Full Text of SB2292 100th General Assembly
SB2292sam001 100TH GENERAL ASSEMBLY | Sen. Tim Bivins Filed: 2/7/2018
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| 1 | | AMENDMENT TO SENATE BILL 2292
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 2292 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The State Employees Group Insurance Act of 1971 | 5 | | is amended by changing Sections 9 and 10 as follows:
| 6 | | (5 ILCS 375/9) (from Ch. 127, par. 529)
| 7 | | Sec. 9.
(a) The eligible member shall be responsible for | 8 | | his or her
portion of the
premiums, charges or other fees for | 9 | | all elected coverages
or benefits, which shall be paid by means | 10 | | of the acceptance of a reduction
in earnings or the foregoing | 11 | | of an increase in earnings by an employee;
provided, however, | 12 | | subject to rules and regulations promulgated by the
Department, | 13 | | the eligible member may make personal payment of the premium,
| 14 | | charge or fee for any wellness programs implemented under the | 15 | | program of
health benefits.
All contributions and payments by | 16 | | the eligible members and the State for
all elected coverages |
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| 1 | | and benefits shall be deposited in the
Health Insurance Reserve | 2 | | Fund. Except as otherwise provided in subsection (a-5), the The | 3 | | Department may determine the aggregate
level of contribution | 4 | | required under this Section on the basis of actual
cost of | 5 | | services adjusted for age, sex or the geographical or other
| 6 | | demographic characteristics which affect costs of the benefit.
| 7 | | (a-5) Notwithstanding any provision of law to the contrary, | 8 | | any member of the General Assembly sworn into office on and | 9 | | after the second Wednesday in January of 2019, and who retires | 10 | | a participating member under Article 2 of the Illinois Pension | 11 | | Code, shall be responsible for exactly 50% of the applicable | 12 | | premiums, charges, or other fees for the basic program of group | 13 | | health benefits. The provisions of this subsection (a-5) do not | 14 | | apply to any person who previously served as a member of the | 15 | | General Assembly in either house prior to the second Wednesday | 16 | | of January of 2019. However, a current or retired member of the | 17 | | General Assembly who was sworn into or retired from office | 18 | | prior to the second Wednesday of January of 2019 may elect to | 19 | | be responsible for the applicable premiums, charges, or other | 20 | | fees for the basic program of group health benefits in | 21 | | accordance with this subsection (a-5). | 22 | | (b) If a member is not entitled to receive any salary, | 23 | | wages or other
compensation during a period in which premiums,
| 24 | | charges or other fees are due or does not receive compensation
| 25 | | sufficient to allow deduction of the required payment of the
| 26 | | premium, charge or other fee, such member may continue the |
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| 1 | | contributory
benefit in effect by making personal payment of | 2 | | the premium, charge or
other fee for the period in such manner, | 3 | | in such amount, and
for such duration, as may be prescribed in | 4 | | rules and regulations promulgated
for the administration of | 5 | | this Act.
| 6 | | (Source: P.A. 91-390, eff. 7-30-99.)
| 7 | | (5 ILCS 375/10) (from Ch. 127, par. 530)
| 8 | | Sec. 10. Contributions by the State and members.
| 9 | | (a) The State shall pay the cost of basic non-contributory | 10 | | group life
insurance and, subject to member paid contributions | 11 | | set by the Department or
required by this Section and except as | 12 | | provided in this Section, the basic program of group health | 13 | | benefits on each
eligible member, except a member, not | 14 | | otherwise
covered by this Act, who has retired as a | 15 | | participating member under Article 2
of the Illinois Pension | 16 | | Code but is ineligible for the retirement annuity under
Section | 17 | | 2-119 of the Illinois Pension Code, and part of each eligible | 18 | | member's
and retired member's premiums for health insurance | 19 | | coverage for enrolled
dependents as provided by Section 9. The | 20 | | State shall pay the cost of the basic
program of group health | 21 | | benefits only after benefits are reduced by the amount
of | 22 | | benefits covered by Medicare for all members and dependents
who | 23 | | are eligible for benefits under Social Security or
the Railroad | 24 | | Retirement system or who had sufficient Medicare-covered
| 25 | | government employment, except that such reduction in benefits |
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| 1 | | shall apply only
to those members and dependents who (1) first | 2 | | become eligible
for such Medicare coverage on or after July 1, | 3 | | 1992; or (2) are
Medicare-eligible members or dependents of a | 4 | | local government unit which began
participation in the program | 5 | | on or after July 1, 1992; or (3) remain eligible
for, but no | 6 | | longer receive Medicare coverage which they had been receiving | 7 | | on
or after July 1, 1992. The Department may determine the | 8 | | aggregate level of the
State's contribution on the basis of | 9 | | actual cost of medical services adjusted
for age, sex or | 10 | | geographic or other demographic characteristics which affect
| 11 | | the costs of such programs , except that, subject to a reduction | 12 | | based upon Medicare coverage, the State's contribution towards | 13 | | the basic program of group health benefits provided to members | 14 | | specified under subsection (a-5) of Section 9 shall be exactly | 15 | | 50% of the applicable premiums, charges, or other fees owed .
