HB3784 103RD GENERAL ASSEMBLY

LRB103 05296 BMS 51791 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3784

Introduced 2/17/2023, by Rep. Michael T. Marron

SYNOPSIS AS INTRODUCED:

5 ILCS 375/5.5 new

Amends the State Employees Group Insurance Act of 1971. Sets forth requirements for programs of group health benefits administered by the Department of Central Management Services for annuitants, retired TRS benefit recipients, or retired community college benefit recipients. Provides that if, on the effective date of the amendatory Act, the Director of Central Management Services has procured fewer than 2 contracts that provide a program of group health benefits for annuitants, retired TRS benefit recipients, or retired community college benefit recipients, then, as soon as possible after the effective date of the amendatory Act, the Director shall procure additional contracts that provide a program of group health benefits so that there are at least 2 contracts that provide a program of group health benefits for the respective beneficiaries. Provides that thereafter, the Director shall ensure that there are at least 2 contracts procured that provide a program of group health benefits for annuitants, retired TRS benefit recipients, and retired community college benefit recipients.

A BILL FOR

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The State Employees Group Insurance Act of 1971 is amended by adding Section 5.5 as follows:

(5 ILCS 375/5.5 new)

Sec. 5.5. Annuitant health benefits; group program requirements.

(a) All programs of group health benefits administered by the Department of Central Management Services for annuitants, retired TRS benefit recipients, or retired community college benefit recipients shall be subject to the following requirements:

(1) 90 days before the expiration of a current contract for a program of group health benefits, the Department of Central Management Services shall notify the Commission when the request for proposal process shall commence for that benefits program to be offered in the next fiscal year.

(2) Concurrent with the notice required under paragraph (1), the Department of Central Management Services shall disclose to the Commission information regarding the request for proposal rating process, including, but not limited to, documents, reports of negotiations, bid invitations, requests for proposals, specifications, copies of proposed and final contracts or agreements, and any other materials concerning contracts or agreements for proposed benefit programs.

(3) The request for proposal process shall include a regional analysis to determine if an applicant is unable to provide coverage for annuitants or retirees in any area of this State.

(b) For each program of health benefits for annuitants or retirees that is subject to the requirements of this Section, the Department of Central Management Services shall conduct a poll of at least 10% of current benefit recipients to measure satisfaction with their program of group health benefits. The form and methods of this poll shall be approved by the Director. The results of the recipient satisfaction polls shall be disclosed to the Commission and that poll information may be used by the Commission to hold a public hearing. A contract for any program of group health benefits subject to this Section may not be selected for the next fiscal year until the Commission holds a hearing on member satisfaction pursuant to this subsection (b).

(c) If, on the effective date of this amendatory Act of the 103rd General Assembly, the Director has procured fewer than 2 contracts that provide any program of group health benefits for annuitants, retired TRS benefit recipients, or retired community college benefit recipients, then, as soon as possible after the effective date of this amendatory Act of the 103rd General Assembly, the Director shall procure additional contracts that provide that program of group health benefits so that there are at least 2 contracts that provide a program of group health benefits. Thereafter, the Director shall ensure that there are at least 2 contracts procured that provide that program of group health benefits for annuitants, retired TRS benefit recipients, or retired community college benefit recipients.