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Sen. Christine Radogno
Filed: 5/16/2013
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1 | | AMENDMENT TO SENATE BILL 1245
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2 | | AMENDMENT NO. ______. Amend Senate Bill 1245, AS AMENDED, |
3 | | by replacing everything after the enacting clause with the |
4 | | following:
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5 | | "Section 5. The Public Safety Employee Benefits Act is |
6 | | amended by changing Section 10 as follows:
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7 | | (820 ILCS 320/10)
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8 | | Sec. 10. Required health coverage benefits.
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9 | | (a) An employer who employs a full-time law enforcement, |
10 | | correctional or
correctional probation officer, or firefighter |
11 | | (hereinafter referred to as "PSEBA recipient") , who, on or |
12 | | after the effective
date of this Act suffers a catastrophic |
13 | | injury or is killed in the line of duty
shall pay the entire |
14 | | premium of the employer's health insurance plan for the PSEBA |
15 | | recipient
injured employee , the PSEBA recipient's injured |
16 | | employee's spouse, and for each dependent child
of the PSEBA |
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1 | | recipient injured employee until the child reaches the age of |
2 | | majority or until
the end of the calendar year in which the |
3 | | child reaches the age of 25 if the
child continues to be |
4 | | dependent for support or the child is a full-time or
part-time |
5 | | student and is dependent for support. The term "health |
6 | | insurance
plan" does not include supplemental benefits that are |
7 | | not part of the basic
group health insurance plan.
If the PSEBA |
8 | | recipient
injured employee subsequently dies, the employer |
9 | | shall continue to pay the
entire health insurance premium for |
10 | | the surviving spouse until remarried and
for the dependent |
11 | | children under the conditions established in this Section.
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12 | | However:
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13 | | (1) Health insurance benefits payable from any other |
14 | | source shall reduce
benefits payable under this Section.
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15 | | (2) It is unlawful for a person to willfully and |
16 | | knowingly make, or cause
to be made, or to assist, conspire |
17 | | with, or urge another to make, or cause to
be made, any |
18 | | false, fraudulent, or misleading oral or written statement |
19 | | to
obtain health insurance coverage as provided under this |
20 | | Section. A violation
of this item is a Class A misdemeanor.
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21 | | (3) Upon conviction for a violation described in item |
22 | | (2), a law
enforcement, correctional or correctional |
23 | | probation officer, or other
beneficiary who receives or |
24 | | seeks to receive health insurance benefits under
this |
25 | | Section shall forfeit the right to receive health insurance |
26 | | benefits and
shall reimburse the employer for all benefits |
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1 | | paid due to the fraud or other
prohibited activity. For |
2 | | purposes of this item, "conviction" means a
determination |
3 | | of guilt that is the result of a plea or trial, regardless |
4 | | of
whether adjudication is withheld.
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5 | | (b) In order for the law enforcement, correctional or |
6 | | correctional probation
officer, firefighter, spouse, or |
7 | | dependent children to be eligible for
insurance coverage under |
8 | | this Act, the injury or death must have occurred as
the result |
9 | | of the officer's response to fresh pursuit, the officer or
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10 | | firefighter's response to what is reasonably believed to be an |
11 | | emergency, an
unlawful act perpetrated by another, or during |
12 | | the investigation of a criminal
act. Nothing in this Section |
13 | | shall be construed to limit health insurance
coverage or |
14 | | pension benefits for which the officer, firefighter, spouse, or
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15 | | dependent children may otherwise be eligible.
