Full Text of HB4033 94th General Assembly
HB4033 94TH GENERAL ASSEMBLY
|
|
|
94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 HB4033
Introduced 02/28/05, by Rep. Lee A. Daniels SYNOPSIS AS INTRODUCED: |
|
5 ILCS 375/3 |
from Ch. 127, par. 523 |
5 ILCS 375/10 |
from Ch. 127, par. 530 |
|
Amends the State Employees Group Insurance Act of 1971. Makes technical changes in provisions concerning definitions and premiums.
|
| |
|
|
A BILL FOR
|
|
|
|
|
HB4033 |
|
LRB094 09940 JAM 40198 b |
|
| 1 |
| AN ACT concerning government.
| 2 |
| Be it enacted by the People of the State of Illinois,
| 3 |
| represented in the General Assembly:
| 4 |
| Section 5. The State Employees Group Insurance Act of 1971 | 5 |
| is amended by changing Sections 3 and 10 as follows:
| 6 |
| (5 ILCS 375/3) (from Ch. 127, par. 523)
| 7 |
| Sec. 3. Definitions. Unless the
the context otherwise | 8 |
| requires, the
following words and phrases as used in this Act | 9 |
| shall have the following
meanings. The Department may define | 10 |
| these and other words and phrases
separately for the purpose of | 11 |
| implementing specific programs providing benefits
under this | 12 |
| Act.
| 13 |
| (a) "Administrative service organization" means any | 14 |
| person, firm or
corporation experienced in the handling of | 15 |
| claims which is
fully qualified, financially sound and capable | 16 |
| of meeting the service
requirements of a contract of | 17 |
| administration executed with the Department.
| 18 |
| (b) "Annuitant" means (1) an employee who retires, or has | 19 |
| retired,
on or after January 1, 1966 on an immediate annuity | 20 |
| under the provisions
of Articles 2, 14 (including an employee | 21 |
| who has elected to receive an alternative retirement | 22 |
| cancellation payment under Section 14-108.5 of the Illinois | 23 |
| Pension Code in lieu of an annuity), 15 (including an employee | 24 |
| who has retired under the optional
retirement program | 25 |
| established under Section 15-158.2),
paragraphs (2), (3), or | 26 |
| (5) of Section 16-106, or
Article 18 of the Illinois Pension | 27 |
| Code; (2) any person who was receiving
group insurance coverage | 28 |
| under this Act as of March 31, 1978 by
reason of his status as | 29 |
| an annuitant, even though the annuity in relation
to which such | 30 |
| coverage was provided is a proportional annuity based on less
| 31 |
| than the minimum period of service required for a retirement | 32 |
| annuity in
the system involved; (3) any person not otherwise |
|
|
|
HB4033 |
- 2 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| covered by this Act
who has retired as a participating member | 2 |
| under Article 2 of the Illinois
Pension Code but is ineligible | 3 |
| for the retirement annuity under Section
2-119 of the Illinois | 4 |
| Pension Code; (4) the spouse of any person who
is receiving a | 5 |
| retirement annuity under Article 18 of the Illinois Pension
| 6 |
| Code and who is covered under a group health insurance program | 7 |
| sponsored
by a governmental employer other than the State of | 8 |
| Illinois and who has
irrevocably elected to waive his or her | 9 |
| coverage under this Act and to have
his or her spouse | 10 |
| considered as the "annuitant" under this Act and not as
a | 11 |
| "dependent"; or (5) an employee who retires, or has retired, | 12 |
| from a
qualified position, as determined according to rules | 13 |
| promulgated by the
Director, under a qualified local government | 14 |
| or a qualified rehabilitation
facility or a qualified domestic | 15 |
| violence shelter or service. (For definition
of "retired | 16 |
| employee", see (p) post).
| 17 |
| (b-5) "New SERS annuitant" means a person who, on or after | 18 |
| January 1,
1998, becomes an annuitant, as defined in subsection | 19 |
| (b), by virtue of
beginning to receive a retirement annuity | 20 |
| under Article 14 of the Illinois
Pension Code (including an | 21 |
| employee who has elected to receive an alternative retirement | 22 |
| cancellation payment under Section 14-108.5 of that Code in | 23 |
| lieu of an annuity), and is eligible to participate in the | 24 |
| basic program of group
health benefits provided for annuitants | 25 |
| under this Act.
| 26 |
| (b-6) "New SURS annuitant" means a person who (1) on or | 27 |
| after January 1,
1998, becomes an annuitant, as defined in | 28 |
| subsection (b), by virtue of
beginning to receive a retirement | 29 |
| annuity under Article 15 of the Illinois
Pension Code, (2) has | 30 |
| not made the election authorized under Section 15-135.1
of the | 31 |
| Illinois Pension Code, and (3) is eligible to participate in | 32 |
| the basic
program of group
health benefits provided for | 33 |
| annuitants under this Act.
| 34 |
| (b-7) "New TRS State annuitant" means a person who, on or | 35 |
| after July
1, 1998, becomes an annuitant, as defined in | 36 |
| subsection (b), by virtue of
beginning to receive a retirement |
|
|
|
HB4033 |
- 3 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| annuity under Article 16 of the Illinois
Pension Code based on | 2 |
| service as a teacher as defined in
paragraph (2), (3), or (5) | 3 |
| of Section 16-106 of that Code, and is eligible
to participate | 4 |
| in the basic program of group health benefits provided for
| 5 |
| annuitants under this Act.
| 6 |
| (c) "Carrier" means (1) an insurance company, a corporation | 7 |
| organized
under the Limited Health Service Organization Act or | 8 |
| the Voluntary Health
Services Plan Act, a partnership, or other | 9 |
| nongovernmental organization,
which is authorized to do group | 10 |
| life or group health insurance business in
Illinois, or (2) the | 11 |
| State of Illinois as a self-insurer.
| 12 |
| (d) "Compensation" means salary or wages payable on a | 13 |
| regular
payroll by the State Treasurer on a warrant of the | 14 |
| State Comptroller out
of any State, trust or federal fund, or | 15 |
| by the Governor of the State
through a disbursing officer of | 16 |
| the State out of a trust or out of
federal funds, or by any | 17 |
| Department out of State, trust, federal or
other funds held by | 18 |
| the State Treasurer or the Department, to any person
for | 19 |
| personal services currently performed, and ordinary or | 20 |
| accidental
disability benefits under Articles 2, 14, 15 | 21 |
| (including ordinary or accidental
disability benefits under | 22 |
| the optional retirement program established under
Section | 23 |
| 15-158.2), paragraphs (2), (3), or (5) of
Section 16-106, or | 24 |
| Article 18 of the Illinois Pension Code, for disability
| 25 |
| incurred after January 1, 1966, or benefits payable under the | 26 |
| Workers'
Compensation or Occupational Diseases Act or benefits | 27 |
| payable under a sick
pay plan established in accordance with | 28 |
| Section 36 of the State Finance Act.