| 16 | | The cost of participation in the basic program of group | 17 | | health benefits
for the dependent or survivor of a living or | 18 | | deceased retired employee who was
formerly employed by the | 19 | | University of Illinois in the Cooperative Extension
Service and | 20 | | would be an annuitant but for the fact that he or she was 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 shall not
be greater than the cost of | 24 | | participation that would otherwise apply to that
dependent or | 25 | | survivor if he or she were the dependent or survivor of an
| 26 | | annuitant under the State Universities Retirement System.
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| 1 | | (a-1) (Blank).
| 2 | | (a-2) (Blank).
| 3 | | (a-3) (Blank).
| 4 | | (a-4) (Blank).
| 5 | | (a-5) (Blank).
| 6 | | (a-6) (Blank).
| 7 | | (a-7) (Blank).
| 8 | | (a-8) Any annuitant, survivor, or retired employee may | 9 | | waive or terminate coverage in
the program of group health | 10 | | benefits. Any such annuitant, survivor, or retired employee
who | 11 | | has waived or terminated coverage may enroll or re-enroll in | 12 | | the
program of group health benefits only during the annual | 13 | | benefit choice period,
as determined by the Director; except | 14 | | that in the event of termination of
coverage due to nonpayment | 15 | | of premiums, the annuitant, survivor, or retired employee
may | 16 | | not re-enroll in the program.
| 17 | | (a-8.5) Beginning on the effective date of this amendatory | 18 | | Act of the 97th General Assembly, and except as otherwise | 19 | | provided under subsection (a) of this Section and subsection | 20 | | (a-5) of Section 9, the Director of Central Management Services | 21 | | shall, on an annual basis, determine the amount that the State | 22 | | shall contribute toward the basic program of group health | 23 | | benefits on behalf of annuitants (including individuals who (i) | 24 | | participated in the General Assembly Retirement System, the | 25 | | State Employees' Retirement System of Illinois, the State | 26 | | Universities Retirement System, the Teachers' Retirement |
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| 1 | | System of the State of Illinois, or the Judges Retirement | 2 | | System of Illinois and (ii) qualify as annuitants under | 3 | | subsection (b) of Section 3 of this Act), survivors (including | 4 | | individuals who (i) receive an annuity as a survivor of an | 5 | | individual who participated in the General Assembly Retirement | 6 | | System, the State Employees' Retirement System of Illinois, the | 7 | | State Universities Retirement System, the Teachers' Retirement | 8 | | System of the State of Illinois, or the Judges Retirement | 9 | | System of Illinois and (ii) qualify as survivors under | 10 | | subsection (q) of Section 3 of this Act), and retired employees | 11 | | (as defined in subsection (p) of Section 3 of this Act). The | 12 | | remainder of the cost of coverage for each annuitant, survivor, | 13 | | or retired employee, as determined by the Director of Central | 14 | | Management Services, shall be the responsibility of that | 15 | | annuitant, survivor, or retired employee. | 16 | | Contributions required of annuitants, survivors, and | 17 | | retired employees shall be the same for all retirement systems | 18 | | and shall also be based on whether an individual has made an | 19 | | election under Section 15-135.1 of the Illinois Pension Code. | 20 | | Contributions may be based on annuitants', survivors', or | 21 | | retired employees' Medicare eligibility, but may not be based | 22 | | on Social Security eligibility. | 23 | | (a-9) No later than May 1 of each calendar year, the | 24 | | Director
of Central Management Services shall certify in | 25 | | writing to the Executive
Secretary of the State Employees' | 26 | | Retirement System of Illinois the amounts
of the Medicare |
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| 1 | | supplement health care premiums and the amounts of the
health | 2 | | care premiums for all other retirees who are not Medicare | 3 | | eligible.
