Section 2200.130 Definitions
Whenever used in this Part, the following terms shall have
the meanings set forth in this Section unless otherwise expressly provided, and
when the defined meaning is intended, the term is capitalized.
"Act" means the State
Employees Group Insurance Act of 1971 [5 ILCS 375].
"Annuitant" means:
an employee who
retires, or has retired, on or after January 1, 1966 on an immediate annuity
under the provisions of Articles 2, 14 (including an employee who has elected
to receive an alternative retirement cancellation payment under Section 14‑108.5
of the Illinois Pension Code in lieu of an annuity), 15 (including an employee
who has retired under the optional retirement program established under Section
15‑158.2 of the Code), Section 16‑106(2), (3) or (5) of the Code, or
Article 18 of the Code;
any person who
was receiving group insurance coverage under the Act as of March 31, 1978 by
reason of his or her status as an annuitant, even though the annuity in
relation to which the coverage was provided is a proportional annuity based on
less than the minimum period of service required for a retirement annuity in
the system involved;
any person not
otherwise covered by the Act who has retired as a participating member under
Article 2 of the Code but is ineligible for the retirement annuity under
Section 2‑119 of the Code; or
the spouse of any
person who is receiving a retirement annuity under Article 18 of the Code and
who is covered under a group health insurance program sponsored by a
governmental employer other than the State of Illinois and who has irrevocably
elected to waive his or her coverage under the Act and to have his or her
spouse considered as the "annuitant" under the Act and not as a
"dependent".
"CMS" means the Illinois
Department of Central Management Services.
"Code" means the
Illinois Pension Code [40 ILCS 5].
"Department" means any
Department, institution, board, commission, officer, court or any agency of the
State government as defined in Section 3(g) of the Act.
"Director" means the
Director of the Illinois Department of Central Management Services or of any
successor agency designated to administer the Act.
"GARS" means the General
Assembly Retirement System.
"JRS" means the Judges
Retirement System.
"Retired Employee" means
any person who would be an annuitant as that term is defined in this Section but
for the fact that the person retired prior to January 1, 1966. The term also
includes any person formerly employed by the University of Illinois in the
Cooperative Extension Service who would be an annuitant but for the fact that the
person was made ineligible to participate in SURS by Section 15‑107(a)(4)
of the Code.
"Retirement Systems"
means the General Assembly Retirement System, the Judges Retirement System, the
State Employees' Retirement System, the State Universities Retirement System
and the Teachers' Retirement System.
"SERS" means the State
Employees' Retirement System.
"SURS" means the State
Universities Retirement System.
"Survivor" means a person
receiving an annuity as a survivor of an employee or of an annuitant.
"Survivor" also includes:
the surviving dependent of a
person who satisfies the definition of "employee" except that the
person is made ineligible to participate in SURS by Section 15‑107(a)(4)
of the Code;
the surviving dependent of any
person formerly employed by the University of Illinois in the Cooperative
Extension Service who would be an annuitant except for the fact that the person
was made ineligible to participate in SURS by Section 15‑107(a)(4) of the
Code; and
the surviving dependent of a
person who was an annuitant under the Act by virtue of receiving an alternative
retirement cancellation payment under Section 14‑108.5 of the Code.
"TRS" means the
Teachers' Retirement System.
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TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.140 RECORDS AND CERTIFICATIONS
Section 2200.140 Records and Certifications
Records and other necessary certifications will be furnished
to the Director as may be necessary for the administration of this Part. These
records and certifications will be retained and provided as necessary by each
appropriate Department.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.150 SEVERABILITY
Section 2200.150 Severability
If any provision of the Act or this Part or application of
the Act or this Part to any person or circumstance is held invalid, that
invalidity does not affect other provisions or applications of the Act or this
Part that can be given effect without the invalid application or provision. To
this end, the provisions of the Act and this Part are declared to be severable.
SUBPART B: RESPONSIBILITIES OF THE DEPARTMENT
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.210 CMS RESPONSIBILITY
Section 2200.210 CMS Responsibility
CMS shall:
a) Establish premium
contributions consistent with the Act and this Part;
b) Calculate
the premium contribution owed by each Retired Employee, Annuitant or Survivor in
accordance with Subpart E of this Part and transmit that calculation to the
appropriate Retirement System on a monthly basis to allow for collection of the
premium; and
c) Develop
information and distribute that information to Retired Employees, Annuitants
and Survivors related to this Part.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.220 DETERMINING BENEFITS
Section 2200.220 Determining Benefits
CMS will determine the benefits available to Annuitants,
Retired Employees, Survivors and their eligible dependents.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.230 PROVISION FOR BENEFITS
Section 2200.230 Provision for Benefits
The Director shall, by contract, self-insurance, or
otherwise make available the program of health benefits for Annuitants,
Retired Employees, Survivors and their eligible dependents.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.240 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
Section 2200.240 Health Insurance Portability and
Accountability Act (HIPAA)
CMS will comply with the uses and disclosures of protected health
information, permitted by the Health Insurance Portability and Accountability
Act (HIPAA) (PL 104-191).
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.250 CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT OF 1985 (COBRA)
Section 2200.250 Consolidated Omnibus Budget
Reconciliation Act of 1985 (COBRA)
CMS shall be responsible for compliance with the
continuation of benefits requirements of COBRA (PL 99-272). All premiums
must be collected and transmitted to CMS by the respective retirement system.