"Compensation" also means | 29 |
| salary or wages paid to an employee of any
qualified local | 30 |
| government or qualified rehabilitation facility or a
qualified | 31 |
| domestic violence shelter or service.
| 32 |
| (e) "Commission" means the State Employees Group Insurance | 33 |
| Advisory
Commission authorized by this Act. Commencing July 1, | 34 |
| 1984, "Commission"
as used in this Act means the Commission on | 35 |
| Government Forecasting and Accountability as
established by | 36 |
| the Legislative Commission Reorganization Act of 1984.
|
|
|
|
HB4033 |
- 4 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| (f) "Contributory", when referred to as contributory | 2 |
| coverage, shall
mean optional coverages or benefits elected by | 3 |
| the member toward the cost of
which such member makes | 4 |
| contribution, or which are funded in whole or in part
through | 5 |
| the acceptance of a reduction in earnings or the foregoing of | 6 |
| an
increase in earnings by an employee, as distinguished from | 7 |
| noncontributory
coverage or benefits which are paid entirely by | 8 |
| the State of Illinois
without reduction of the member's salary.
| 9 |
| (g) "Department" means any department, institution, board,
| 10 |
| commission, officer, court or any agency of the State | 11 |
| government
receiving appropriations and having power to | 12 |
| certify payrolls to the
Comptroller authorizing payments of | 13 |
| salary and wages against such
appropriations as are made by the | 14 |
| General Assembly from any State fund, or
against trust funds | 15 |
| held by the State Treasurer and includes boards of
trustees of | 16 |
| the retirement systems created by Articles 2, 14, 15, 16 and
18 | 17 |
| of the Illinois Pension Code. "Department" also includes the | 18 |
| Illinois
Comprehensive Health Insurance Board, the Board of | 19 |
| Examiners established under
the Illinois Public Accounting | 20 |
| Act, and the Illinois Finance Authority.
| 21 |
| (h) "Dependent", when the term is used in the context of | 22 |
| the health
and life plan, means a member's spouse and any | 23 |
| unmarried child (1) from
birth to age 19 including an adopted | 24 |
| child, a child who lives with the
member from the time of the | 25 |
| filing of a petition for adoption until entry
of an order of | 26 |
| adoption, a stepchild or recognized child who lives with the
| 27 |
| member in a parent-child relationship, or a child who lives | 28 |
| with the member
if such member is a court appointed guardian of | 29 |
| the child, or (2)
age 19 to 23 enrolled as a full-time student | 30 |
| in any accredited school,
financially dependent upon the | 31 |
| member, and eligible to be claimed as a
dependent for income | 32 |
| tax purposes, or (3) age 19 or over who is mentally
or | 33 |
| physically handicapped. For
the health plan only, the term | 34 |
| "dependent" also includes any person
enrolled prior to the | 35 |
| effective date of this Section who is dependent upon
the member | 36 |
| to the extent that the member may claim such person as a
|
|
|
|
HB4033 |
- 5 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| dependent for income tax deduction purposes; no other such
| 2 |
| person may be enrolled.
For the health plan only, the term | 3 |
| "dependent" also includes any person who
has received after | 4 |
| June 30, 2000 an organ transplant and who is financially
| 5 |
| dependent upon the member and eligible to be claimed as a | 6 |
| dependent for income
tax purposes.
| 7 |
| (i) "Director" means the Director of the Illinois | 8 |
| Department of Central
Management Services.
| 9 |
| (j) "Eligibility period" means the period of time a member | 10 |
| has to
elect enrollment in programs or to select benefits | 11 |
| without regard to
age, sex or health.
| 12 |
| (k) "Employee" means and includes each officer or employee | 13 |
| in the
service of a department who (1) receives his | 14 |
| compensation for
service rendered to the department on a | 15 |
| warrant issued pursuant to a payroll
certified by a department | 16 |
| or on a warrant or check issued and drawn by a
department upon | 17 |
| a trust, federal or other fund or on a warrant issued
pursuant | 18 |
| to a payroll certified by an elected or duly appointed officer
| 19 |
| of the State or who receives payment of the performance of | 20 |
| personal
services on a warrant issued pursuant to a payroll | 21 |
| certified by a
Department and drawn by the Comptroller upon the | 22 |
| State Treasurer against
appropriations made by the General | 23 |
| Assembly from any fund or against
trust funds held by the State | 24 |
| Treasurer, and (2) is employed full-time or
part-time in a | 25 |
| position normally requiring actual performance of duty
during | 26 |
| not less than 1/2 of a normal work period, as established by | 27 |
| the
Director in cooperation with each department, except that | 28 |
| persons elected
by popular vote will be considered employees | 29 |
| during the entire
term for which they are elected regardless of | 30 |
| hours devoted to the
service of the State, and (3) except that | 31 |
| "employee" does not include any
person who is not eligible by | 32 |
| reason of such person's employment to
participate in one of the | 33 |
| State retirement systems under Articles 2, 14, 15
(either the | 34 |
| regular Article 15 system or the optional retirement program
| 35 |
| established under Section 15-158.2) or 18, or under paragraph | 36 |
| (2), (3), or
(5) of Section 16-106, of the Illinois
Pension |
|
|
|
HB4033 |
- 6 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| Code, but such term does include persons who are employed | 2 |
| during
the 6 month qualifying period under Article 14 of the | 3 |
| Illinois Pension
Code. Such term also includes any person who | 4 |
| (1) after January 1, 1966,
is receiving ordinary or accidental | 5 |
| disability benefits under Articles
2, 14, 15 (including | 6 |
| ordinary or accidental disability benefits under the
optional | 7 |
| retirement program established under Section 15-158.2), | 8 |
| paragraphs
(2), (3), or (5) of Section 16-106, or Article 18 of | 9 |
| the
Illinois Pension Code, for disability incurred after | 10 |
| January 1, 1966, (2)
receives total permanent or total | 11 |
| temporary disability under the Workers'
Compensation Act or | 12 |
| Occupational Disease Act as a result of injuries
sustained or | 13 |
| illness contracted in the course of employment with the
State | 14 |
| of Illinois, or (3) is not otherwise covered under this Act and | 15 |
| has
retired as a participating member under Article 2 of the | 16 |
| Illinois Pension
Code but is ineligible for the retirement | 17 |
| annuity under Section 2-119 of
the Illinois Pension Code. | 18 |
| However, a person who satisfies the criteria
of the foregoing | 19 |
| definition of "employee" except that such person is made
| 20 |
| ineligible to participate in the State Universities Retirement | 21 |
| System by
clause (4) of subsection (a) of Section 15-107 of the | 22 |
| Illinois Pension
Code is also an "employee" for the purposes of | 23 |
| this Act. "Employee" also
includes any person receiving or | 24 |
| eligible for benefits under a sick pay
plan established in | 25 |
| accordance with Section 36 of the State Finance Act.