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16 | | (c) A PSEBA recipient subject to this Act shall be required |
17 | | to file a report with his or her employer as prescribed in this |
18 | | Section. The Commission on Government Forecasting and |
19 | | Accountability (COGFA) shall design the form and prescribe the |
20 | | content of the report in cooperation with one statewide labor |
21 | | organization representing police, one statewide labor |
22 | | organization representing firefighters employed by at least |
23 | | 100 municipalities in this State, that is affiliated with the |
24 | | Illinois State Federation of Labor, one statewide organization |
25 | | representing municipalities, and one regional organization |
26 | | representing municipalities. COGFA may accept comment from any |
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1 | | source, but shall not be required to solicit public comment. |
2 | | Within 60 days after the effective date of this amendatory Act |
3 | | of the 98th General Assembly, COGFA shall design and remit a |
4 | | copy of this form to all employers subject to this Act. The |
5 | | form shall include the following: |
6 | | (1) employment by the PSEBA recipient within the |
7 | | previous 24-month period or since the time the PSEBA |
8 | | recipient began receiving benefits under this Act if less |
9 | | than 24 months; |
10 | | (2) compensation earned by the PSEBA recipient as a |
11 | | result of the employment; |
12 | | (3) the nature of the injury that entitled the PSEBA |
13 | | recipient to a duty disability benefit and benefits as |
14 | | provided under this Act listing the part of the body |
15 | | affected, explaining how it was affected, and including the |
16 | | medical diagnosis, if known; |
17 | | (4) whether the PSEBA recipient or his or her spouse |
18 | | has been offered or has access to any insurance from the |
19 | | PSEBA recipient's employment or his or her spouse's |
20 | | employment; |
21 | | (5) whether the PSEBA recipient or his or her spouse is |
22 | | currently enrolled in any insurance plan from another |
23 | | source; |
24 | | (6) a description of benefits offered by the PSEBA |
25 | | recipient's employer or the employer of his or her spouse, |
26 | | including policy limits, co-pay requirements, and |
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1 | | deductibles; and |
2 | | (7) the cost of the insurance offered by the PSEBA |
3 | | recipient's employer or the employer of his or her spouse. |
4 | | Within 30 days after receipt of this form, an employer |
5 | | shall notify any PSEBA recipient receiving benefits under this |
6 | | Act of that recipient's obligation to file a report under this |
7 | | Section. A PSEBA recipient receiving benefits under this Act |
8 | | must complete and return this form to the employer within 60 |
9 | | days of receipt of such form. Any PSEBA recipient who has been |
10 | | given notice as provided under this Section and who fails to |
11 | | timely file a report under this Section within 60 days after |
12 | | receipt of this form shall be notified by the employer that he |
13 | | or she has 30 days to submit the report or risk incurring the |
14 | | cost of his or her benefits provided under this Act. An |
15 | | employer may seek reimbursement for premium payments for a |
16 | | PSEBA recipient who fails to file this report with the employer |
17 | | 30 days after receiving this notice. The PSEBA recipient is |
18 | | responsible for reimbursing the employer for premiums paid |
19 | | during the period the report is due and not filed. Employers |
20 | | shall return this form to COGFA within 30 days after receiving |
21 | | the form from the PSEBA recipient. |
22 | | Any information collected by the employer under this |
23 | | Section shall be exempt from the requirements of the Freedom of |
24 | | Information Act except for data collected in the aggregate that |
25 | | does not reveal any personal information concerning the PSEBA |
26 | | recipient. |
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1 | | By July 1 of every odd-numbered year, beginning in 2015, |
2 | | employers subject to this Act must send a form to all PSEBA |
3 | | recipients eligible for benefits under this Act. The PSEBA |
4 | | recipient must complete and return this form by September 1 of |
5 | | that year. Any PSEBA recipient who has been given notice as |
6 | | provided under this Section and who fails to timely file a |
7 | | completed form under this Section within 60 days after receipt |
8 | | of this form shall be notified by the employer that he or she |
9 | | has 30 days to submit the form or risk incurring the costs of |
10 | | his or her benefits provided under this Act. The PSEBA |
11 | | recipient is responsible for reimbursing the employer for |
12 | | premiums paid during the period the report is due and not |
13 | | filed. The employer shall resume premium payments upon receipt |
