P.R. Laws tit. 3, § 729g

2019-02-20 00:00:00+00
§ 729g. Election of coverage

(a) Any employee may, at such time, in such manner, and under such conditions of eligibility as the Administration may prescribe through regulations, with absolute freedom of selectivity, enroll in an approved health benefits plan as prescribed in § 729e of this title, either as an individual, or for himself and family members, as defined in § 729c of this title. Such regulations may provide for the exclusion of employees on the basis of the nature and type of their employment or conditions pertaining thereto, such as, but not limited to short-term appointments, seasonal or intermittent employment, and employment of similar nature, but no employee or group of employees shall be excluded solely on the basis of the hazardous nature of their employment or a preexisting medical condition.

(b) If the spouse or domestic partner of an employee or retired employee works in the public service or is, in turn, retired from public service, either the spouse or the domestic partner may enroll themselves and family members, as defined in § 729c of this title, in a family plan of their choice, and shall be entitled to have the government’s contributions for both of them applied to such plan up to the maximum allowance of such government contribution, or each spouse or domestic partner may enroll as an individual in the individual or family plan of his choice.

(c) A change in the coverage of any employee, or of any employee and family members, as defined in § 729c of this title, enrolled in a health benefit plan under this §§ 729a—729n of this title, may be made by the employee upon application filed within sixty (60) days after the occurrence of a change in the family, or on such other date and under such conditions as the Administration may prescribe by regulations.

(d) A transfer of enrollment from one health benefits plan described in § 729e of this title, to another such plan, may be made by an employee at such times and under such conditions as the Director may by regulation prescribe.

History —June 29, 1963, No. 95, p. 280, § 7; Mar. 25, 1976, No. 18, p. 40, § 4; June 1, 1982, No. 23, p. 49, § 1; June 3, 1983, No. 68, p. 146, § 1; June 26, 2013, No. 36, § 4.