D.C. Mun. Regs. tit. 6, r. 6-B1172

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 6-B1172 - COVERAGE

1172.1

An eligible employee may elect to participate in the Dependent Care Flexible Spending Account and the Medical Expense Flexible Spending Account by completing and signing an enrollment form for that benefit as prescribed by the Plan Administrator.

1172.2

An employee shall be automatically enrolled to participate in the Pre-Tax Health Insurance Premium Conversion. The employee may elect to opt out or cancel the Pre-Tax Health Insurance Premium Conversion by completing and signing a waiver form within the time limits prescribed by the Plan Administrator.

1172.3

Any payment of, or the right to, benefits shall be non-assignable and non-transferable.

1172.4

The following persons shall not be eligible for coverage under the D.C. Pre-Tax Plan:

(a) An employee serving under an appointment of one (1) year or less, unless such an appointment follows an appointment of one (1) year or more with a break in service of three (3) days or less.

(b) An employee serving under a temporary appointment, or who is employed for brief periods at intervals;

(c) An employee who is expected to work less than six (6) months in each year, except for an employee of a D.C. Office of Personnel approved career-related work-study program of at least one (1) year's duration and who is expected to be in a pay status for at least one-third (1/3) of the total period of time from the date of initial appointment to the completion of the work-study program;

(d) An intermittent employee;

(e) A patient or resident in a hospital, group/halfway home, or correctional or mental institution of the District government who is employed in that facility but who is paid according to a District pay schedule;

(f) An employee of an Advisory Neighborhood Commission;

(g) An individual paid on a contract or fee basis;

(h) An annuitant or retiree; and

(i) An individual receiving disability compensation.

1172.5

An eligible employee who is a participant in the D.C. Pre-Tax Plan shall remain in the plan until one (1) of the following occurs:

(a) The participant ceases to be a District employee;

(b) The participant elects to revoke an election for coverage during the initial election period or subsequent election periods;

(c) The participant elects to revoke an election for coverage due to change in family status (e.g., marriage, divorce, change of employment, etc.), within thirty (30) days following such change in family status.

1172.6

For the first plan year, the initial election period for the Dependent Care and Medical Expense Flexible Spending Accounts shall be the period from December 1, 2000 through December 15, 2000.

1172.7

The Plan Administrator shall make the final determination of the applicability of this chapter to specific persons or groups of persons.

D.C. Mun. Regs. tit. 6, r. 6-B1172

Final Rulemaking published at 48 DCR 5004 (June 1, 2001)