Rep. Frank J. Mautino

Filed: 3/30/2009

 

 


 

 


 
09600HB2325ham002 LRB096 09782 RPM 24827 a

1
AMENDMENT TO HOUSE BILL 2325

2     AMENDMENT NO. ______. Amend House Bill 2325 as follows:
 
3 on page 4, immediately below line 13, by inserting the
4 following:
5         "Unless contrary to the provisions of, or any rules
6     promulgated pursuant to, Section 3001(a)(7) of Title III of
7     Division B of the federal American Recovery and
8     Reinvestment Act of 2009, with respect to employees or
9     members involuntarily terminated between September 1, 2008
10     and December 31, 2009, the notice requirements of this
11     Section are not satisfied unless notice is presented to the
12     employee or member by the insurer informing the employee or
13     member of the availability of premium reduction with
14     respect to such coverage under the federal American
15     Recovery and Reinvestment Act of 2009. Such written notice
16     shall conform to all applicable requirements set forth in
17     Section 3001(a)(7) of Title III of Division B of the

 

 

09600HB2325ham002 - 2 - LRB096 09782 RPM 24827 a

1     federal American Recovery and Reinvestment Act of 2009. The
2     Department shall publish models for the notification that
3     shall be provided by insurers pursuant to this paragraph.";
4     and
 
5 on page 6, immediately below line 16, by inserting the
6 following:
7         "9. An employee or member without an election of
8     continuation of coverage pursuant to this Section in effect
9     on the effective date of this amendatory Act of the 96th
10     General Assembly may elect continuation pursuant to this
11     paragraph 9 if the employee or member: (i) would be an
12     assistance eligible individual as defined in Section
13     3001(a)(3) of Title III of Division B of the federal
14     American Recovery and Reinvestment Act of 2009 if such an
15     election were in effect and (ii) at the time of termination
16     was eligible for continuation pursuant to paragraphs 1 and
17     2 of this Section.
18         Unless contrary to the provisions of, or any rules
19     promulgated pursuant to, Section 3001(a)(7) of Title III of
20     Division B of the federal American Recovery and
21     Reinvestment Act of 2009, written notice of continuation
22     pursuant to this paragraph 9 shall be presented to the
23     employee or member by the insurer or mailed by the insurer
24     to the last known address of the employee or member within
25     30 days of the effective date of this amendatory Act of the

 

 

09600HB2325ham002 - 3 - LRB096 09782 RPM 24827 a

1     96th General Assembly. Such written notice shall conform to
2     all applicable requirements set forth in Section
3     3001(a)(7) of Title III of Division B of the federal
4     American Recovery and Reinvestment Act of 2009. The
5     Department shall publish models for the notification that
6     shall be provided by insurers pursuant to this paragraph 9.
7         An employee or member electing continuation of
8     coverage under this paragraph 9 must request such
9     continuation in writing within 60 days after the date the
10     employee or member receives written notice of the right of
11     continuation by the insurer.
12         Continuation of coverage elected pursuant to this
13     paragraph 9 shall commence with the first period of
14     coverage beginning on or after February 17, 2009, the
15     effective date of the federal American Recovery and
16     Reinvestment Act of 2009, and shall not extend beyond the
17     period of continuation that would have been required if the
18     coverage had been elected pursuant to paragraph 4 of this
19     Section.
20         With respect to an employee or member who elects
21     continuation of coverage under this paragraph 9, the period
22     beginning on the date of the employee's or member's
23     involuntary termination of employment and ending on the
24     date of the first period of coverage on or after February
25     17, 2009 shall be disregarded for purposes of determining
26     the 63-day period referred to in Section 20 of the Illinois

 

 

09600HB2325ham002 - 4 - LRB096 09782 RPM 24827 a

1     Health Insurance Portability and Accountability Act."; and
 
2 on page 10, immediately below line 5, by inserting the
3 following:
4         "Unless contrary to the provisions of, or any rules
5     promulgated pursuant to, Section 3001(a)(7) of Title III of
6     Division B of the federal American Recovery and
7     Reinvestment Act of 2009, with respect to employees or
8     members involuntarily terminated between September 1, 2008
9     and December 31, 2009, the notice requirements of this
10     Section are not satisfied unless notice is presented to the
11     employee or member by the HMO informing the employee or
12     member of the availability of premium reduction with
13     respect to such coverage under the federal American
14     Recovery and Reinvestment Act of 2009. Such written notice
15     shall conform to all applicable requirements set forth in
16     Section 3001(a)(7) of Title III of Division B of the
17     federal American Recovery and Reinvestment Act of 2009. The
18     Department shall publish models for the notification that
19     shall be provided by HMOs pursuant to this paragraph."; and
 
20 on page 12, immediately below line 6, by inserting the
21 following:
22         "(9) An employee or member without an election of
23     continuation of coverage pursuant to this Section in effect
24     on the effective date of this amendatory Act of the 96th

 

 

09600HB2325ham002 - 5 - LRB096 09782 RPM 24827 a

1     General Assembly may elect continuation pursuant to this
2     paragraph (9) if the employee or member: (i) would be an
3     assistance eligible individual as defined in Section
4     3001(a)(3) of Title III of Division B of the federal
5     American Recovery and Reinvestment Act of 2009 if such an
6     election were in effect and (ii) at the time of termination
7     was eligible for continuation pursuant to paragraphs (1)
8     and (2) of this Section.
9         Unless contrary to the provisions of, or any rules
10     promulgated pursuant to, Section 3001(a)(7) of Title III of
11     Division B of the federal American Recovery and
12     Reinvestment Act of 2009, written notice of continuation
13     pursuant to this paragraph (9) shall be presented to the
14     employee or member by the HMO or mailed by the HMO to the
15     last known address of the employee or member within 30 days
16     after the effective date of this amendatory Act of the 96th
17     General Assembly. Such written notice shall conform to all
18     applicable requirements set forth in Section 3001(a)(7) of
19     Title III of Division B of the federal American Recovery
20     and Reinvestment Act of 2009. The Department shall publish
21     models for the notification that shall be provided by HMOs
22     pursuant to this paragraph (9).
23         An employee or member electing continuation of
24     coverage under this paragraph (9) must request such
25     continuation in writing within 60 days after the date the
26     employee or member receives written notice of the right of

 

 

09600HB2325ham002 - 6 - LRB096 09782 RPM 24827 a

1     continuation by the HMO.
2         Continuation of coverage elected pursuant to this
3     paragraph (9) shall commence with the first period of
4     coverage beginning on or after February 17, 2009, the
5     effective date of the federal American Recovery and
6     Reinvestment Act of 2009, and shall not extend beyond the
7     period of continuation that would have been required if the
8     coverage had been elected pursuant to paragraph (4) of this
9     Section.
10         With respect to an employee or member who elects
11     continuation of coverage under this paragraph (9), the
12     period beginning on the date of the employee's or member's
13     involuntary termination of employment and ending on the
14     date of the first period of coverage on or after February
15     17, 2009 shall be disregarded for purposes of determining
16     the 63-day period referred to in Section 20 of the Illinois
17     Health Insurance Portability and Accountability Act.".