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Public Act 91-0217
SB1172 Enrolled SRS91S0049GHsa
AN ACT to amend the Counties Code by changing Section
5-1069.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Counties Code is amended by changing
Section 5-1069 as follows:
(55 ILCS 5/5-1069) (from Ch. 34, par. 5-1069)
Sec. 5-1069. Group life, health, accident, hospital, and
medical insurance.
(a) The county board of any county may arrange to
provide, for the benefit of employees of the county, group
life, health, accident, hospital, and medical insurance, or
any one or any combination of those types of insurance, or
the county board may self-insure, for the benefit of its
employees, all or a portion of the employees' group life,
health, accident, hospital, and medical insurance, or any one
or any combination of those types of insurance, including a
combination of self-insurance and other types of insurance
authorized by this Section, provided that the county board
complies with all other requirements of this Section. The
insurance may include provision for employees who rely on
treatment by prayer or spiritual means alone for healing in
accordance with the tenets and practice of a well recognized
religious denomination. The county board may provide for
payment by the county of a portion or all of the premium or
charge for the insurance with the employee paying the balance
of the premium or charge, if any. If the county board
undertakes a plan under which the county pays only a portion
of the premium or charge, the county board shall provide for
withholding and deducting from the compensation of those
employees who consent to join the plan the balance of the
premium or charge for the insurance.
(b) If the county board does not provide for
self-insurance or for a plan under which the county pays a
portion or all of the premium or charge for a group insurance
plan, the county board may provide for withholding and
deducting from the compensation of those employees who
consent thereto the total premium or charge for any group
life, health, accident, hospital, and medical insurance.
(c) The county board may exercise the powers granted in
this Section only if it provides for self-insurance or, where
it makes arrangements to provide group insurance through an
insurance carrier, if the kinds of group insurance are
obtained from an insurance company authorized to do business
in the State of Illinois. The county board may enact an
ordinance prescribing the method of operation of the
insurance program.
(d) If a county, including a home rule county, is a
self-insurer for purposes of providing health insurance
coverage for its employees, the insurance coverage shall
include screening by low-dose mammography for all women 35
years of age or older for the presence of occult breast
cancer unless the county elects to provide mammograms itself
under Section 5-1069.1. The coverage shall be as follows:
(1) A baseline mammogram for women 35 to 39 years
of age.
(2) An annual mammogram for women 40 years of age
or older.
Those benefits shall be at least as favorable as for
other radiological examinations and subject to the same
dollar limits, deductibles, and co-insurance factors. For
purposes of this subsection, "low-dose mammography" means the
x-ray examination of the breast using equipment dedicated
specifically for mammography, including the x-ray tube,
filter, compression device, screens, and image receptors,
with an average radiation exposure delivery of less than one
rad mid-breast, with 2 views for each breast. The requirement
that mammograms be included in health insurance coverage as
provided in this subsection (d) is an exclusive power and
function of the State and is a denial and limitation under
Article VII, Section 6, subsection (h) of the Illinois
Constitution of home rule county powers. A home rule county
to which this subsection applies must comply with every
provision of this subsection.
(e) The term "employees" as used in this Section
includes elected or appointed officials but does not include
temporary employees.
(f) The county board may, by ordinance, arrange to
provide group life, health, accident, hospital, and medical
insurance, or any one or a combination of those types of
insurance, under this Section to retired former employees and
retired former elected or appointed officials of the county.
(Source: P.A. 90-7, eff. 6-10-97.)
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