall have a seal bearing the inscription "Missouri Consolidated Health Care Plan", which shall be in the cus…
§ 103.055 RSMo Errors in members or providers receiving more or less than entitled to —
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103.055. Errors in members or providers receiving more or less than entitled to — board's power to correct or recover overpayments. — Should any error result in any member or provider receiving more or less than he or she would have been entitled to receive had the error not occu…
§ 103.057 RSMo False statement or falsifying record of plan, penalty
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103.057. False statement or falsifying record of plan, penalty. — A person who knowingly makes a false statement, or falsifies or permits to be falsified a record of the plan, in an attempt to defraud the plan is subject to fine or imprisonment under the laws of this state. ---…
§ 103.059 RSMo Rules authorized, duties of board
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103.059. Rules authorized, duties of board. — Subject to the limitations of law, the board shall formulate and adopt rules and regulations for the government of its own proceedings and for the administration of the plan, and its decisions as to all questions of fact shall be fina…
§ 103.061 RSMo Inspection by board of accounts and records of participants in plan or
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103.061. Inspection by board of accounts and records of participants in plan or requesting participants. — The accounts and records of any state department, agency, institution, political subdivision or governmental entity participating in the plan or requesting participation sha…
§ 103.064 RSMo Subpoena of witnesses or production of records, powers of board
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103.064. Subpoena of witnesses or production of records, powers of board. — The board shall have the power to subpoena witnesses or obtain the production of records when necessary for the performance of its duties. -------- (L. 1992 H.B. 1574 § 1 subsec. 26)
§ 103.067 RSMo Trustees and employees not to profit from plan transactions — acceptance of
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103.067. Trustees and employees not to profit from plan transactions — acceptance of gratuity or compensation to influence investment, penalties. — 1. No trustee or employee of the plan shall receive any gain or profit from any funds or transaction of the plan, except benefits co…
§ 103.070 RSMo Tax exemptions for plan's assets
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103.070. Tax exemptions for plan's assets. — The assets of the plan shall be exempt from state, county, municipal or other political subdivision taxes. -------- (L. 1992 H.B. 1574 § 1 subsec. 30)
§ 103.075 RSMo Plan to become effective on January 1, 1994 — prior to effective date
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103.075. Plan to become effective on January 1, 1994 — prior to effective date employees' retirement medical care plan to remain in effect. — The plan shall become effective on January 1, 1994. The Missouri state employees' retirement system medical care plan available for state …
§ 103.078 RSMo Foster parents permitted to purchase, when
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103.078. Foster parents permitted to purchase, when. — In accordance with section 210.539, the Missouri consolidated health care plan shall allow a foster parent who qualifies for state health insurance under section 210.539 to purchase the same state health insurance as state em…
§ 103.079 RSMo Health care programs sponsored by other state agencies may become part of
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103.079. Health care programs sponsored by other state agencies may become part of consolidated plan, procedure — departments may review plan and withdraw, when — higher education entities may become part of consolidated plan, procedure. — 1. The health care programs sponsored by…
§ 103.080 RSMo High deductible plans and health savings accounts to be offered —
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103.080. High deductible plans and health savings accounts to be offered — definitions — premiums — consumer-driven health care plans — rulemaking authority. — 1. As used in this section, the following terms shall mean: (1) "Health savings account" or "account", shall have the sa…
§ 103.083 RSMo Medical benefit coverage, board's authority to contract for — comparable
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103.083. Medical benefit coverage, board's authority to contract for — comparable benefits for employees relying on spiritual healing. — The board shall provide or contract, or both, on its own behalf, for medical benefits coverage and services for persons covered under sections …
§ 103.084 RSMo Recommendation to change to an October first plan year for health care
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103.084. Recommendation to change to an October first plan year for health care provider contracts. — Due to the differences between the appropriations process and the current contract methodology used by the board, the general assembly hereby recommends that the board, with resp…
§ 103.085 RSMo Termination of coverage, when, exceptions, certain persons may choose to
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103.085. Termination of coverage, when, exceptions, certain persons may choose to continue coverage, requirements. — Except as otherwise provided by sections 103.003 to 103.080, medical benefits coverage as provided by sections 103.003 to 103.080 shall terminate when the member c…
§ 103.089 RSMo Medicare benefits participants, effect
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103.089. Medicare benefits participants, effect. — Participants in the program of medical benefits coverage provided by sections 103.003 to 103.175 who are eligible for Medicare benefits and who are not eligible for the program of medical benefits coverage provided under sections…
§ 103.095 RSMo General assembly members, elected officials and employees who cease to hold