"Employee" | 26 |
| also includes each officer or employee in the service of a
| 27 |
| qualified local government, including persons appointed as | 28 |
| trustees of
sanitary districts regardless of hours devoted to | 29 |
| the service of the
sanitary district, and each employee in the | 30 |
| service of a qualified
rehabilitation facility and each | 31 |
| full-time employee in the service of a
qualified domestic | 32 |
| violence shelter or service, as determined according to
rules | 33 |
| promulgated by the Director.
| 34 |
| (l) "Member" means an employee, annuitant, retired | 35 |
| employee or survivor.
| 36 |
| (m) "Optional coverages or benefits" means those coverages |
|
|
|
HB4033 |
- 7 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| or
benefits available to the member on his or her voluntary | 2 |
| election, and at
his or her own expense.
| 3 |
| (n) "Program" means the group life insurance, health | 4 |
| benefits and other
employee benefits designed and contracted | 5 |
| for by the Director under this Act.
| 6 |
| (o) "Health plan" means a health benefits
program offered
| 7 |
| by the State of Illinois for persons eligible for the plan.
| 8 |
| (p) "Retired employee" means any person who would be an | 9 |
| annuitant as
that term is defined herein but for the fact that | 10 |
| such person retired prior to
January 1, 1966. Such term also | 11 |
| includes any person formerly employed by
the University of | 12 |
| Illinois in the Cooperative Extension Service who would
be an | 13 |
| annuitant but for the fact that such person was made ineligible | 14 |
| to
participate in the State Universities Retirement System by | 15 |
| clause (4) of
subsection (a) of Section 15-107 of the Illinois
| 16 |
| Pension Code.
| 17 |
| (q) "Survivor" means a person receiving an annuity as a | 18 |
| survivor of an
employee or of an annuitant. "Survivor" also | 19 |
| includes: (1) the surviving
dependent of a person who satisfies | 20 |
| the definition of "employee" except that
such person is made | 21 |
| ineligible to participate in the State Universities
Retirement | 22 |
| System by clause (4) of subsection (a)
of Section 15-107 of the | 23 |
| Illinois Pension Code; (2) the surviving
dependent of any | 24 |
| person formerly employed by the University of Illinois in
the | 25 |
| Cooperative Extension Service who would be an annuitant except | 26 |
| for the
fact that such person was made ineligible to | 27 |
| participate in the State
Universities Retirement System by | 28 |
| clause (4) of subsection (a) of Section
15-107 of the Illinois | 29 |
| Pension Code; and (3) the surviving dependent of a person who | 30 |
| was an annuitant under this Act by virtue of receiving an | 31 |
| alternative retirement cancellation payment under Section | 32 |
| 14-108.5 of the Illinois Pension Code.
| 33 |
| (q-2) "SERS" means the State Employees' Retirement System | 34 |
| of Illinois, created under Article 14 of the Illinois Pension | 35 |
| Code.
| 36 |
| (q-3) "SURS" means the State Universities Retirement |
|
|
|
HB4033 |
- 8 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| System, created under Article 15 of the Illinois Pension Code.
| 2 |
| (q-4) "TRS" means the Teachers' Retirement System of the | 3 |
| State of Illinois, created under Article 16 of the Illinois | 4 |
| Pension Code.
| 5 |
| (q-5) "New SERS survivor" means a survivor, as defined in | 6 |
| subsection (q),
whose annuity is paid under Article 14 of the | 7 |
| Illinois Pension Code and is
based on the death of (i) an | 8 |
| employee whose death occurs on or after January 1,
1998, or | 9 |
| (ii) a new SERS annuitant as defined in subsection (b-5). "New | 10 |
| SERS survivor" includes the surviving dependent of a person who | 11 |
| was an annuitant under this Act by virtue of receiving an | 12 |
| alternative retirement cancellation payment under Section | 13 |
| 14-108.5 of the Illinois Pension Code.
| 14 |
| (q-6) "New SURS survivor" means a survivor, as defined in | 15 |
| subsection (q),
whose annuity is paid under Article 15 of the | 16 |
| Illinois Pension Code and is
based on the death of (i) an | 17 |
| employee whose death occurs on or after January 1,
1998, or | 18 |
| (ii) a new SURS annuitant as defined in subsection (b-6).
| 19 |
| (q-7) "New TRS State survivor" means a survivor, as defined | 20 |
| in subsection
(q), whose annuity is paid under Article 16 of | 21 |
| the Illinois Pension Code and is
based on the death of (i) an | 22 |
| employee who is a teacher as defined in paragraph
(2), (3), or | 23 |
| (5) of Section 16-106 of that Code and whose death occurs on or
| 24 |
| after July 1, 1998, or (ii) a new TRS State annuitant as | 25 |
| defined in subsection
(b-7).
| 26 |
| (r) "Medical services" means the services provided within | 27 |
| the scope
of their licenses by practitioners in all categories | 28 |
| licensed under the
Medical Practice Act of 1987.
| 29 |
| (s) "Unit of local government" means any county, | 30 |
| municipality,
township, school district (including a | 31 |
| combination of school districts under
the Intergovernmental | 32 |
| Cooperation Act), special district or other unit,
designated as | 33 |
| a
unit of local government by law, which exercises limited | 34 |
| governmental
powers or powers in respect to limited | 35 |
| governmental subjects, any
not-for-profit association with a | 36 |
| membership that primarily includes
townships and township |
|
|
|
HB4033 |
- 9 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| officials, that has duties that include provision of
research | 2 |
| service, dissemination of information, and other acts for the
| 3 |
| purpose of improving township government, and that is funded | 4 |
| wholly or
partly in accordance with Section 85-15 of the | 5 |
| Township Code; any
not-for-profit corporation or association, | 6 |
| with a membership consisting
primarily of municipalities, that | 7 |
| operates its own utility system, and
provides research, | 8 |
| training, dissemination of information, or other acts to
| 9 |
| promote cooperation between and among municipalities that | 10 |
| provide utility
services and for the advancement of the goals | 11 |
| and purposes of its
membership;
the Southern Illinois | 12 |
| Collegiate Common Market, which is a consortium of higher
| 13 |
| education institutions in Southern Illinois; and the Illinois | 14 |
| Association of
Park Districts. "Qualified
local government" | 15 |
| means a unit of local government approved by the Director and
| 16 |
| participating in a program created under subsection (i) of | 17 |
| Section 10 of this
Act.