SUBPART C: RESPONSIBILITIES OF THE APPROPRIATE RETIREMENT SYSTEM
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.310 ANNUITY
Section 2200.310 Annuity
The Retirement Systems shall report the value of the annuity
of each Retired Employee, Annuitant and Survivor to CMS on a monthly basis.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.320 ENROLLMENTS AND TERMINATIONS
Section 2200.320 Enrollments and Terminations
The Retirement Systems shall enroll and terminate their
respective Retired Employees, Annuitants, Survivors and their dependents
pursuant to CMS' policies and procedures and consistent with the terms of the
Act.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.330 PREMIUM COLLECTION AND PAYMENT
Section 2200.330 Premium Collection and Payment
a) The
Retirement Systems shall be responsible for the collection and transmission to
CMS of the premium for their respective Retired Employees, Annuitants and
Survivors.
b) Individuals
whose annuity check is insufficient to cover the amount of the monthly premiums
due pursuant to Subpart E shall be direct billed.
SUBPART D: VALUE OF ANNUITY
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.410 CALCULATION
Section 2200.410 Calculation
a) The
annuity upon which the health insurance premiums are based shall be the gross
sum of all annuities received by the Retired Employee, Annuitant or Survivor
from the Retirement Systems.
b) For
individuals who retired under PA 93-0839 (between August 16, 2004 and October
31, 2004), PA 94-0109 (between July 1, 2005 and September 30, 2005) or PA 94-0839
(between June 6, 2006 and August 31, 2006), the annuity shall be calculated by SERS
and will be equal to the amount of the annuity that would have been received.
c) For
individuals who retired under the University of Illinois Cooperative Extension
Service, the initial annuity shall be the sum of all annuities as provided by
each of the Retirement Systems and the U.S. Office of Personnel Management.
SUBPART E: PREMIUMS
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.510 CALCULATION
Section 2200.510 Calculation
CMS shall calculate the premiums due for the coverage of the
Annuitant, Retired Employee or Survivor under this Part as follows:
a) A percentage of the
annuity, as outlined under Section 2200.520; plus
b) A percentage of cost, as
outlined under Section 2200.530.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.520 PERCENTAGE OF ANNUITY
Section 2200.520 Percentage of Annuity
CMS shall calculate the premiums due under this Part as
follows:
a) For
each Retired Employee, Annuitant or Survivor with primary coverage under the
State program, the premium shall be equal to 2% of the total annual annuity
received by the Retired Employee, Annuitant or Survivor from any and all of the
five State Retirement Systems;
b) For
each Retired Employee, Annuitant or Survivor with primary coverage under the
federal Medicare health insurance program (Title XVIII of the Social Security
Act, as added by Public Law 89-97), the premium shall be equal to 1% of the
total annual annuity received by the Retired Employee, Annuitant or Survivor
from any and all of the five State Retirement Systems;
c) For each
Retired Employee, Annuitant or Survivor age 65 or older whose primary coverage
would otherwise be coverage under the federal Medicare health insurance
program, except for his or her inability to contribute to Medicare while
actively working, the premium shall be equal to 1% of the total annual annuity
received by the Retired Employee, Annuitant or Survivor from any and all of the
five State Retirement Systems.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.530 PERCENTAGE OF COST
Section 2200.530 Percentage of Cost
a) In
addition to the percentage of annuity outlined in Section 2200.420, any SERS,
SURS or TRS Annuitant who retired on or after January 1, 1998 with less than 20
years of State service, or any SERS, SURS or TRS Survivor whose annuity is
based upon the work of an individual who retired on or after January 1, 1998
with less than 20 years of State service, shall pay 5% of the cost of the
elected coverage for each year less than 20 upon which the annuity is based.
b) SURS
Annuitants who retired under PA 91-0395, or SURS Survivors whose annuity is
based upon the work of an individual who retired under PA 91-0395, shall not be
required to pay the additional amounts outlined in subsection (a)(1).
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.540 DEPENDENT PREMIUMS
Section 2200.540 Dependent Premiums
a) Annuitants,
Retired Employees and Survivors shall be required to pay premiums for any
elected dependent coverage in an amount equal to the premiums charged to active
employees for elected dependent coverage.
b) Premiums
charged for elected dependent coverage shall be in addition to any premiums due
under Sections 2200.520 and 2200.530.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 2200.550 OPTIONAL COVERAGE PREMIUMS
Section 2200.550 Optional Coverage Premiums
a) Annuitants,
Retired Employees and Survivors are required to pay premiums for any elected
optional coverage, including dental and optional life coverage.
b) Premiums
paid for dental coverage for Annuitants, Retired Employees, Survivors and their
enrolled dependents shall be in an amount equal to that paid by active
employees.
c) Premiums
paid for optional life insurance coverage for Annuitants, Retired Employees,
Survivors and their enrolled dependents shall be in an amount equal to that
paid by active employees.
d) Premiums
charged for elected optional coverage shall be in addition to any premiums due
under Sections 2200.520, 2200.530 and 2200.540.
| TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2200
STATE EMPLOYEES GROUP INSURANCE PROGRAM
RETIREE PREMIUM CONTRIBUTIONS
SECTION 220.560 EXEMPT FROM PREMIUMS
Section 220.560 Exempt from Premiums
a) The
following individuals shall not be required to pay premiums due under Section
2200.520 or 2200.530:
1) Any
person not otherwise covered by the Act who has retired as a participating
member under Article 2 of the Code but is ineligible for the retirement annuity
under Section 2‑119 of the Code;
2) University
of Illinois Cooperative Extension retirees whose member basic health premium is
paid by the Cooperative Extension Service; and
3) Survivors of employees
with less than one year of service.
b) Individuals
receiving benefits under PA 90-0535 (Public Safety Employee Benefit Act) shall
not be required to pay premiums due under Section 2200.520, 2200.530 or
2200.540.
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