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1 | AN ACT concerning insurance.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | ||||||
5 | changing Section 367f as follows:
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6 | (215 ILCS 5/367f) (from Ch. 73, par. 979f)
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7 | Sec. 367f. Firemen's continuance privilege. As used in this | ||||||
8 | Section:
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9 | 1. The terms "municipality", "deferred pensioner" and | ||||||
10 | "creditable service"
shall have the meaning ascribed to such | ||||||
11 | terms by Sections 4-103, 4-105a and
4-108, respectively, of the | ||||||
12 | Illinois Pension Code, as now or hereafter amended.
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13 | 2. The terms "fireman" and "firemen" shall have the meaning | ||||||
14 | ascribed
to the term "firefighter" by Section 4-106 of the | ||||||
15 | Illinois
Pension Code, and include those persons under the | ||||||
16 | coverage of Article 4 of
that Code, as heretofore or hereafter | ||||||
17 | amended.
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18 | 3. The "retirement or disability period" of a fireman means | ||||||
19 | the period:
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20 | a. which begins on the day the fireman is removed from | ||||||
21 | a municipality's
fire department payroll because of the | ||||||
22 | occurrence of any of the following
events, to wit: (i) the | ||||||
23 | fireman retires as a deferred pensioner under Section
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24 | 4-105a of the Illinois Pension Code, (ii) the fireman | ||||||
25 | retires from active
service as a fireman with an attained | ||||||
26 | age and accumulated creditable service
which together | ||||||
27 | qualify the fireman for immediate receipt of retirement | ||||||
28 | pension
benefits under Section 4-109 of the Illinois | ||||||
29 | Pension Code, or (iii) the
fireman's disability is | ||||||
30 | established under Section 4-112 of the Illinois
Pension | ||||||
31 | Code; and
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32 | b. which ends on the first to occur of any of the |
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1 | following events,
to wit: (i) the fireman's reinstatement | ||||||
2 | or reentry into active service
on the municipality's fire | ||||||
3 | department as provided for under Article 4 of
the Illinois | ||||||
4 | Pension Code, (ii) the fireman's exercise of any refund | ||||||
5 | option
available under Section 4-116 of the Illinois | ||||||
6 | Pension Code, (iii) the fireman's
loss pursuant to Section | ||||||
7 | 4-138 of the Illinois Pension Code of any benefits
provided | ||||||
8 | for in Article 4 of that Code, or (iv) the fireman's death | ||||||
9 | or --
if at the time of the fireman's death the fireman is | ||||||
10 | survived by a spouse
who, in that capacity, is entitled to | ||||||
11 | receive a surviving spouse's monthly
pension pursuant to | ||||||
12 | Article 4 of the Illinois Pension Code -- then the death
or | ||||||
13 | remarriage of that spouse.
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14 | No policy of group accident and health insurance under | ||||||
15 | which firemen
employed by a municipality are insured for their | ||||||
16 | individual benefit shall
be issued or delivered in this State | ||||||
17 | to any municipality unless such group
policy provides for the | ||||||
18 | election of continued group insurance coverage for
the | ||||||
19 | retirement or disability period of each fireman who is insured | ||||||
20 | under the
provisions of the group policy on the day immediately | ||||||
21 | preceding the day
on which the retirement or disability period | ||||||
22 | of such fireman begins. So
long as any required premiums for | ||||||
23 | continued group insurance coverage are
paid in accordance with | ||||||
24 | the provisions of the group policy, an election
made pursuant | ||||||
25 | to this Section shall provide continued group insurance
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26 | coverage for a fireman throughout the retirement or disability | ||||||
27 | period of
the fireman and, unless the fireman otherwise elects | ||||||
28 | and subject to any
other provisions of the group policy which | ||||||
29 | relate either to the provision
or to the termination of | ||||||
30 | dependents' coverage and which are not