| 18 |
| (t) "Qualified rehabilitation facility" means any | 19 |
| not-for-profit
organization that is accredited by the | 20 |
| Commission on Accreditation of
Rehabilitation Facilities or | 21 |
| certified by the Department
of Human Services (as successor to | 22 |
| the Department of Mental Health
and Developmental | 23 |
| Disabilities) to provide services to persons with
disabilities
| 24 |
| and which receives funds from the State of Illinois for | 25 |
| providing those
services, approved by the Director and | 26 |
| participating in a program created
under subsection (j) of | 27 |
| Section 10 of this Act.
| 28 |
| (u) "Qualified domestic violence shelter or service" means | 29 |
| any Illinois
domestic violence shelter or service and its | 30 |
| administrative offices funded
by the Department of Human | 31 |
| Services (as successor to the Illinois Department of
Public | 32 |
| Aid),
approved by the Director and
participating in a program | 33 |
| created under subsection (k) of Section 10.
| 34 |
| (v) "TRS benefit recipient" means a person who:
| 35 |
| (1) is not a "member" as defined in this Section; and
| 36 |
| (2) is receiving a monthly benefit or retirement |
|
|
|
HB4033 |
- 10 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| annuity
under Article 16 of the Illinois Pension Code; and
| 2 |
| (3) either (i) has at least 8 years of creditable | 3 |
| service under Article
16 of the Illinois Pension Code, or | 4 |
| (ii) was enrolled in the health insurance
program offered | 5 |
| under that Article on January 1, 1996, or (iii) is the | 6 |
| survivor
of a benefit recipient who had at least 8
years of | 7 |
| creditable service under Article 16 of the Illinois Pension | 8 |
| Code or
was enrolled in the health insurance program | 9 |
| offered under that Article on
the effective date of this | 10 |
| amendatory Act of 1995, or (iv) is a recipient or
survivor | 11 |
| of a recipient of a disability benefit under Article 16 of | 12 |
| the
Illinois Pension Code.
| 13 |
| (w) "TRS dependent beneficiary" means a person who:
| 14 |
| (1) is not a "member" or "dependent" as defined in this | 15 |
| Section; and
| 16 |
| (2) is a TRS benefit recipient's: (A) spouse, (B) | 17 |
| dependent parent who
is receiving at least half of his or | 18 |
| her support from the TRS benefit
recipient, or (C) | 19 |
| unmarried natural or adopted child who is (i) under age
19, | 20 |
| or (ii) enrolled as a full-time student in
an accredited | 21 |
| school, financially dependent upon the TRS benefit | 22 |
| recipient,
eligible to be claimed as a dependent for income | 23 |
| tax
purposes, and
either is under age 24 or was, on January | 24 |
| 1, 1996, participating as a dependent
beneficiary in the | 25 |
| health insurance program offered under Article 16 of the
| 26 |
| Illinois Pension Code, or (iii) age 19 or over who is | 27 |
| mentally or physically
handicapped.
| 28 |
| (x) "Military leave with pay and benefits" refers to | 29 |
| individuals in basic
training for reserves, special/advanced | 30 |
| training, annual training, emergency
call up, or activation by | 31 |
| the President of the United States with approved pay
and | 32 |
| benefits.
| 33 |
| (y) "Military leave without pay and benefits" refers to
| 34 |
| individuals who enlist for active duty in a regular component | 35 |
| of the U.S. Armed
Forces or other duty not specified or | 36 |
| authorized under military leave with pay
and benefits.
|
|
|
|
HB4033 |
- 11 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| (z) "Community college benefit recipient" means a person | 2 |
| who:
| 3 |
| (1) is not a "member" as defined in this Section; and
| 4 |
| (2) is receiving a monthly survivor's annuity or | 5 |
| retirement annuity
under Article 15 of the Illinois Pension | 6 |
| Code; and
| 7 |
| (3) either (i) was a full-time employee of a community | 8 |
| college district or
an association of community college | 9 |
| boards created under the Public Community
College Act | 10 |
| (other than an employee whose last employer under Article | 11 |
| 15 of the
Illinois Pension Code was a community college | 12 |
| district subject to Article VII
of the Public Community | 13 |
| College Act) and was eligible to participate in a group
| 14 |
| health benefit plan as an employee during the time of | 15 |
| employment with a
community college district (other than a | 16 |
| community college district subject to
Article VII of the | 17 |
| Public Community College Act) or an association of | 18 |
| community
college boards, or (ii) is the survivor of a | 19 |
| person described in item (i).
| 20 |
| (aa) "Community college dependent beneficiary" means a | 21 |
| person who:
| 22 |
| (1) is not a "member" or "dependent" as defined in this | 23 |
| Section; and
| 24 |
| (2) is a community college benefit recipient's: (A) | 25 |
| spouse, (B) dependent
parent who is receiving at least half | 26 |
| of his or her support from the community
college benefit | 27 |
| recipient, or (C) unmarried natural or adopted child who is | 28 |
| (i)
under age 19, or (ii) enrolled as a full-time student | 29 |
| in an accredited school,
financially dependent upon the | 30 |
| community college benefit recipient, eligible
to be | 31 |
| claimed as a dependent for income tax purposes and under | 32 |
| age 23, or (iii)
age 19 or over and mentally or physically | 33 |
| handicapped.
| 34 |
| (Source: P.A. 92-16, eff. 6-28-01; 92-186, eff. 1-1-02; 92-204, | 35 |
| eff. 8-1-01; 92-651, eff. 7-11-02; 93-205, eff. 1-1-04; 93-839, | 36 |
| eff. 7-30-04; 93-1067, eff. 1-15-05.)
|
|
|
|
HB4033 |
- 12 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| (5 ILCS 375/10) (from Ch. 127, par. 530)
| 2 |
| Sec. 10. Payments by State; premiums.
