State of Illinois
92nd General Assembly
Legislation

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[ Conference Committee Report 001 ]


92_SB0314ham001

 










                                           LRB9207506EGfgam03

 1                    AMENDMENT TO SENATE BILL 314

 2        AMENDMENT NO.     .  Amend Senate Bill 314  by  replacing
 3    the title with the following:
 4        "AN ACT in relation to public employee benefits."; and

 5    by  replacing  everything  after the enacting clause with the
 6    following:

 7        "Section 5.  The Illinois  Pension  Code  is  amended  by
 8    changing  Sections 5-167.5, 6-164.2, 8-164.1, and 11-160.1 as
 9    follows:

10        (40 ILCS 5/5-167.5) (from Ch. 108 1/2, par. 5-167.5)
11        Sec. 5-167.5.  Group health benefit.
12        (a)  For the purposes of this  Section:  (1)  "annuitant"
13    means  a person receiving an age and service annuity, a prior
14    service annuity, a widow's annuity, a widow's  prior  service
15    annuity,  or  a minimum annuity, under Article 5, 6, 8 or 11,
16    by reason of previous  employment  by  the  City  of  Chicago
17    (hereinafter,  in  this  Section,  "the city"); (2) "Medicare
18    Plan annuitant" means an annuitant described in item (1)  who
19    is eligible for Medicare benefits; and (3) "non-Medicare Plan
20    annuitant"  means  an  annuitant described in item (1) who is
21    not eligible for Medicare benefits.
 
                            -2-            LRB9207506EGfgam03
 1        (b)  The  city  shall  offer  group  health  benefits  to
 2    annuitants and their eligible  dependents  through  June  30,
 3    2003  2002.   The basic city health care plan available as of
 4    June 30, 1988 (hereinafter called the basic city plan)  shall
 5    cease  to  be a plan offered by the city, except as specified
 6    in subparagraphs (4) and (5) below, and shall  be  closed  to
 7    new  enrollment  or transfer of coverage for any non-Medicare
 8    Plan annuitant as of June 27,  the  effective  date  of  this
 9    amendatory  Act  of  1997.  The city shall offer non-Medicare
10    Plan annuitants and their eligible dependents the  option  of
11    enrolling  in  its  Annuitant Preferred Provider Plan and may
12    offer additional plans  for  any  annuitant.   The  city  may
13    amend,  modify,  or  terminate any of its additional plans at
14    its sole discretion.   If  the  city  offers  more  than  one
15    annuitant  plan,  the  city shall allow annuitants to convert
16    coverage from one city annuitant plan to another, except  the
17    basic  city  plan, during times designated by the city, which
18    periods of time shall  occur  at  least  annually.   For  the
19    period  dating  from  June  27,  the  effective  date of this
20    amendatory Act of 1997 through June 30,  2003  2002,  monthly
21    premium rates may be increased for annuitants during the time
22    of  their  participation  in  non-Medicare  plans,  except as
23    provided in subparagraphs (1) through (4) of this subsection.
24             (1)  For non-Medicare Plan  annuitants  who  retired
25        prior  to  January  1,  1988,  the  annuitant's  share of
26        monthly premium for non-Medicare Plan coverage only shall
27        not exceed the highest premium rate chargeable under  any
28        city  non-Medicare Plan annuitant coverage as of December
29        1, 1996.
30             (2)  For non-Medicare Plan annuitants who retire  on
31        or  after  January  1,  1988,  the  annuitant's  share of
32        monthly premium for non-Medicare Plan coverage only shall
33        be the rate in effect on December 1, 1996,  with  monthly
34        premium  increases to take effect no sooner than April 1,
 