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103.095. General assembly members, elected officials and employees who cease to hold office may continue coverage — time limitation to elect coverage. — Notwithstanding any other provision of law to the contrary, any member of the general assembly and any elected state official h…
§ 103.098 RSMo Thirty-day enrollment period for state employees, retirees and dependents —
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103.098. Thirty-day enrollment period for state employees, retirees and dependents — preexisting condition not covered for twelve months. — There shall be a thirty-day enrollment period, at a time designated by the board, during which retirees and surviving dependents of retirees…
§ 103.100 RSMo Cost of medical benefit program, estimated amount, how computed —
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103.100. Cost of medical benefit program, estimated amount, how computed — notification of authorized medical benefit options — recommendation of portion to be paid by employees — appropriations requested. — 1. Before each October first, the board shall separately certify to each…
§ 103.105 RSMo Participating member agencies to pay executive director monthly — payment
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103.105. Participating member agencies to pay executive director monthly — payment deposited in health fund. — The employing participating member agency of the members of the plan who are not paid out of funds that have been deposited in the state treasury shall promptly pay mont…
§ 103.110 RSMo Certification of costs of providing recommended options — premium amounts,
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103.110. Certification of costs of providing recommended options — premium amounts, payment — deposit in fund. — Before each October first, the board shall certify to the state division of budget and planning an actuarially determined amount which will be necessary during the nex…
§ 103.115 RSMo Consultants, former employees from certain state agencies, judges or
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103.115. Consultants, former employees from certain state agencies, judges or teachers to be compensated for advice which will be paid toward medical benefits, amount. — Any former employee or any surviving spouse who is receiving retirement benefits from the Missouri state emplo…
§ 103.130 RSMo Agencies joining plan to be by majority vote of governing body, procedure —
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103.130. Agencies joining plan to be by majority vote of governing body, procedure — coverage to be effective, when — must be offered to all eligible employees, retirees and dependents of agency. — Each participating member agency may elect by majority vote of its governing body,…
§ 103.133 RSMo Withdrawal from plan — participating agencies and political subdivisions,
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103.133. Withdrawal from plan — participating agencies and political subdivisions, procedure — termination of plan effective, when. — A participating member agency may elect to withdraw from the plan by certifying such election of its governing body to the board. Such certificati…
§ 103.136 RSMo Agencies and political subdivisions, coverage by plan after termination,
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103.136. Agencies and political subdivisions, coverage by plan after termination, two-year period, exception, board action. — Any participating member agency terminating its coverage under the plan will not be eligible for participation in the plan for a period of two years after…
§ 103.138 RSMo Plan not responsible for liabilities prior to effective date — for
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103.138. Plan not responsible for liabilities prior to effective date — for participating agencies and political subdivisions. — The plan shall not assume responsibility for any liabilities incurred by the participating member agency or its eligible employees, retirees, or depend…
§ 103.141 RSMo Participating agencies and political subdivisions, persons eligible for plan
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103.141. Participating agencies and political subdivisions, persons eligible for plan. — The persons in each participating member agency eligible for coverage by the plan shall include, subject to the limitations contained in sections 103.003 to 103.175: (1) All employees, retire…
§ 103.145 RSMo Enrollment period of thirty days for employees, retirees and dependents of
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103.145. Enrollment period of thirty days for employees, retirees and dependents of participating member agency. — There shall be a thirty-day enrollment period, at a time designated by the board, during which retirees and surviving dependents of retirees or employees of a partic…
§ 103.150 RSMo Coverage to terminate when person no longer employee of participating
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103.150. Coverage to terminate when person no longer employee of participating member agency — exceptions. — Notwithstanding any other law to the contrary and with the exception of a retiree of the participating member agency or a former employee of the participating member agenc…
§ 103.155 RSMo Reimbursement by participating member agency of start-up costs incurred
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103.155. Reimbursement by participating member agency of start-up costs incurred solely for member agency. — If so determined by the board, a participating member agency shall reimburse the plan for any initial start-up costs that are incurred by the plan solely on behalf of the …
§ 103.158 RSMo Premiums to be paid by participating agencies — deposit into fund
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103.158. Premiums to be paid by participating agencies — deposit into fund. — Monthly, in accordance with a schedule developed by the board, or its designee, each participating member agency shall pay all applicable premium amounts to the executive director. The premium amounts s…