| 3 |
| (a) The State shall
shall pay the cost of basic | 4 |
| non-contributory group life
insurance and, subject to member | 5 |
| paid contributions set by the Department or
required by this | 6 |
| Section, the basic program of group health benefits on each
| 7 |
| eligible member, except a member, not otherwise
covered by this | 8 |
| Act, who has retired as a participating member under Article 2
| 9 |
| of the Illinois Pension Code but is ineligible for the | 10 |
| retirement annuity under
Section 2-119 of the Illinois Pension | 11 |
| Code, and part of each eligible member's
and retired member's | 12 |
| premiums for health insurance coverage for enrolled
dependents | 13 |
| as provided by Section 9. The State shall pay the cost of the | 14 |
| basic
program of group health benefits only after benefits are | 15 |
| reduced by the amount
of benefits covered by Medicare for all | 16 |
| members and dependents
who are eligible for benefits under | 17 |
| Social Security or
the Railroad Retirement system or who had | 18 |
| sufficient Medicare-covered
government employment, except that | 19 |
| such reduction in benefits shall apply only
to those members | 20 |
| and dependents who (1) first become eligible
for such Medicare | 21 |
| coverage on or after July 1, 1992; or (2) are
Medicare-eligible | 22 |
| members or dependents of a local government unit which began
| 23 |
| participation in the program on or after July 1, 1992; or (3) | 24 |
| remain eligible
for, but no longer receive Medicare coverage | 25 |
| which they had been receiving on
or after July 1, 1992. The | 26 |
| Department may determine the aggregate level of the
State's | 27 |
| contribution on the basis of actual cost of medical services | 28 |
| adjusted
for age, sex or geographic or other demographic | 29 |
| characteristics which affect
the costs of such programs.
| 30 |
| The cost of participation in the basic program of group | 31 |
| health benefits
for the dependent or survivor of a living or | 32 |
| deceased retired employee who was
formerly employed by the | 33 |
| University of Illinois in the Cooperative Extension
Service and | 34 |
| would be an annuitant but for the fact that he or she was made
| 35 |
| ineligible to participate in the State Universities Retirement |
|
|
|
HB4033 |
- 13 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| System by clause
(4) of subsection (a) of Section 15-107 of the | 2 |
| Illinois Pension Code shall not
be greater than the cost of | 3 |
| participation that would otherwise apply to that
dependent or | 4 |
| survivor if he or she were the dependent or survivor of an
| 5 |
| annuitant under the State Universities Retirement System.
| 6 |
| (a-1) Beginning January 1, 1998, for each person who | 7 |
| becomes a new SERS
annuitant and participates in the basic | 8 |
| program of group health benefits, the
State shall contribute | 9 |
| toward the cost of the annuitant's
coverage under the basic | 10 |
| program of group health benefits an amount equal
to 5% of that | 11 |
| cost for each full year of creditable service upon which the
| 12 |
| annuitant's retirement annuity is based, up to a maximum of | 13 |
| 100% for an
annuitant with 20 or more years of creditable | 14 |
| service.
The remainder of the cost of a new SERS annuitant's | 15 |
| coverage under the basic
program of group health benefits shall | 16 |
| be the responsibility of the
annuitant. In the case of a new | 17 |
| SERS annuitant who has elected to receive an alternative | 18 |
| retirement cancellation payment under Section 14-108.5 of the | 19 |
| Illinois Pension Code in lieu of an annuity, for the purposes | 20 |
| of this subsection the annuitant shall be deemed to be | 21 |
| receiving a retirement annuity based on the number of years of | 22 |
| creditable service that the annuitant had established at the | 23 |
| time of his or her termination of service under SERS.
| 24 |
| (a-2) Beginning January 1, 1998, for each person who | 25 |
| becomes a new SERS
survivor and participates in the basic | 26 |
| program of group health benefits, the
State shall contribute | 27 |
| toward the cost of the survivor's
coverage under the basic | 28 |
| program of group health benefits an amount equal
to 5% of that | 29 |
| cost for each full year of the deceased employee's or deceased
| 30 |
| annuitant's creditable service in the State Employees' | 31 |
| Retirement System of
Illinois on the date of death, up to a | 32 |
| maximum of 100% for a survivor of an
employee or annuitant with | 33 |
| 20 or more years of creditable service. The
remainder of the | 34 |
| cost of the new SERS survivor's coverage under the basic
| 35 |
| program of group health benefits shall be the responsibility of | 36 |
| the survivor. In the case of a new SERS survivor who was the |
|
|
|
HB4033 |
- 14 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| dependent of an annuitant who elected to receive an alternative | 2 |
| retirement cancellation payment under Section 14-108.5 of the | 3 |
| Illinois Pension Code in lieu of an annuity, for the purposes | 4 |
| of this subsection the deceased annuitant's creditable service | 5 |
| shall be determined as of the date of termination of service | 6 |
| rather than the date of death.
| 7 |
| (a-3) Beginning January 1, 1998, for each person who | 8 |
| becomes a new SURS
annuitant and participates in the basic | 9 |
| program of group health benefits, the
State shall contribute | 10 |
| toward the cost of the annuitant's
coverage under the basic | 11 |
| program of group health benefits an amount equal
to 5% of that | 12 |
| cost for each full year of creditable service upon which the
| 13 |
| annuitant's retirement annuity is based, up to a maximum of | 14 |
| 100% for an
annuitant with 20 or more years of creditable | 15 |
| service.
The remainder of the cost of a new SURS annuitant's | 16 |
| coverage under the basic
program of group health benefits shall | 17 |
| be the responsibility of the
annuitant.
| 18 |
| (a-4) (Blank).
| 19 |
| (a-5) Beginning January 1, 1998, for each person who | 20 |
| becomes a new SURS
survivor and participates in the basic | 21 |
| program of group health benefits, the
State shall contribute | 22 |
| toward the cost of the survivor's coverage under the
basic | 23 |
| program of group health benefits an amount equal to 5% of that | 24 |
| cost for
each full year of the deceased employee's or deceased | 25 |
| annuitant's creditable
service in the State Universities | 26 |
| Retirement System on the date of death, up to
a maximum of 100% | 27 |
| for a survivor of an
employee or annuitant with 20 or more | 28 |
| years of creditable service. The
remainder of the cost of the | 29 |
| new SURS survivor's coverage under the basic
program of group | 30 |
| health benefits shall be the responsibility of the survivor.