                            -3-            LRB9207506EGfgam03
 1        1998 at the lower of  (i)  the  premium  rate  determined
 2        pursuant to subsection (g) or (ii) 10% of the immediately
 3        previous month's rate for similar coverage.
 4             (3)  In   no   event  shall  any  non-Medicare  Plan
 5        annuitant's share of  monthly  premium  for  non-Medicare
 6        Plan  coverage  exceed  10%  of  the  annuitant's monthly
 7        annuity.
 8             (4)  Non-Medicare Plan annuitants who  are  enrolled
 9        in  the  basic city plan as of July 1, 1998 may remain in
10        the basic city plan, if they so choose, on the  condition
11        that they are not entitled to the caps on rates set forth
12        in  subparagraphs (1) through (3), and their premium rate
13        shall  be  the  rate  determined   in   accordance   with
14        subsections (c) and (g).
15             (5)  Medicare  Plan  annuitants  who  are  currently
16        enrolled  in  the  basic  city plan for Medicare eligible
17        annuitants may remain in that plan, if  they  so  choose,
18        through  June  30,  2003  2002.   Annuitants shall not be
19        allowed to enroll in or transfer into the basic city plan
20        for Medicare eligible annuitants  on  or  after  July  1,
21        1999.   The  city  shall  continue  to offer annuitants a
22        supplemental  Medicare   Plan   for   Medicare   eligible
23        annuitants  through  June 30, 2003 2002, and the city may
24        offer additional plans to Medicare eligible annuitants in
25        its sole discretion.  All Medicare Plan annuitant monthly
26        rates shall be determined in accordance with  subsections
27        (c) and (g).
28        (c)  The  city  shall  pay 50% of the aggregated costs of
29    the  claims  or  premiums,  whichever   is   applicable,   as
30    determined  in  accordance with subsection (g), of annuitants
31    and their dependents under all health care plans  offered  by
32    the  city.  The city may reduce its obligation by application
33    of  price  reductions  obtained  as  a  result  of  financial
34    arrangements with providers or plan administrators.
 
                            -4-            LRB9207506EGfgam03
 1        (d)  From January 1, 1993 until June 30, 2003  2002,  the
 2    board  shall pay to the city on behalf of each of the board's
 3    annuitants who chooses to participate in any  of  the  city's
 4    plans the following amounts: up to a maximum of $75 per month
 5    for  each  such  annuitant  who  is  not qualified to receive
 6    medicare benefits, and up to a maximum of $45 per  month  for
 7    each  such  annuitant  who  is  qualified to receive medicare
 8    benefits.
 9        The payments described in this subsection shall  be  paid
10    from  the  tax  levy  authorized  under  Section  5-168; such
11    amounts shall be credited to the reserve for  group  hospital
12    care  and  group  medical and surgical plan benefits, and all
13    payments to the city required under this subsection shall  be
14    charged against it.
15        (e)  The city's obligations under subsections (b) and (c)
16    shall  terminate on June 30, 2003 2002, except with regard to
17    covered expenses incurred but not paid as of that date.  This
18    subsection shall not affect other  obligations  that  may  be
19    imposed by law.
20        (f)  The  group  coverage plans described in this Section
21    are  not  and  shall  not  be  construed  to  be  pension  or
22    retirement benefits for purposes of Section 5 of Article XIII
23    of the Illinois Constitution of 1970.
24        (g)  For each annuitant plan offered  by  the  city,  the
25    aggregate  cost  of claims, as reflected in the claim records
26    of the plan administrator, shall be estimated  by  the  city,
27    based upon a written determination by a qualified independent
28    actuary  to  be appointed and paid by the city and the board.
29    If the estimated annual cost for each annuitant plan  offered
30    by  the  city  is  more  than  the  estimated  amount  to  be
31    contributed by the city for that plan pursuant to subsections
32    (b) and (c) during that year plus the estimated amounts to be
33    paid  pursuant  to  subsection  (d)  and by the other pension
34    boards on  behalf  of  other  participating  annuitants,  the
 
                            -5-            LRB9207506EGfgam03
 1    difference  shall  be paid by all annuitants participating in
 2    the plan, except as provided in subsection  (b).   The  city,
 3    based  upon  the  determination  of  the independent actuary,
 4    shall set the monthly amounts to be paid by the participating
 5    annuitants.   The board may deduct the amounts to be paid  by
 6    its  annuitants  from  the  participating annuitants' monthly
 7    annuities.
 8        If it is determined from the city's annual audit, or from
 9    audited experience data, that the total amount  paid  by  all
10    participating annuitants was more or less than the difference
11    between  (1)  the  cost  of  providing  the group health care
12    plans, and (2) the sum of the amount to be paid by  the  city
13    as  determined  under  subsection (c) and the amounts paid by
14    all the pension boards, then the independent actuary and  the
15    city  shall  account  for the excess or shortfall in the next
16    year's  payments  by  annuitants,  except  as   provided   in
17    subsection (b).
18        (h)  An  annuitant  may  elect to terminate coverage in a
19    plan at the end of any month, which election shall  terminate
20    the  annuitant's  obligation  to contribute toward payment of
21    the excess described in subsection (g).
22        (i)  The city shall advise  the  board  of  all  proposed
23    premium  increases  for health care at least 75 days prior to
24    the effective date of the change, and any increase  shall  be
25    prospective only.
26    (Source: P.A. 90-32, eff. 6-27-97.)

