|
|
Sen. Susan Garrett
Filed: 5/19/2009
|
|
09600HB2325sam003 |
|
LRB096 09782 RPM 27116 a |
|
|
| 1 |
| AMENDMENT TO HOUSE BILL 2325
|
| 2 |
| AMENDMENT NO. ______. Amend House Bill 2325, AS AMENDED, |
| 3 |
| with reference to page and line numbers of Senate Amendment No. |
| 4 |
| 1 as follows:
|
| 5 |
| on page 3, by replacing line 7 with the following: |
| 6 |
|
"4. Within 10 days after the employee's or member's |
| 7 |
| Upon termination or reduction in hours below the"; and
|
| 8 |
| on page 3, by replacing lines 10 through 19 with the following:
|
| 9 |
| "by the employer. If the employee or member is unavailable, |
| 10 |
| written notice shall be or mailed by the employer to the last |
| 11 |
| known address of the employee or member within 10 days after |
| 12 |
| the employee's or member's termination or reduction in hours |
| 13 |
| below the minimum required by the group plan. The employer |
| 14 |
| shall also send a copy of the notice to the insurer. An |
| 15 |
| employee or member who"; and
|
|
|
|
09600HB2325sam003 |
- 2 - |
LRB096 09782 RPM 27116 a |
|
|
| 1 |
| on page 3, line 24, by replacing "given" with "presented or |
| 2 |
| mailed given"; and |
| 3 |
| by replacing line 25 on page 3 through line 11 on page 4 with |
| 4 |
| the following:
|
| 5 |
| "of the right of continuation by either the employer or the |
| 6 |
| group policyholder. In no event, however, may the"; and
|
| 7 |
| by replacing line 19 on page 4 through line 2 on page 5 with the |
| 8 |
| following: |
| 9 |
| "The insurer shall not deny coverage to the employee or |
| 10 |
| member due to the employer's failure to provide notice pursuant |
| 11 |
| to this Section to the employee or member. Until January 1, |
| 12 |
| 2010, in the event the employee or member contacts the insurer |
| 13 |
| regarding continuation rights and advises that notice has not |
| 14 |
| been provided by the employer or group policyholder, the |
| 15 |
| insurer shall provide a written explanation to the employee or |
| 16 |
| member of the employee's or member's continuation rights |
| 17 |
| pursuant to this Section."; and
|
| 18 |
| on page 5, line 13, after "presented", by inserting "or |
| 19 |
| mailed"; and |
| 20 |
| on page 6, line 7, after "presented", by inserting "or mailed"; |
| 21 |
| and |
|
|
|
09600HB2325sam003 |
- 3 - |
LRB096 09782 RPM 27116 a |
|
|
| 1 |
| on page 6, line 15, by replacing "sent" with "presented or |
| 2 |
| mailed"; and |
| 3 |
| on page 12, by replacing line 1 with the following:
|
| 4 |
| "employee or member was covered under the group contract"; and |
| 5 |
| on page 12, by replacing line 18 with the following: |
| 6 |
| "(4) Within 10 days after the employee's or member's |
| 7 |
| Upon termination or reduction in hours below the"; and
|
| 8 |
| by replacing line 21 on page 12 through line 4 on page 13 with |
| 9 |
| the following:
|
| 10 |
| "by the employer. If the employee or member is unavailable, |
| 11 |
| written notice shall be or mailed by the employer to the last |
| 12 |
| known address of the employee or member within 10 days after |
| 13 |
| the employee's or member's termination or reduction in hours |
| 14 |
| below the minimum required by the group plan. The employer |
| 15 |
| shall also send a copy of the notice to the HMO. An employee or |
| 16 |
| member who"; and |
| 17 |
| on page 13, line 9, by replacing "given" with "presented or |
| 18 |
| mailed given"; and |
| 19 |
| on page 13, by replacing lines 10 through 22 with the |
| 20 |
| following:
|
| 21 |
| "continuation by either the employer or the group policyholder. |
|
|
|
09600HB2325sam003 |
- 4 - |
LRB096 09782 RPM 27116 a |
|
|
| 1 |
| In no event, however, shall the employee or member"; and |
| 2 |
| on page 14, by replacing line 1 with the following:
|
| 3 |
| "policyholder, or mailed by the policyholder"; and
|
| 4 |
| on page 14, by replacing lines 5 through 14 with the following: |
| 5 |
| "The HMO shall not deny coverage to the employee or member |
| 6 |
| due to the employer's failure to provide notice pursuant to |
| 7 |
| this Section to the employee or member. Until January 1, 2010, |
| 8 |
| in the event the employee or member contacts the HMO regarding |
| 9 |
| continuation rights and advises that notice has not been |
| 10 |
| provided by the employer or group policyholder, the HMO shall |
| 11 |
| provide a written explanation to the employee or member of the |
| 12 |
| employee's or member's continuation rights pursuant to this |
| 13 |
| Section."; and
|
| 14 |
| on page 14, line 25, after "presented", by inserting "or |
| 15 |
| mailed"; and |
| 16 |
| on page 15, line 19, after "presented", by inserting "or |
| 17 |
| mailed"; and |
| 18 |
| on page 16, line 1, by replacing "sent" with "presented or |
| 19 |
| mailed".
|