| 31 |
| (a-6) Beginning July 1, 1998, for each person who becomes a | 32 |
| new TRS
State annuitant and participates in the basic program | 33 |
| of group health benefits,
the State shall contribute toward the | 34 |
| cost of the annuitant's coverage under
the basic program of | 35 |
| group health benefits an amount equal to 5% of that cost
for | 36 |
| each full year of creditable service
as a teacher as defined in |
|
|
|
HB4033 |
- 15 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| paragraph (2), (3), or (5) of Section 16-106 of the
Illinois | 2 |
| Pension Code
upon which the annuitant's retirement annuity is | 3 |
| based, up to a maximum of
100%;
except that
the State | 4 |
| contribution shall be 12.5% per year (rather than 5%) for each | 5 |
| full
year of creditable service as a regional superintendent or | 6 |
| assistant regional
superintendent of schools. The
remainder of | 7 |
| the cost of a new TRS State annuitant's coverage under the | 8 |
| basic
program of group health benefits shall be the | 9 |
| responsibility of the
annuitant.
| 10 |
| (a-7) Beginning July 1, 1998, for each person who becomes a | 11 |
| new TRS
State survivor and participates in the basic program of | 12 |
| group health benefits,
the State shall contribute toward the | 13 |
| cost of the survivor's coverage under the
basic program of | 14 |
| group health benefits an amount equal to 5% of that cost for
| 15 |
| each full year of the deceased employee's or deceased | 16 |
| annuitant's creditable
service
as a teacher as defined in | 17 |
| paragraph (2), (3), or (5) of Section 16-106 of the
Illinois | 18 |
| Pension Code
on the date of death, up to a maximum of 100%;
| 19 |
| except that the State contribution shall be 12.5% per year | 20 |
| (rather than 5%) for
each full year of the deceased employee's | 21 |
| or deceased annuitant's creditable
service as a regional | 22 |
| superintendent or assistant regional superintendent of
| 23 |
| schools.
The remainder of
the cost of the new TRS State | 24 |
| survivor's coverage under the basic program of
group health | 25 |
| benefits shall be the responsibility of the survivor.
| 26 |
| (a-8) A new SERS annuitant, new SERS survivor, new SURS
| 27 |
| annuitant, new SURS survivor, new TRS State
annuitant, or new | 28 |
| TRS State survivor may waive or terminate coverage in
the | 29 |
| program of group health benefits. Any such annuitant or | 30 |
| survivor
who has waived or terminated coverage may enroll or | 31 |
| re-enroll in the
program of group health benefits only during | 32 |
| the annual benefit choice period,
as determined by the | 33 |
| Director; except that in the event of termination of
coverage | 34 |
| due to nonpayment of premiums, the annuitant or survivor
may | 35 |
| not re-enroll in the program.
| 36 |
| (a-9) No later than May 1 of each calendar year, the |
|
|
|
HB4033 |
- 16 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| Director
of Central Management Services shall certify in | 2 |
| writing to the Executive
Secretary of the State Employees' | 3 |
| Retirement System of Illinois the amounts
of the Medicare | 4 |
| supplement health care premiums and the amounts of the
health | 5 |
| care premiums for all other retirees who are not Medicare | 6 |
| eligible.
| 7 |
| A separate calculation of the premiums based upon the | 8 |
| actual cost of each
health care plan shall be so certified.
| 9 |
| The Director of Central Management Services shall provide | 10 |
| to the
Executive Secretary of the State Employees' Retirement | 11 |
| System of
Illinois such information, statistics, and other data | 12 |
| as he or she
may require to review the premium amounts | 13 |
| certified by the Director
of Central Management Services.
| 14 |
| (b) State employees who become eligible for this program on | 15 |
| or after January
1, 1980 in positions normally requiring actual | 16 |
| performance of duty not less
than 1/2 of a normal work period | 17 |
| but not equal to that of a normal work period,
shall be given | 18 |
| the option of participating in the available program. If the
| 19 |
| employee elects coverage, the State shall contribute on behalf | 20 |
| of such employee
to the cost of the employee's benefit and any | 21 |
| applicable dependent supplement,
that sum which bears the same | 22 |
| percentage as that percentage of time the
employee regularly | 23 |
| works when compared to normal work period.
| 24 |
| (c) The basic non-contributory coverage from the basic | 25 |
| program of
group health benefits shall be continued for each | 26 |
| employee not in pay status or
on active service by reason of | 27 |
| (1) leave of absence due to illness or injury,
(2) authorized | 28 |
| educational leave of absence or sabbatical leave, or (3)
| 29 |
| military leave with pay and benefits. This coverage shall | 30 |
| continue until
expiration of authorized leave and return to | 31 |
| active service, but not to exceed
24 months for leaves under | 32 |
| item (1) or (2). This 24-month limitation and the
requirement | 33 |
| of returning to active service shall not apply to persons | 34 |
| receiving
ordinary or accidental disability benefits or | 35 |
| retirement benefits through the
appropriate State retirement | 36 |
| system or benefits under the Workers' Compensation
or |
|
|
|
HB4033 |
- 17 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| Occupational Disease Act.
| 2 |
| (d) The basic group life insurance coverage shall continue, | 3 |
| with
full State contribution, where such person is (1) absent | 4 |
| from active
service by reason of disability arising from any | 5 |
| cause other than
self-inflicted, (2) on authorized educational | 6 |
| leave of absence or
sabbatical leave, or (3) on military leave | 7 |
| with pay and benefits.
| 8 |
| (e) Where the person is in non-pay status for a period in | 9 |
| excess of
30 days or on leave of absence, other than by reason | 10 |
| of disability,
educational or sabbatical leave, or military | 11 |
| leave with pay and benefits, such
person may continue coverage | 12 |
| only by making personal
payment equal to the amount normally | 13 |
| contributed by the State on such person's
behalf. Such payments | 14 |
| and coverage may be continued: (1) until such time as
the | 15 |
| person returns to a status eligible for coverage at State | 16 |
| expense, but not
to exceed 24 months, (2) until such person's | 17 |
| employment or annuitant status
with the State is terminated, or | 18 |
| (3) for a maximum period of 4 years for
members on military | 19 |
| leave with pay and benefits and military leave without pay
and | 20 |
| benefits (exclusive of any additional service imposed pursuant | 21 |
| to law).
| 22 |
| (f) The Department shall establish by rule the extent to | 23 |
| which other
employee benefits will continue for persons in | 24 |
| non-pay status or who are
not in active service.
| 25 |
| (g) The State shall not pay the cost of the basic | 26 |
| non-contributory
group life insurance, program of health | 27 |
| benefits and other employee benefits
for members who are | 28 |
| survivors as defined by paragraphs (1) and (2) of
subsection | 29 |
| (q) of Section 3 of this Act. The costs of benefits for these
| 30 |
| survivors shall be paid by the survivors or by the University | 31 |
| of Illinois
Cooperative Extension Service, or any combination | 32 |
| thereof.