| 4 | | A separate calculation of the premiums based upon the | 5 | | actual cost of each
health care plan shall be so certified.
| 6 | | The Director of Central Management Services shall provide | 7 | | to the
Executive Secretary of the State Employees' Retirement | 8 | | System of
Illinois such information, statistics, and other data | 9 | | as he or she
may require to review the premium amounts | 10 | | certified by the Director
of Central Management Services.
| 11 | | The Department of Central Management Services, or any | 12 | | successor agency designated to procure healthcare contracts | 13 | | pursuant to this Act, is authorized to establish funds, | 14 | | separate accounts provided by any bank or banks as defined by | 15 | | the Illinois Banking Act, or separate accounts provided by any | 16 | | savings and loan association or associations as defined by the | 17 | | Illinois Savings and Loan Act of 1985 to be held by the | 18 | | Director, outside the State treasury, for the purpose of | 19 | | receiving the transfer of moneys from the Local Government | 20 | | Health Insurance Reserve Fund. The Department may promulgate | 21 | | rules further defining the methodology for the transfers. Any | 22 | | interest earned by moneys in the funds or accounts shall inure | 23 | | to the Local Government Health Insurance Reserve Fund. The | 24 | | transferred moneys, and interest accrued thereon, shall be used | 25 | | exclusively for transfers to administrative service | 26 | | organizations or their financial institutions for payments of |
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| 1 | | claims to claimants and providers under the self-insurance | 2 | | health plan. The transferred moneys, and interest accrued | 3 | | thereon, shall not be used for any other purpose including, but | 4 | | not limited to, reimbursement of administration fees due the | 5 | | administrative service organization pursuant to its contract | 6 | | or contracts with the Department.
| 7 | | (b) State employees who become eligible for this program on | 8 | | or after January
1, 1980 in positions normally requiring actual | 9 | | performance of duty not less
than 1/2 of a normal work period | 10 | | but not equal to that of a normal work period,
shall be given | 11 | | the option of participating in the available program. If the
| 12 | | employee elects coverage, the State shall contribute on behalf | 13 | | of such employee
to the cost of the employee's benefit and any | 14 | | applicable dependent supplement,
that sum which bears the same | 15 | | percentage as that percentage of time the
employee regularly | 16 | | works when compared to normal work period.
| 17 | | (c) The basic non-contributory coverage from the basic | 18 | | program of
group health benefits shall be continued for each | 19 | | employee not in pay status or
on active service by reason of | 20 | | (1) leave of absence due to illness or injury,
(2) authorized | 21 | | educational leave of absence or sabbatical leave, or (3)
| 22 | | military leave. This coverage shall continue until
expiration | 23 | | of authorized leave and return to active service, but not to | 24 | | exceed
24 months for leaves under item (1) or (2). This | 25 | | 24-month limitation and the
requirement of returning to active | 26 | | service shall not apply to persons receiving
ordinary or |
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| 1 | | accidental disability benefits or retirement benefits through | 2 | | the
appropriate State retirement system or benefits under the | 3 | | Workers' Compensation
or Occupational Disease Act.
| 4 | | (d) The basic group life insurance coverage shall continue, | 5 | | with
full State contribution, where such person is (1) absent | 6 | | from active
service by reason of disability arising from any | 7 | | cause other than
self-inflicted, (2) on authorized educational | 8 | | leave of absence or
sabbatical leave, or (3) on military leave.
| 9 | | (e) Where the person is in non-pay status for a period in | 10 | | excess of
30 days or on leave of absence, other than by reason | 11 | | of disability,
educational or sabbatical leave, or military | 12 | | leave, such
person may continue coverage only by making | 13 | | personal
payment equal to the amount normally contributed by | 14 | | the State on such person's
behalf. Such payments and coverage | 15 | | may be continued: (1) until such time as
the person returns to | 16 | | a status eligible for coverage at State expense, but not
to | 17 | | exceed 24 months or (2) until such person's employment or | 18 | | annuitant status
with the State is terminated (exclusive of any | 19 | | additional service imposed pursuant to law).