inconsistent with this | ||||||
31 | Section, for any dependents of the fireman who are
insured | ||||||
32 | under the group policy on the day immediately preceding the day | ||||||
33 | on
which the retirement or disability period of the fireman | ||||||
34 | begins; provided,
however, that when such continued group | ||||||
35 | insurance coverage is in effect
with respect to a fireman on | ||||||
36 | the date
of the fireman's death but the retirement or |
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1 | disability period of the fireman
does not end with such | ||||||
2 | fireman's death, then the deceased fireman's surviving
spouse | ||||||
3 | upon whose death or remarriage such retirement or disability | ||||||
4 | period
will end shall be entitled, without further election and | ||||||
5 | upon payment of
any required premiums in accordance with the | ||||||
6 | provisions of the group policy,
to maintain such continued | ||||||
7 | group
insurance coverage in effect until the end of such | ||||||
8 | retirement or disability
period. Continued group insurance | ||||||
9 | coverage shall be provided in accordance
with this Section at | ||||||
10 | the same premium rate from time to time charged for
equivalent | ||||||
11 | coverage provided under the group policy with respect to | ||||||
12 | covered
firemen whose retirement or disability period has not | ||||||
13 | begun, and no distinction
or discrimination in the amount or | ||||||
14 | rate of premiums or in any waiver of premium
or other benefit | ||||||
15 | provision shall be made between continued group insurance
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16 | coverage elected pursuant to this Section and equivalent | ||||||
17 | coverage provided
to firemen under the group policy other than | ||||||
18 | pursuant to the provisions
of this Section; provided that no | ||||||
19 | municipality shall be required by reason
of any provision of | ||||||
20 | this Section to pay any group insurance premium other
than one | ||||||
21 | that may be negotiated in a collective bargaining agreement.
If | ||||||
22 | a person electing continued coverage under this Section becomes
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23 | eligible for medicare coverage, benefits under the group policy | ||||||
24 | may
continue as a supplement to the medicare coverage upon | ||||||
25 | payment of any
required premiums to maintain the benefits of | ||||||
26 | the group policy as
supplemental coverage.
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27 | Within 15 days of the beginning of the retirement or | ||||||
28 | disability period
of any fireman entitled to elect continued | ||||||
29 | group insurance coverage under any
group policy affected by | ||||||
30 | this Section, the municipality last employing such
fireman | ||||||
31 | shall give written notice of such beginning by certified mail, | ||||||
32 | return
receipt requested to the insurance company issuing such | ||||||
33 | policy. The notice
shall include the fireman's name and last | ||||||
34 | known place of residence and the
beginning date of the | ||||||
35 | fireman's retirement or disability period.
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36 | Within 15 days of the date of receipt of such notice from |
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1 | the municipality,
the insurance company by certified mail, | ||||||
2 | return receipt requested, shall
give written notice to the | ||||||
3 | fireman at the fireman's last known place of
residence that | ||||||
4 | coverage under the group policy may be continued for the
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5 | retirement or disability period of the fireman as provided in | ||||||
6 | this Section.
Such notice shall set forth: (i) a statement of | ||||||
7 | election to be filed by
the fireman if the fireman wishes to | ||||||
8 | continue such group insurance coverage,
(ii) the amount of | ||||||
9 | monthly premium, including a statement of the portion
of such | ||||||
10 | monthly premium attributable to any dependents' coverage which | ||||||
11 | the
fireman may elect, and (iii) instructions as to the return | ||||||
12 | of the election
form to the insurance company issuing such | ||||||
13 | policy. Election shall be made,
if at all, by returning the | ||||||
14 | statement of election to the insurance company by
certified | ||||||
15 | mail, return receipt requested within 15 days after having | ||||||
16 | received it.