However, the State shall pay the amount of the | 33 |
| reduction in the cost of
participation, if any, resulting from | 34 |
| the amendment to subsection (a) made
by this amendatory Act of | 35 |
| the 91st General Assembly.
| 36 |
| (h) Those persons occupying positions with any department |
|
|
|
HB4033 |
- 18 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| as a result
of emergency appointments pursuant to Section 8b.8 | 2 |
| of the Personnel Code
who are not considered employees under | 3 |
| this Act shall be given the option
of participating in the | 4 |
| programs of group life insurance, health benefits and
other | 5 |
| employee benefits. Such persons electing coverage may | 6 |
| participate only
by making payment equal to the amount normally | 7 |
| contributed by the State for
similarly situated employees. Such | 8 |
| amounts shall be determined by the
Director. Such payments and | 9 |
| coverage may be continued until such time as the
person becomes | 10 |
| an employee pursuant to this Act or such person's appointment | 11 |
| is
terminated.
| 12 |
| (i) Any unit of local government within the State of | 13 |
| Illinois
may apply to the Director to have its employees, | 14 |
| annuitants, and their
dependents provided group health | 15 |
| coverage under this Act on a non-insured
basis. To participate, | 16 |
| a unit of local government must agree to enroll
all of its | 17 |
| employees, who may select coverage under either the State group
| 18 |
| health benefits plan or a health maintenance organization that | 19 |
| has
contracted with the State to be available as a health care | 20 |
| provider for
employees as defined in this Act. A unit of local | 21 |
| government must remit the
entire cost of providing coverage | 22 |
| under the State group health benefits plan
or, for coverage | 23 |
| under a health maintenance organization, an amount determined
| 24 |
| by the Director based on an analysis of the sex, age, | 25 |
| geographic location, or
other relevant demographic variables | 26 |
| for its employees, except that the unit of
local government | 27 |
| shall not be required to enroll those of its employees who are
| 28 |
| covered spouses or dependents under this plan or another group | 29 |
| policy or plan
providing health benefits as long as (1) an | 30 |
| appropriate official from the unit
of local government attests | 31 |
| that each employee not enrolled is a covered spouse
or | 32 |
| dependent under this plan or another group policy or plan, and | 33 |
| (2) at least
85% of the employees are enrolled and the unit of | 34 |
| local government remits
the entire cost of providing coverage | 35 |
| to those employees, except that a
participating school district | 36 |
| must have enrolled at least 85% of its full-time
employees who |
|
|
|
HB4033 |
- 19 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| have not waived coverage under the district's group health
plan | 2 |
| by participating in a component of the district's cafeteria | 3 |
| plan. A
participating school district is not required to enroll | 4 |
| a full-time employee
who has waived coverage under the | 5 |
| district's health plan, provided that an
appropriate official | 6 |
| from the participating school district attests that the
| 7 |
| full-time employee has waived coverage by participating in a | 8 |
| component of the
district's cafeteria plan. For the purposes of | 9 |
| this subsection, "participating
school district" includes a | 10 |
| unit of local government whose primary purpose is
education as | 11 |
| defined by the Department's rules.
| 12 |
| Employees of a participating unit of local government who | 13 |
| are not enrolled
due to coverage under another group health | 14 |
| policy or plan may enroll in
the event of a qualifying change | 15 |
| in status, special enrollment, special
circumstance as defined | 16 |
| by the Director, or during the annual Benefit Choice
Period. A | 17 |
| participating unit of local government may also elect to cover | 18 |
| its
annuitants. Dependent coverage shall be offered on an | 19 |
| optional basis, with the
costs paid by the unit of local | 20 |
| government, its employees, or some combination
of the two as | 21 |
| determined by the unit of local government. The unit of local
| 22 |
| government shall be responsible for timely collection and | 23 |
| transmission of
dependent premiums.
| 24 |
| The Director shall annually determine monthly rates of | 25 |
| payment, subject
to the following constraints:
| 26 |
| (1) In the first year of coverage, the rates shall be | 27 |
| equal to the
amount normally charged to State employees for | 28 |
| elected optional coverages
or for enrolled dependents | 29 |
| coverages or other contributory coverages, or
contributed | 30 |
| by the State for basic insurance coverages on behalf of its
| 31 |
| employees, adjusted for differences between State | 32 |
| employees and employees
of the local government in age, | 33 |
| sex, geographic location or other relevant
demographic | 34 |
| variables, plus an amount sufficient to pay for the | 35 |
| additional
administrative costs of providing coverage to | 36 |
| employees of the unit of
local government and their |
|
|
|
HB4033 |
- 20 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| dependents.
| 2 |
| (2) In subsequent years, a further adjustment shall be | 3 |
| made to reflect
the actual prior years' claims experience | 4 |
| of the employees of the unit of
local government.
| 5 |
| In the case of coverage of local government employees under | 6 |
| a health
maintenance organization, the Director shall annually | 7 |
| determine for each
participating unit of local government the | 8 |
| maximum monthly amount the unit
may contribute toward that | 9 |
| coverage, based on an analysis of (i) the age,
sex, geographic | 10 |
| location, and other relevant demographic variables of the
| 11 |
| unit's employees and (ii) the cost to cover those employees | 12 |
| under the State
group health benefits plan. The Director may | 13 |
| similarly determine the
maximum monthly amount each unit of | 14 |
| local government may contribute toward
coverage of its | 15 |
| employees' dependents under a health maintenance organization.
| 16 |
| Monthly payments by the unit of local government or its | 17 |
| employees for
group health benefits plan or health maintenance | 18 |
| organization coverage shall
be deposited in the Local | 19 |
| Government Health Insurance Reserve Fund.
| 20 |
| The Local Government Health Insurance Reserve Fund shall be | 21 |
| a continuing
fund not subject to fiscal year limitations. All | 22 |
| expenditures from this Fund
shall be used for payments for | 23 |
| health care benefits for local government and rehabilitation | 24 |
| facility
employees, annuitants, and dependents, and to | 25 |
| reimburse the Department or
its administrative service | 26 |
| organization for all expenses incurred in the
administration of | 27 |
| benefits. No other State funds may be used for these
purposes.
| 28 |
| A local government employer's participation or desire to | 29 |
| participate
in a program created under this subsection shall | 30 |
| not limit that employer's
duty to bargain with the | 31 |
| representative of any collective bargaining unit
of its | 32 |
| employees.