| 20 | | (f) The Department shall establish by rule the extent to | 21 | | which other
employee benefits will continue for persons in | 22 | | non-pay status or who are
not in active service.
| 23 | | (g) The State shall not pay the cost of the basic | 24 | | non-contributory
group life insurance, program of health | 25 | | benefits and other employee benefits
for members who are | 26 | | survivors as defined by paragraphs (1) and (2) of
subsection |
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| 1 | | (q) of Section 3 of this Act. The costs of benefits for these
| 2 | | survivors shall be paid by the survivors or by the University | 3 | | of Illinois
Cooperative Extension Service, or any combination | 4 | | thereof.
However, the State shall pay the amount of the | 5 | | reduction in the cost of
participation, if any, resulting from | 6 | | the amendment to subsection (a) made
by this amendatory Act of | 7 | | the 91st General Assembly.
| 8 | | (h) Those persons occupying positions with any department | 9 | | as a result
of emergency appointments pursuant to Section 8b.8 | 10 | | of the Personnel Code
who are not considered employees under | 11 | | this Act shall be given the option
of participating in the | 12 | | programs of group life insurance, health benefits and
other | 13 | | employee benefits. Such persons electing coverage may | 14 | | participate only
by making payment equal to the amount normally | 15 | | contributed by the State for
similarly situated employees. Such | 16 | | amounts shall be determined by the
Director. Such payments and | 17 | | coverage may be continued until such time as the
person becomes | 18 | | an employee pursuant to this Act or such person's appointment | 19 | | is
terminated.
| 20 | | (i) Any unit of local government within the State of | 21 | | Illinois
may apply to the Director to have its employees, | 22 | | annuitants, and their
dependents provided group health | 23 | | coverage under this Act on a non-insured
basis. To participate, | 24 | | a unit of local government must agree to enroll
all of its | 25 | | employees, who may select coverage under either the State group
| 26 | | health benefits plan or a health maintenance organization that |
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| 1 | | has
contracted with the State to be available as a health care | 2 | | provider for
employees as defined in this Act. A unit of local | 3 | | government must remit the
entire cost of providing coverage | 4 | | under the State group health benefits plan
or, for coverage | 5 | | under a health maintenance organization, an amount determined
| 6 | | by the Director based on an analysis of the sex, age, | 7 | | geographic location, or
other relevant demographic variables | 8 | | for its employees, except that the unit of
local government | 9 | | shall not be required to enroll those of its employees who are
| 10 | | covered spouses or dependents under this plan or another group | 11 | | policy or plan
providing health benefits as long as (1) an | 12 | | appropriate official from the unit
of local government attests | 13 | | that each employee not enrolled is a covered spouse
or | 14 | | dependent under this plan or another group policy or plan, and | 15 | | (2) at least
50% of the employees are enrolled and the unit of | 16 | | local government remits
the entire cost of providing coverage | 17 | | to those employees, except that a
participating school district | 18 | | must have enrolled at least 50% of its full-time
employees who | 19 | | have not waived coverage under the district's group health
plan | 20 | | by participating in a component of the district's cafeteria | 21 | | plan. A
participating school district is not required to enroll | 22 | | a full-time employee
who has waived coverage under the | 23 | | district's health plan, provided that an
appropriate official | 24 | | from the participating school district attests that the
| 25 | | full-time employee has waived coverage by participating in a | 26 | | component of the
district's cafeteria plan. For the purposes of |
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| 1 | | this subsection, "participating
school district" includes a | 2 | | unit of local government whose primary purpose is
education as | 3 | | defined by the Department's rules.
| 4 | | Employees of a participating unit of local government who | 5 | | are not enrolled
due to coverage under another group health | 6 | | policy or plan may enroll in
the event of a qualifying change | 7 | | in status, special enrollment, special
circumstance as defined | 8 | | by the Director, or during the annual Benefit Choice
Period. A | 9 | | participating unit of local government may also elect to cover | 10 | | its
annuitants. Dependent coverage shall be offered on an | 11 | | optional basis, with the
costs paid by the unit of local | 12 | | government, its employees, or some combination
of the two as | 13 | | determined by the unit of local government. The unit of local
| 14 | | government shall be responsible for timely collection and | 15 | | transmission of
dependent premiums.