27        (40 ILCS 5/6-164.2) (from Ch. 108 1/2, par. 6-164.2)
28        Sec. 6-164.2.  Group health benefit.
29        (a)  For  the  purposes  of this Section: (1) "annuitant"
30    means a person receiving an age and service annuity, a  prior
31    service  annuity,  a widow's annuity, a widow's prior service
32    annuity, or a minimum annuity, under Article 5, 6, 8  or  11,
33    by  reason  of  previous  employment  by  the City of Chicago
 
                            -6-            LRB9207506EGfgam03
 1    (hereinafter, in this Section,  "the  city");  (2)  "Medicare
 2    Plan  annuitant" means an annuitant described in item (1) who
 3    is eligible for Medicare benefits; and (3) "non-Medicare Plan
 4    annuitant" means an annuitant described in item  (1)  who  is
 5    not eligible for Medicare benefits.
 6        (b)  The  city  shall  offer  group  health  benefits  to
 7    annuitants  and  their  eligible  dependents through June 30,
 8    2003 2002.  The basic city health care plan available  as  of
 9    June  30, 1988 (hereinafter called the basic city plan) shall
10    cease to be a plan offered by the city, except  as  specified
11    in  subparagraphs  (4)  and (5) below, and shall be closed to
12    new enrollment or transfer of coverage for  any  non-Medicare
13    Plan  annuitant  as  of  June  27, the effective date of this
14    amendatory Act of 1997.  The city  shall  offer  non-Medicare
15    Plan  annuitants  and their eligible dependents the option of
16    enrolling in its Annuitant Preferred Provider  Plan  and  may
17    offer  additional  plans  for  any  annuitant.   The city may
18    amend, modify, or terminate any of its  additional  plans  at
19    its  sole  discretion.   If  the  city  offers  more than one
20    annuitant plan, the city shall allow  annuitants  to  convert
21    coverage  from one city annuitant plan to another, except the
22    basic city plan, during times designated by the  city,  which
23    periods  of  time  shall  occur  at  least annually.  For the
24    period dating from  June  27,  the  effective  date  of  this
25    amendatory  Act  of  1997 through June 30, 2003 2002, monthly
26    premium rates may be increased for annuitants during the time
27    of their  participation  in  non-Medicare  plans,  except  as
28    provided in subparagraphs (1) through (4) of this subsection.
29             (1)  For  non-Medicare  Plan  annuitants who retired
30        prior to  January  1,  1988,  the  annuitant's  share  of
31        monthly premium for non-Medicare Plan coverage only shall
32        not  exceed the highest premium rate chargeable under any
33        city non-Medicare Plan annuitant coverage as of  December
34        1, 1996.
 
                            -7-            LRB9207506EGfgam03
 1             (2)  For  non-Medicare Plan annuitants who retire on
 2        or after  January  1,  1988,  the  annuitant's  share  of
 3        monthly premium for non-Medicare Plan coverage only shall
 4        be  the  rate in effect on December 1, 1996, with monthly
 5        premium increases to take effect no sooner than April  1,
 6        1998  at  the  lower  of  (i) the premium rate determined
 7        pursuant to subsection (g) or (ii) 10% of the immediately
 8        previous month's rate for similar coverage.
 9             (3)  In  no  event  shall  any   non-Medicare   Plan
10        annuitant's  share  of  monthly  premium for non-Medicare
11        Plan coverage  exceed  10%  of  the  annuitant's  monthly
12        annuity.
13             (4)  Non-Medicare  Plan  annuitants who are enrolled
14        in the basic city plan as of July 1, 1998 may  remain  in
15        the  basic city plan, if they so choose, on the condition
16        that they are not entitled to the caps on rates set forth
17        in subparagraphs (1) through (3), and their premium  rate
18        shall   be   the   rate  determined  in  accordance  with
19        subsections (c) and (g).
20             (5)  Medicare  Plan  annuitants  who  are  currently
21        enrolled in the basic city  plan  for  Medicare  eligible
22        annuitants  may  remain  in that plan, if they so choose,
23        through June 30, 2003  2002.   Annuitants  shall  not  be
24        allowed to enroll in or transfer into the basic city plan
25        for  Medicare  eligible  annuitants  on  or after July 1,
26        1999.  The city shall  continue  to  offer  annuitants  a
27        supplemental   Medicare   Plan   for   Medicare  eligible
28        annuitants through June 30, 2003 2002, and the  city  may
29        offer additional plans to Medicare eligible annuitants in
30        its sole discretion.  All Medicare Plan annuitant monthly
31        rates  shall be determined in accordance with subsections
32        (c) and (g).
33        (c)  The city shall pay 50% of the  aggregated  costs  of
34    the   claims   or   premiums,  whichever  is  applicable,  as
 