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17 | If the fireman elects to continue coverage, it shall be the | ||||||
18 | obligation
of the fireman to pay the monthly premium directly | ||||||
19 | to the municipality which
shall forward it to the insurance | ||||||
20 | company
issuing the group insurance policy, or as otherwise | ||||||
21 | directed by the insurance
company; provided, however, that the | ||||||
22 | fireman shall be entitled to designate
on the statement of | ||||||
23 | election required to be filed with the insurance company
that | ||||||
24 | the total monthly premium, or such portion thereof as is not
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25 | contributed by a municipality, be deducted by a Firefighter's | ||||||
26 | Pension
Fund from any monthly pension payment otherwise payable
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27 | to or on behalf of the fireman pursuant to Article 4 of the | ||||||
28 | Illinois Pension
Code, and be remitted by such Pension Fund to | ||||||
29 | the insurance company. The
portion, if any, of the monthly | ||||||
30 | premium contributed by a
municipality for such continued group | ||||||
31 | insurance coverage shall be paid by
the municipality directly | ||||||
32 | to the insurance company issuing the group insurance
policy, or | ||||||
33 | as otherwise directed by the insurance company. Such continued
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34 | group insurance coverage shall relate back to the beginning of | ||||||
35 | the fireman's
retirement or disability period.
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36 | The amendment, renewal or extension of any group insurance |
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1 | policy affected
by this Section shall be deemed to be the | ||||||
2 | issuance of a new policy of insurance
for purposes of this | ||||||
3 | Section.
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4 | In the event that a municipality makes a program of | ||||||
5 | accident, health,
hospital or medical benefits available to its | ||||||
6 | firemen through
self-insurance, or by participation in a pool | ||||||
7 | or reciprocal insurer, or by
contract in a form other than a | ||||||
8 | policy of group insurance with one or more
medical service | ||||||
9 | plans, health care service corporations, health maintenance
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10 | organizations, or any other professional corporations or plans | ||||||
11 | under which
health care or reimbursement for the costs thereof | ||||||
12 | is
provided, whether the cost of such benefits is borne by the | ||||||
13 | municipality or
the firemen or both, such firemen and their | ||||||
14 | surviving spouses shall have
the same right to elect continued | ||||||
15 | coverage under such program of benefits
as they would have if | ||||||
16 | such benefits were provided by a policy of group
accident and | ||||||
17 | health insurance. In such cases, the notice of right to elect
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18 | continued coverage shall be sent by the municipality; the | ||||||
19 | statement of
election shall be sent to the municipality; and | ||||||
20 | references to the required
premium shall refer to that portion | ||||||
21 | of the cost of such benefits which is not
borne by the | ||||||
22 | municipality, either voluntarily or pursuant to the provisions
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23 | of a collective bargaining agreement. In the case of a | ||||||
24 | municipality
providing such benefits through self-insurance or | ||||||
25 | participation in a pool or
reciprocal insurer, the right to | ||||||
26 | elect continued coverage which is provided
by this paragraph | ||||||
27 | shall be implemented and made available to the firemen of
the | ||||||
28 | municipality and qualifying surviving spouses not later than | ||||||
29 | July 1, 1985.
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30 | The amendment, renewal or extension of any such contract in | ||||||
31 | a form other
than a policy of group insurance policy shall be | ||||||
32 | deemed the formation of a
new contract for the purposes of this | ||||||
33 | Section.
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34 | This Section shall not limit the exercise of any conversion | ||||||
35 | privileges
available under Section 367e.
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36 | Pursuant to paragraphs (h) and (i) of Section 6 of Article |
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1 | VII of the
Illinois Constitution, this Section specifically | ||||||
2 | denies and limits the
exercise by a home rule unit of any power | ||||||
3 | which is inconsistent with this
Section and all existing laws | ||||||
4 | and ordinances which are inconsistent with
this Section are | ||||||
5 | hereby superseded. This Section does not preempt the
concurrent | ||||||
6 | exercise by home rule units of powers consistent herewith. | ||||||
7 | The Division of Insurance of the Department of Financial | ||||||
8 | and Professional Regulation shall enforce the provisions of | ||||||
9 | this Section, including provisions relating to municipality | ||||||
10 | self-insured benefit plans.
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11 | (Source: P.A. 86-1444.)
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12 | Section 99. Effective date. This Act takes effect upon | ||||||
13 | becoming law.
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