| 16 | | The Director shall annually determine monthly rates of | 17 | | payment, subject
to the following constraints:
| 18 | | (1) In the first year of coverage, the rates shall be | 19 | | equal to the
amount normally charged to State employees for | 20 | | elected optional coverages
or for enrolled dependents | 21 | | coverages or other contributory coverages, or
contributed | 22 | | by the State for basic insurance coverages on behalf of its
| 23 | | employees, adjusted for differences between State | 24 | | employees and employees
of the local government in age, | 25 | | sex, geographic location or other relevant
demographic | 26 | | variables, plus an amount sufficient to pay for the |
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| 1 | | additional
administrative costs of providing coverage to | 2 | | employees of the unit of
local government and their | 3 | | dependents.
| 4 | | (2) In subsequent years, a further adjustment shall be | 5 | | made to reflect
the actual prior years' claims experience | 6 | | of the employees of the unit of
local government.
| 7 | | In the case of coverage of local government employees under | 8 | | a health
maintenance organization, the Director shall annually | 9 | | determine for each
participating unit of local government the | 10 | | maximum monthly amount the unit
may contribute toward that | 11 | | coverage, based on an analysis of (i) the age,
sex, geographic | 12 | | location, and other relevant demographic variables of the
| 13 | | unit's employees and (ii) the cost to cover those employees | 14 | | under the State
group health benefits plan. The Director may | 15 | | similarly determine the
maximum monthly amount each unit of | 16 | | local government may contribute toward
coverage of its | 17 | | employees' dependents under a health maintenance organization.
| 18 | | Monthly payments by the unit of local government or its | 19 | | employees for
group health benefits plan or health maintenance | 20 | | organization coverage shall
be deposited in the Local | 21 | | Government Health Insurance Reserve Fund.
| 22 | | The Local Government Health Insurance Reserve Fund is | 23 | | hereby created as a nonappropriated trust fund to be held | 24 | | outside the State Treasury, with the State Treasurer as | 25 | | custodian. The Local Government Health Insurance Reserve Fund | 26 | | shall be a continuing
fund not subject to fiscal year |
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| 1 | | limitations. The Local Government Health Insurance Reserve | 2 | | Fund is not subject to administrative charges or charge-backs, | 3 | | including but not limited to those authorized under Section 8h | 4 | | of the State Finance Act. All revenues arising from the | 5 | | administration of the health benefits program established | 6 | | under this Section shall be deposited into the Local Government | 7 | | Health Insurance Reserve Fund. Any interest earned on moneys in | 8 | | the Local Government Health Insurance Reserve Fund shall be | 9 | | deposited into the Fund. All expenditures from this Fund
shall | 10 | | be used for payments for health care benefits for local | 11 | | government and rehabilitation facility
employees, annuitants, | 12 | | and dependents, and to reimburse the Department or
its | 13 | | administrative service organization for all expenses incurred | 14 | | in the
administration of benefits. No other State funds may be | 15 | | used for these
purposes.
| 16 | | A local government employer's participation or desire to | 17 | | participate
in a program created under this subsection shall | 18 | | not limit that employer's
duty to bargain with the | 19 | | representative of any collective bargaining unit
of its | 20 | | employees.
| 21 | | (j) Any rehabilitation facility within the State of | 22 | | Illinois may apply
to the Director to have its employees, | 23 | | annuitants, and their eligible
dependents provided group | 24 | | health coverage under this Act on a non-insured
basis. To | 25 | | participate, a rehabilitation facility must agree to enroll all
| 26 | | of its employees and remit the entire cost of providing such |
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| 1 | | coverage for
its employees, except that the rehabilitation | 2 | | facility shall not be
required to enroll those of its employees | 3 | | who are covered spouses or
dependents under this plan or | 4 | | another group policy or plan providing health
benefits as long | 5 | | as (1) an appropriate official from the rehabilitation
facility | 6 | | attests that each employee not enrolled is a covered spouse or
| 7 | | dependent under this plan or another group policy or plan, and | 8 | | (2) at least
50% of the employees are enrolled and the | 9 | | rehabilitation facility remits
the entire cost of providing | 10 | | coverage to those employees. Employees of a
participating | 11 | | rehabilitation facility who are not enrolled due to coverage
| 12 | | under another group health policy or plan may enroll
in the | 13 | | event of a qualifying change in status, special enrollment, | 14 | | special
circumstance as defined by the Director, or during the | 15 | | annual Benefit Choice
Period. A participating rehabilitation | 16 | | facility may also elect
to cover its annuitants. Dependent | 17 | | coverage shall be offered on an optional
basis, with the costs | 18 | | paid by the rehabilitation facility, its employees, or
some | 19 | | combination of the 2 as determined by the rehabilitation | 20 | | facility. The
rehabilitation facility shall be responsible for | 21 | | timely collection and
transmission of dependent premiums.
