|
|
|
HB6694 |
- 2 - |
LRB093 21009 WGH 47019 b |
|
|
1 |
| Section. A violation
of this item is a Class A misdemeanor.
|
2 |
| (3) Upon conviction for a violation described in item |
3 |
| (2), a law
enforcement, correctional or correctional |
4 |
| probation officer, or other
beneficiary who receives or |
5 |
| seeks to receive health insurance benefits under
this |
6 |
| Section shall forfeit the right to receive health insurance |
7 |
| benefits and
shall reimburse the employer for all benefits |
8 |
| paid due to the fraud or other
prohibited activity. For |
9 |
| purposes of this item, "conviction" means a
determination |
10 |
| of guilt that is the result of a plea or trial, regardless |
11 |
| of
whether adjudication is withheld.
|
12 |
| (b) In order for the law enforcement, correctional or |
13 |
| correctional probation
officer, firefighter, spouse, or |
14 |
| dependent children to be eligible for
insurance coverage under |
15 |
| this Act, the injury or death must have occurred as
the result |
16 |
| of the officer's response to fresh pursuit, the officer or
|
17 |
| firefighter's response to what is reasonably believed to be an |
18 |
| emergency, an
unlawful act perpetrated by another, or during |
19 |
| the investigation of a criminal
act. Nothing in this Section |
20 |
| shall be construed to limit health insurance
coverage or |
21 |
| pension benefits for which the officer, firefighter, spouse, or
|
22 |
| dependent children may otherwise be eligible.
|
23 |
| (c) As used in this Section, "catastrophic injury" means a |
24 |
| permanent grievous or serious injury or impairment of a nature |
25 |
| that is sufficient to preclude subsequent employment or |
26 |
| re-employment and is validated by a licensed physician selected |
27 |
| by the employer. "Catastrophic injury" does not include: |
28 |
| conditions that are temporary or short-term in nature; common |
29 |
| injuries; or injuries the effects of which may be mitigated by |
30 |
| work-related rehabilitative or vocational training. The |
31 |
| employer-selected physician's determination as to the |
32 |
| seriousness and permanency of an employee's injury may be |
33 |
| appealed to the employer's governing body. The final |
34 |
| administrative decision
of a governing body is subject to |
35 |
| judicial review under the Administrative Review Law. |
36 |
| (Source: P.A. 90-535, eff. 11-14-97.)
|