97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3909

 

Introduced 12/11/2011, by Rep. Dwight Kay

 

SYNOPSIS AS INTRODUCED:
 
820 ILCS 320/10

    Amends the Public Safety Employee Benefits Act. Defines "catastrophic injury" as a grievous or serious injury or impairment of a nature that is sufficient to permanently preclude the injured employee from performing any gainful work. Provides that an employer may, at its expense, require an employee seeking benefits under the Act to submit to examination by up to 3 licensed physicians. Provides that the determination of whether an employee has suffered a catastrophic injury shall be made by the employer's corporate authorities or a person designated by ordinance, whose determination shall be final and subject to judicial review under the Administrative Review Law. Provides that the employer shall be deemed a necessary party to any case brought under the Administrative Review Law. Effective immediately.


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A BILL FOR

 

HB3909LRB097 14150 AEK 58857 b

1    AN ACT concerning employment.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Public Safety Employee Benefits Act is
5amended by changing Section 10 as follows:
 
6    (820 ILCS 320/10)
7    Sec. 10. Required health coverage benefits.
8    (a) An employer who employs a full-time law enforcement,
9correctional or correctional probation officer, or
10firefighter, who, on or after the effective date of this Act
11suffers a catastrophic injury or is killed in the line of duty
12shall pay the entire premium of the employer's health insurance
13plan for the injured employee, the injured employee's spouse,
14and for each dependent child of the injured employee until the
15child reaches the age of majority or until the end of the
16calendar year in which the child reaches the age of 25 if the
17child continues to be dependent for support or the child is a
18full-time or part-time student and is dependent for support.
19The term "health insurance plan" does not include supplemental
20benefits that are not part of the basic group health insurance
21plan. If the injured employee subsequently dies, the employer
22shall continue to pay the entire health insurance premium for
23the surviving spouse until remarried and for the dependent

 

 

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1children under the conditions established in this Section.
2However:
3        (1) Health insurance benefits payable from any other
4    source shall reduce benefits payable under this Section.
5        (2) It is unlawful for a person to willfully and
6    knowingly make, or cause to be made, or to assist, conspire
7    with, or urge another to make, or cause to be made, any
8    false, fraudulent, or misleading oral or written statement
9    to obtain health insurance coverage as provided under this
10    Section. A violation of this item is a Class A misdemeanor.
11        (3) Upon conviction for a violation described in item
12    (2), a law enforcement, correctional or correctional
13    probation officer, or other beneficiary who receives or
14    seeks to receive health insurance benefits under this
15    Section shall forfeit the right to receive health insurance
16    benefits and shall reimburse the employer for all benefits
17    paid due to the fraud or other prohibited activity. For
18    purposes of this item, "conviction" means a determination
19    of guilt that is the result of a plea or trial, regardless
20    of whether adjudication is withheld.
21    (b) In order for the law enforcement, correctional or
22correctional probation officer, firefighter, spouse, or
23dependent children to be eligible for insurance coverage under
24this Act, the injury or death must have occurred as the result
25of the officer's response to fresh pursuit, the officer or
26firefighter's response to what is reasonably believed to be an

 

 

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1emergency, an unlawful act perpetrated by another, or during
2the investigation of a criminal act. Nothing in this Section
3shall be construed to limit health insurance coverage or
4pension benefits for which the officer, firefighter, spouse, or
5dependent children may otherwise be eligible.
6    (c) As used in this Section, "catastrophic injury" means a
7grievous or serious injury or impairment of a nature that is
8sufficient to permanently preclude the injured employee from
9performing any gainful work. The employer may, at its expense,
10require an employee seeking benefits under this Act to submit
11to examination by up to 3 licensed physicians. The
12determination of whether an employee has suffered a
13catastrophic injury shall be made by the employer's corporate
14authorities or such person or persons as may be designated by
15ordinance adopted by the corporate authorities, whose
16determination shall be final and subject to judicial review
17under the Administrative Review Law. The employer shall be
18deemed a necessary party to any case brought under
19Administrative Review Law.
20(Source: P.A. 90-535, eff. 11-14-97.)
 
21    Section 99. Effective date. This Act takes effect upon
22becoming law.