| 22 | | The Director shall annually determine quarterly rates of | 23 | | payment, subject
to the following constraints:
| 24 | | (1) In the first year of coverage, the rates shall be | 25 | | equal to the amount
normally charged to State employees for | 26 | | elected optional coverages or for
enrolled dependents |
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| 1 | | coverages or other contributory coverages on behalf of
its | 2 | | employees, adjusted for differences between State | 3 | | employees and
employees of the rehabilitation facility in | 4 | | age, sex, geographic location
or other relevant | 5 | | demographic variables, plus an amount sufficient to pay
for | 6 | | the additional administrative costs of providing coverage | 7 | | to employees
of the rehabilitation facility and their | 8 | | dependents.
| 9 | | (2) In subsequent years, a further adjustment shall be | 10 | | made to reflect
the actual prior years' claims experience | 11 | | of the employees of the
rehabilitation facility.
| 12 | | Monthly payments by the rehabilitation facility or its | 13 | | employees for
group health benefits shall be deposited in the | 14 | | Local Government Health
Insurance Reserve Fund.
| 15 | | (k) Any domestic violence shelter or service within the | 16 | | State of Illinois
may apply to the Director to have its | 17 | | employees, annuitants, and their
dependents provided group | 18 | | health coverage under this Act on a non-insured
basis. To | 19 | | participate, a domestic violence shelter or service must agree | 20 | | to
enroll all of its employees and pay the entire cost of | 21 | | providing such coverage
for its employees. The domestic | 22 | | violence shelter shall not be required to enroll those of its | 23 | | employees who are covered spouses or dependents under this plan | 24 | | or another group policy or plan providing health benefits as | 25 | | long as (1) an appropriate official from the domestic violence | 26 | | shelter attests that each employee not enrolled is a covered |
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| 1 | | spouse or dependent under this plan or another group policy or | 2 | | plan and (2) at least 50% of the employees are enrolled and the | 3 | | domestic violence shelter remits the entire cost of providing | 4 | | coverage to those employees. Employees of a participating | 5 | | domestic violence shelter who are not enrolled due to coverage | 6 | | under another group health policy or plan may enroll in the | 7 | | event of a qualifying change in status, special enrollment, or | 8 | | special circumstance as defined by the Director or during the | 9 | | annual Benefit Choice Period. A participating domestic | 10 | | violence shelter may also elect
to cover its annuitants. | 11 | | Dependent coverage shall be offered on an optional
basis, with
| 12 | | employees, or some combination of the 2 as determined by the | 13 | | domestic violence
shelter or service. The domestic violence | 14 | | shelter or service shall be
responsible for timely collection | 15 | | and transmission of dependent premiums.
| 16 | | The Director shall annually determine rates of payment,
| 17 | | subject to the following constraints:
| 18 | | (1) In the first year of coverage, the rates shall be | 19 | | equal to the
amount normally charged to State employees for | 20 | | elected optional coverages
or for enrolled dependents | 21 | | coverages or other contributory coverages on
behalf of its | 22 | | employees, adjusted for differences between State | 23 | | employees and
employees of the domestic violence shelter or | 24 | | service in age, sex, geographic
location or other relevant | 25 | | demographic variables, plus an amount sufficient
to pay for | 26 | | the additional administrative costs of providing coverage |
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| 1 | | to
employees of the domestic violence shelter or service | 2 | | and their dependents.
| 3 | | (2) In subsequent years, a further adjustment shall be | 4 | | made to reflect
the actual prior years' claims experience | 5 | | of the employees of the domestic
violence shelter or | 6 | | service.
| 7 | | Monthly payments by the domestic violence shelter or | 8 | | service or its employees
for group health insurance shall be | 9 | | deposited in the Local Government Health
Insurance Reserve | 10 | | Fund.
| 11 | | (l) A public community college or entity organized pursuant | 12 | | to the
Public Community College Act may apply to the Director | 13 | | initially to have
only annuitants not covered prior to July 1, | 14 | | 1992 by the district's health
plan provided health coverage | 15 | | under this Act on a non-insured basis. The
community college | 16 | | must execute a 2-year contract to participate in the
Local | 17 | | Government Health Plan.