14 | | of the completed form. Employers shall return this form to |
15 | | COGFA within 30 days after receiving the form from the PSEBA |
16 | | recipient. |
17 | | (d) An employer subject to this Act shall file a claims |
18 | | report with COGFA. COGFA shall design the form and prescribe |
19 | | the content of the report in cooperation with one statewide |
20 | | labor organization representing police, one statewide labor |
21 | | organization representing firefighters employed by at least |
22 | | 100 municipalities in this State, that is affiliated with the |
23 | | Illinois State Federation of Labor, one statewide organization |
24 | | representing municipalities, and one regional organization |
25 | | representing municipalities. Within 60 days after the |
26 | | effective date of this amendatory Act of the 98th General |
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1 | | Assembly, and by July 1 of every odd-numbered year thereafter |
2 | | beginning in 2015, COGFA shall remit a copy of this form to all |
3 | | employers subject to this Act. An employer covered under this |
4 | | Act shall file a copy of this report with COGFA within 120 days |
5 | | after receipt of the form. |
6 | | The first claims report filed with COGFA under this Section |
7 | | shall set forth all information gathered pursuant to this |
8 | | Section and, when available, shall submit the information |
9 | | required under this Section for each of the 5 years prior to |
10 | | the year in which this amendatory Act of the 98th General |
11 | | Assembly became law. All claims reports thereafter shall set |
12 | | forth the required information for the 24-month period ending |
13 | | on June 30 preceding the deadline date for filing the report. |
14 | | The claims report shall, at a minimum, contain the following |
15 | | information: |
16 | | (1) the number of claims filed under this Act during |
17 | | the reporting period; |
18 | | (2) the number of claims awarded under this Act during |
19 | | the reporting period; |
20 | | (3) the dollar amount of all claims awarded under this |
21 | | Act during the reporting period; |
22 | | (4) the number of claims paid under this Act during the |
23 | | reporting period regardless of when the claim was awarded; |
24 | | (5) the dollar amount of all claims paid under this Act |
25 | | during the reporting period regardless of when the claim |
26 | | was awarded; |
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1 | | (6) the annual cost of the benefit; |
2 | | (7) the nature of the injury as described by the PSEBA |
3 | | recipient under item (3) of subsection (c); |
4 | | (8) any employment during the annual reporting period; |
5 | | (9) the compensation earned as a result of that |
6 | | employment; |
7 | | (10) any offered or accessible insurance options |
8 | | through the PSEBA recipient's employment or his or her |
9 | | spouse's employment; |
10 | | (11) a description of benefits offered by the PSEBA |
11 | | recipient's employer or the employer of his or her spouse, |
12 | | including policy limits, co-pay requirements, and |
13 | | deductibles; and |
14 | | (12) the cost of the insurance offered by the PSEBA |
15 | | recipient's employer or the employer of his or her spouse. |
16 | | The claims report shall redact any information as required |
17 | | by the Health Insurance Portability and Accountability Act of |
18 | | 1996 (HIPAA). Any information submitted to COGFA shall not |
19 | | reveal any personal information of the PSEBA recipient. |
20 | | Whenever possible, communication between COGFA and employers |
21 | | as required by this Act shall be through electronic means. |
22 | | (e) By June 1, 2014, and by January 1 of every |
23 | | even-numbered year thereafter beginning in 2016, COGFA shall |
24 | | submit a report to the Governor and General Assembly setting |
25 | | forth the information received under subsections (c) and (d). |
26 | | The report shall aggregate data in such a way as to not reveal |
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1 | | the identity of any singular beneficiary. The requirement for |
2 | | reporting to the General Assembly shall be satisfied by filing |
3 | | copies of the report with the Speaker, Minority Leader, and |
4 | | Clerk of the House of Representatives, the President, Minority |
5 | | Leader, and Secretary of the Senate, the Legislative Research |
6 | | Unit as required under Section 3.1 of the General Assembly |
7 | | Organization Act, and the State Government Report Distribution |
8 | | Center for the General Assembly as required under paragraph (t) |
9 | | of Section 7 of the State Library Act. COGFA shall make this |
10 | | report available electronically on a publicly accessible |
11 | | website. |
12 | | (Source: P.A. 90-535, eff. 11-14-97.)
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13 | | Section 99. Effective date. This Act takes effect upon |
14 | | becoming law.".
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