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Rep. Frank J. Mautino
Filed: 3/30/2009
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09600HB2325ham002 |
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LRB096 09782 RPM 24827 a |
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| AMENDMENT TO HOUSE BILL 2325
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| AMENDMENT NO. ______. Amend House Bill 2325 as follows:
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| on page 4, immediately below line 13, by inserting the |
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| following: |
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| " Unless contrary to the provisions of, or any rules |
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| promulgated pursuant to, Section 3001(a)(7) of Title III of |
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| Division B of the federal American Recovery and |
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| Reinvestment Act of 2009, with respect to employees or |
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| members involuntarily terminated between September 1, 2008 |
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| and December 31, 2009, the notice requirements of this |
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| Section are not satisfied unless notice is presented to the |
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| employee or member by the insurer informing the employee or |
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| member of the availability of premium reduction with |
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| respect to such coverage under the federal American |
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| Recovery and Reinvestment Act of 2009. Such written notice |
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| shall conform to all applicable requirements set forth in |
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| Section 3001(a)(7) of Title III of Division B of the |
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09600HB2325ham002 |
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LRB096 09782 RPM 24827 a |
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| federal American Recovery and Reinvestment Act of 2009. The |
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| Department shall publish models for the notification that |
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| shall be provided by insurers pursuant to this paragraph. "; |
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| and |
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| on page 6, immediately below line 16, by inserting the |
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| following: |
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| " 9. An employee or member without an election of |
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| continuation of coverage pursuant to this Section in effect |
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| on the effective date of this amendatory Act of the 96th |
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| General Assembly may elect continuation pursuant to this |
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| paragraph 9 if the employee or member: (i) would be an |
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| assistance eligible individual as defined in Section |
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| 3001(a)(3) of Title III of Division B of the federal |
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| American Recovery and Reinvestment Act of 2009 if such an |
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| election were in effect and (ii) at the time of termination |
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| was eligible for continuation pursuant to paragraphs 1 and |
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| 2 of this Section. |
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| Unless contrary to the provisions of, or any rules |
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| promulgated pursuant to, Section 3001(a)(7) of Title III of |
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| Division B of the federal American Recovery and |
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| Reinvestment Act of 2009, written notice of continuation |
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| pursuant to this paragraph 9 shall be presented to the |
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| employee or member by the insurer or mailed by the insurer |
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| to the last known address of the employee or member within |
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| 30 days of the effective date of this amendatory Act of the |
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09600HB2325ham002 |
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LRB096 09782 RPM 24827 a |
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| 96th General Assembly. Such written notice shall conform to |
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| all applicable requirements set forth in Section |
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| 3001(a)(7) of Title III of Division B of the federal |
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| American Recovery and Reinvestment Act of 2009. The |
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| Department shall publish models for the notification that |
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| shall be provided by insurers pursuant to this paragraph 9. |
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| An employee or member electing continuation of |
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| coverage under this paragraph 9 must request such |
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| continuation in writing within 60 days after the date the |
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| employee or member receives written notice of the right of |
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| continuation by the insurer. |
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| Continuation of coverage elected pursuant to this |
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| paragraph 9 shall commence with the first period of |
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| coverage beginning on or after February 17, 2009, the |
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| effective date of the federal American Recovery and |
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| Reinvestment Act of 2009, and shall not extend beyond the |
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| period of continuation that would have been required if the |
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| coverage had been elected pursuant to paragraph 4 of this |
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| Section. |
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| With respect to an employee or member who elects |
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| continuation of coverage under this paragraph 9, the period |
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| beginning on the date of the employee's or member's |
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| involuntary termination of employment and ending on the |
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| date of the first period of coverage on or after February |
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| 17, 2009 shall be disregarded for purposes of determining |
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| the 63-day period referred to in Section 20 of the Illinois |
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09600HB2325ham002 |
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LRB096 09782 RPM 24827 a |
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| Health Insurance Portability and Accountability Act. "; and |
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| on page 10, immediately below line 5, by inserting the |
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| following: |
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| " Unless contrary to the provisions of, or any rules |
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| 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 |
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| members involuntarily terminated between September 1, 2008 |
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| and December 31, 2009, the notice requirements of this |
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| Section are not satisfied unless notice is presented to the |
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| employee or member by the HMO informing the employee or |
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| member of the availability of premium reduction with |
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| respect to such coverage under the federal American |
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| Recovery and Reinvestment Act of 2009. Such written notice |
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| shall conform to all applicable requirements set forth in |
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| Section 3001(a)(7) of Title III of Division B of the |
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| federal American Recovery and Reinvestment Act of 2009. The |
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| Department shall publish models for the notification that |
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| shall be provided by HMOs pursuant to this paragraph. "; and |
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| on page 12, immediately below line 6, by inserting the |
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| following: |
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| " (9) An employee or member without an election of |
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| continuation of coverage pursuant to this Section in effect |
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| on the effective date of this amendatory Act of the 96th |
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|
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 |
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| election were in effect and (ii) at the time of termination |
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| was eligible for continuation pursuant to paragraphs (1) |
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| and (2) of this Section. |
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| Unless contrary to the provisions of, or any rules |
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| promulgated pursuant to, Section 3001(a)(7) of Title III of |
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| Division B of the federal American Recovery and |
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| Reinvestment Act of 2009, written notice of continuation |
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| pursuant to this paragraph (9) shall be presented to the |
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| employee or member by the HMO or mailed by the HMO to the |
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| last known address of the employee or member within 30 days |
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| after the effective date of this amendatory Act of the 96th |
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| General Assembly. Such written notice shall conform to all |
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| applicable requirements set forth in Section 3001(a)(7) of |
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| Title III of Division B of the federal American Recovery |
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| and Reinvestment Act of 2009. The Department shall publish |
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| models for the notification that shall be provided by HMOs |
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| pursuant to this paragraph (9). |
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| An employee or member electing continuation of |
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| coverage under this paragraph (9) must request such |
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| continuation in writing within 60 days after the date the |
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| employee or member receives written notice of the right of |
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|
|
09600HB2325ham002 |
- 6 - |
LRB096 09782 RPM 24827 a |
|
|
1 |
| continuation by the HMO. |
2 |
| Continuation of coverage elected pursuant to this |
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| 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 |
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| Reinvestment Act of 2009, and shall not extend beyond the |
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| period of continuation that would have been required if the |
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| coverage had been elected pursuant to paragraph (4) of this |
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| Section. |
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| With respect to an employee or member who elects |
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| continuation of coverage under this paragraph (9), the |
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| period beginning on the date of the employee's or member's |
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| involuntary termination of employment and ending on the |
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| date of the first period of coverage on or after February |
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| 17, 2009 shall be disregarded for purposes of determining |
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| the 63-day period referred to in Section 20 of the Illinois |
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| Health Insurance Portability and Accountability Act. ".
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