Any annuitant may enroll in the event | 18 | | of a qualifying change in status, special
enrollment, special | 19 | | circumstance as defined by the Director, or during the
annual | 20 | | Benefit Choice Period.
| 21 | | The Director shall annually determine monthly rates of | 22 | | payment subject to
the following constraints: for those | 23 | | community colleges with annuitants
only enrolled, first year | 24 | | rates shall be equal to the average cost to cover
claims for a | 25 | | State member adjusted for demographics, Medicare
| 26 | | participation, and other factors; and in the second year, a |
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| 1 | | further adjustment
of rates shall be made to reflect the actual | 2 | | first year's claims experience
of the covered annuitants.
| 3 | | (l-5) The provisions of subsection (l) become inoperative | 4 | | on July 1, 1999.
| 5 | | (m) The Director shall adopt any rules deemed necessary for
| 6 | | implementation of this amendatory Act of 1989 (Public Act | 7 | | 86-978).
| 8 | | (n) Any child advocacy center within the State of Illinois | 9 | | may apply to the Director to have its employees, annuitants, | 10 | | and their dependents provided group health coverage under this | 11 | | Act on a non-insured basis. To participate, a child advocacy | 12 | | center must agree to enroll all of its employees and pay the | 13 | | entire cost of providing coverage for its employees. The child
| 14 | | advocacy center shall not be required to enroll those of its
| 15 | | employees who are covered spouses or dependents under this plan
| 16 | | or another group policy or plan providing health benefits as
| 17 | | long as (1) an appropriate official from the child advocacy
| 18 | | center attests that each employee not enrolled is a covered
| 19 | | spouse or dependent under this plan or another group policy or
| 20 | | plan and (2) at least 50% of the employees are enrolled and the | 21 | | child advocacy center remits the entire cost of providing | 22 | | coverage to those employees. Employees of a participating child | 23 | | advocacy center who are not enrolled due to coverage under | 24 | | another group health policy or plan may enroll in the event of | 25 | | a qualifying change in status, special enrollment, or special | 26 | | circumstance as defined by the Director or during the annual |
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| 1 | | Benefit Choice Period. A participating child advocacy center | 2 | | may also elect to cover its annuitants. Dependent coverage | 3 | | shall be offered on an optional basis, with the costs paid by | 4 | | the child advocacy center, its employees, or some combination | 5 | | of the 2 as determined by the child advocacy center. The child | 6 | | advocacy center shall be responsible for timely collection and | 7 | | transmission of dependent premiums. | 8 | | The Director shall annually determine rates of payment, | 9 | | subject to the following constraints: | 10 | | (1) In the first year of coverage, the rates shall be | 11 | | equal to the amount normally charged to State employees for | 12 | | elected optional coverages or for enrolled dependents | 13 | | coverages or other contributory coverages on behalf of its | 14 | | employees, adjusted for differences between State | 15 | | employees and employees of the child advocacy center in | 16 | | age, sex, geographic location, or other relevant | 17 | | demographic variables, plus an amount sufficient to pay for | 18 | | the additional administrative costs of providing coverage | 19 | | to employees of the child advocacy center and their | 20 | | dependents. | 21 | | (2) In subsequent years, a further adjustment shall be | 22 | | made to reflect the actual prior years' claims experience | 23 | | of the employees of the child advocacy center. | 24 | | Monthly payments by the child advocacy center or its | 25 | | employees for group health insurance shall be deposited into | 26 | | the Local Government Health Insurance Reserve Fund. |
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| 1 | | (Source: P.A. 97-695, eff. 7-1-12; 98-488, eff. 8-16-13 .)
| 2 | | Section 99. Effective date. This Act takes effect upon | 3 | | becoming law.".
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