3 Del. Admin. Code § 1002-2.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1002-2.0 - Eligibility Criteria for Health Coverage

2.1 The Board will pay from the Fund for health coverage for active jockeys who regularly ride in Delaware, eligible retired jockeys, and disabled Delaware jockeys.

2.1.1 An Active Delaware Jockey, who regularly rides in Delaware, is eligible for health insurance coverage under the fund, if the jockey had 75 mounts in a Delaware Park season at Delaware Park.

An Active Delaware Jockey who did not ride the qualifying number of mounts during a Delaware Park season due to circumstances beyond the control of the jockey may petition the Delaware Jockey's Health and Welfare Benefit Board for eligibility. The Delaware Jockey's Health and Welfare Benefit Board shall review the petition, and if in the discretion of the Board the circumstances warrant, may grant eligibility.

2.1.2 A Retired Delaware Jockey is eligible for health insurance coverage under the Fund if:

2.1.2.1 The Jockey was receiving health insurance coverage as a retired jockey provided by the Delaware Jockey's Health and Welfare Benefit Board health insurance plan on December 31, 2016; or

2.1.2.2 The Jockey met the minimum mount requirements at Delaware Park during the regular Delaware Park season for at least ten years.

2.1.2.3 The Jockey is not licensed as a jockey in any racing jurisdiction.

2.1.3 A disabled Delaware Jockey's spouse and dependents qualify for health benefits if the disabled jockey meets all of the following requirements:

2.1.3.1 The jockey was an active participant in the Delaware Jockeys' Health and Welfare Fund benefit program at the time of the on-track accident that resulted in total and permanent disability; and

2.1.3.2 Be deemed permanently disabled by Social Security and qualify for Medicare as a result of an injury sustained during the regular Delaware Park season on the premises of Delaware Park, and arising in the course of his/her participation as a licensed jockey.

2.2 An active jockey, a retired jockey or an eligible disabled jockey's family will be entitled to health coverage for one year beginning on the first day of the calendar year following the year the eligibility requirements have been met.

2.3 The Board will pay from the Fund for health coverage for the dependents of active jockeys who regularly ride in Delaware, eligible retired jockeys, and disabled Delaware jockeys.

2.3.1 Eligibility for coverage for dependents will be determined by the company providing the insurance coverage.

2.4 The Fund shall provide benefits secondary to Medicare or Medicaid for any member or an enrolled dependent of a member, who is eligible for Medicare or Medicaid health benefits.

3 Del. Admin. Code § 1002-2.0

9 DE Reg. 1749 (05/01/06)
13 DE Reg. 1536 (06/01/10)
15 DE Reg. 60 (07/01/11)
15 DE Reg. 1585 (05/01/12)
19 DE Reg. 33 (7/1/2015)
20 DE Reg. 890 (5/1/2017)
28 DE Reg. 381 (11/1/2024) (Final)