| 33 |
| (j) Any rehabilitation facility within the State of | 34 |
| Illinois may apply
to the Director to have its employees, | 35 |
| annuitants, and their eligible
dependents provided group | 36 |
| health coverage under this Act on a non-insured
basis. To |
|
|
|
HB4033 |
- 21 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| participate, a rehabilitation facility must agree to enroll all
| 2 |
| of its employees and remit the entire cost of providing such | 3 |
| coverage for
its employees, except that the rehabilitation | 4 |
| facility shall not be
required to enroll those of its employees | 5 |
| who are covered spouses or
dependents under this plan or | 6 |
| another group policy or plan providing health
benefits as long | 7 |
| as (1) an appropriate official from the rehabilitation
facility | 8 |
| attests that each employee not enrolled is a covered spouse or
| 9 |
| dependent under this plan or another group policy or plan, and | 10 |
| (2) at least
85% of the employees are enrolled and the | 11 |
| rehabilitation facility remits
the entire cost of providing | 12 |
| coverage to those employees. Employees of a
participating | 13 |
| rehabilitation facility who are not enrolled due to coverage
| 14 |
| under another group health policy or plan may enroll
in the | 15 |
| event of a qualifying change in status, special enrollment, | 16 |
| special
circumstance as defined by the Director, or during the | 17 |
| annual Benefit Choice
Period. A participating rehabilitation | 18 |
| facility may also elect
to cover its annuitants. Dependent | 19 |
| coverage shall be offered on an optional
basis, with the costs | 20 |
| paid by the rehabilitation facility, its employees, or
some | 21 |
| combination of the 2 as determined by the rehabilitation | 22 |
| facility. The
rehabilitation facility shall be responsible for | 23 |
| timely collection and
transmission of dependent premiums.
| 24 |
| The Director shall annually determine quarterly rates of | 25 |
| payment, subject
to the following constraints:
| 26 |
| (1) In the first year of coverage, the rates shall be | 27 |
| equal to the amount
normally charged to State employees for | 28 |
| elected optional coverages or for
enrolled dependents | 29 |
| coverages or other contributory coverages on behalf of
its | 30 |
| employees, adjusted for differences between State | 31 |
| employees and
employees of the rehabilitation facility in | 32 |
| age, sex, geographic location
or other relevant | 33 |
| demographic variables, plus an amount sufficient to pay
for | 34 |
| the additional administrative costs of providing coverage | 35 |
| to employees
of the rehabilitation facility and their | 36 |
| dependents.
|
|
|
|
HB4033 |
- 22 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| (2) In subsequent years, a further adjustment shall be | 2 |
| made to reflect
the actual prior years' claims experience | 3 |
| of the employees of the
rehabilitation facility.
| 4 |
| Monthly payments by the rehabilitation facility or its | 5 |
| employees for
group health benefits shall be deposited in the | 6 |
| Local Government Health
Insurance Reserve Fund.
| 7 |
| (k) Any domestic violence shelter or service within the | 8 |
| State of Illinois
may apply to the Director to have its | 9 |
| employees, annuitants, and their
dependents provided group | 10 |
| health coverage under this Act on a non-insured
basis. To | 11 |
| participate, a domestic violence shelter or service must agree | 12 |
| to
enroll all of its employees and pay the entire cost of | 13 |
| providing such coverage
for its employees. A participating | 14 |
| domestic violence shelter may also elect
to cover its | 15 |
| annuitants. Dependent coverage shall be offered on an optional
| 16 |
| basis, with
employees, or some combination of the 2 as | 17 |
| determined by the domestic violence
shelter or service. The | 18 |
| domestic violence shelter or service shall be
responsible for | 19 |
| timely collection and transmission of dependent premiums.
| 20 |
| The Director shall annually determine rates of payment,
| 21 |
| subject to the following constraints:
| 22 |
| (1) In the first year of coverage, the rates shall be | 23 |
| equal to the
amount normally charged to State employees for | 24 |
| elected optional coverages
or for enrolled dependents | 25 |
| coverages or other contributory coverages on
behalf of its | 26 |
| employees, adjusted for differences between State | 27 |
| employees and
employees of the domestic violence shelter or | 28 |
| service in age, sex, geographic
location or other relevant | 29 |
| demographic variables, plus an amount sufficient
to pay for | 30 |
| the additional administrative costs of providing coverage | 31 |
| to
employees of the domestic violence shelter or service | 32 |
| and their dependents.
| 33 |
| (2) In subsequent years, a further adjustment shall be | 34 |
| made to reflect
the actual prior years' claims experience | 35 |
| of the employees of the domestic
violence shelter or | 36 |
| service.
|
|
|
|
HB4033 |
- 23 - |
LRB094 09940 JAM 40198 b |
|
| 1 |
| Monthly payments by the domestic violence shelter or | 2 |
| service or its employees
for group health insurance shall be | 3 |
| deposited in the Local Government Health
Insurance Reserve | 4 |
| Fund.
| 5 |
| (l) A public community college or entity organized pursuant | 6 |
| to the
Public Community College Act may apply to the Director | 7 |
| initially to have
only annuitants not covered prior to July 1, | 8 |
| 1992 by the district's health
plan provided health coverage | 9 |
| under this Act on a non-insured basis. The
community college | 10 |
| must execute a 2-year contract to participate in the
Local | 11 |
| Government Health Plan.
Any annuitant may enroll in the event | 12 |
| of a qualifying change in status, special
enrollment, special | 13 |
| circumstance as defined by the Director, or during the
annual | 14 |
| Benefit Choice Period.
| 15 |
| The Director shall annually determine monthly rates of | 16 |
| payment subject to
the following constraints: for those | 17 |
| community colleges with annuitants
only enrolled, first year | 18 |
| rates shall be equal to the average cost to cover
claims for a | 19 |
| State member adjusted for demographics, Medicare
| 20 |
| participation, and other factors; and in the second year, a | 21 |
| further adjustment
of rates shall be made to reflect the actual | 22 |
| first year's claims experience
of the covered annuitants.
| 23 |
| (l-5) The provisions of subsection (l) become inoperative | 24 |
| on July 1, 1999.
| 25 |
| (m) The Director shall adopt any rules deemed necessary for
| 26 |
| implementation of this amendatory Act of 1989 (Public Act | 27 |
| 86-978).
| 28 |
| (Source: P.A. 92-16, eff. 6-28-01; 93-839, eff. 7-30-04.)
|
|