                            -8-            LRB9207506EGfgam03
 1    determined in accordance with subsection (g),  of  annuitants
 2    and  their  dependents under all health care plans offered by
 3    the city.  The city may reduce its obligation by  application
 4    of  price  reductions  obtained  as  a  result  of  financial
 5    arrangements with providers or plan administrators.
 6        (d)  From  January  1, 1993 until June 30, 2003 2002, the
 7    board shall pay to the city on behalf of each of the  board's
 8    annuitants  who  chooses  to participate in any of the city's
 9    plans the following amounts: up to a maximum of $75 per month
10    for each such annuitant  who  is  not  qualified  to  receive
11    medicare  benefits,  and up to a maximum of $45 per month for
12    each such annuitant who  is  qualified  to  receive  medicare
13    benefits.
14        The  payments  described in this subsection shall be paid
15    from the  tax  levy  authorized  under  Section  6-165;  such
16    amounts  shall  be credited to the reserve for group hospital
17    care and group medical and surgical plan  benefits,  and  all
18    payments  to the city required under this subsection shall be
19    charged against it.
20        (e)  The city's obligations under subsections (b) and (c)
21    shall terminate on June 30, 2003 2002, except with regard  to
22    covered expenses incurred but not paid as of that date.  This
23    subsection  shall  not  affect  other obligations that may be
24    imposed by law.
25        (f)  The group coverage plans described in  this  Section
26    are  not  and  shall  not  be  construed  to  be  pension  or
27    retirement benefits for purposes of Section 5 of Article XIII
28    of the Illinois Constitution of 1970.
29        (g)  For  each  annuitant  plan  offered by the city, the
30    aggregate cost of claims, as reflected in the  claim  records
31    of  the  plan  administrator, shall be estimated by the city,
32    based upon a written determination by a qualified independent
33    actuary to be appointed and paid by the city and  the  board.
34    If  the estimated annual cost for each annuitant plan offered
 
                            -9-            LRB9207506EGfgam03
 1    by  the  city  is  more  than  the  estimated  amount  to  be
 2    contributed by the city for that plan pursuant to subsections
 3    (b) and (c) during that year plus the estimated amounts to be
 4    paid pursuant to subsection (d)  and  by  the  other  pension
 5    boards  on  behalf  of  other  participating  annuitants, the
 6    difference shall be paid by all annuitants  participating  in
 7    the  plan,  except  as provided in subsection (b).  The city,
 8    based upon the  determination  of  the  independent  actuary,
 9    shall set the monthly amounts to be paid by the participating
10    annuitants.    The board may deduct the amounts to be paid by
11    its annuitants from  the  participating  annuitants'  monthly
12    annuities.
13        If it is determined from the city's annual audit, or from
14    audited  experience  data,  that the total amount paid by all
15    participating annuitants was more or less than the difference
16    between (1) the cost  of  providing  the  group  health  care
17    plans,  and  (2) the sum of the amount to be paid by the city
18    as determined under subsection (c) and the  amounts  paid  by
19    all  the pension boards, then the independent actuary and the
20    city shall account for the excess or shortfall  in  the  next
21    year's   payments   by  annuitants,  except  as  provided  in
22    subsection (b).
23        (h)  An annuitant may elect to terminate  coverage  in  a
24    plan  at the end of any month, which election shall terminate
25    the annuitant's obligation to contribute  toward  payment  of
26    the excess described in subsection (g).
27        (i)  The  city  shall  advise  the  board of all proposed
28    premium increases for health care at least 75 days  prior  to
29    the  effective  date of the change, and any increase shall be
30    prospective only.
31    (Source: P.A. 90-32, eff. 6-27-97.)

32        (40 ILCS 5/8-164.1) (from Ch. 108 1/2, par. 8-164.1)
33        Sec. 8-164.1.  Group health benefit.
 
                            -10-           LRB9207506EGfgam03
 1        (a)  For the purposes of this  Section:  (1)  "annuitant"
 2    means  a person receiving an age and service annuity, a prior
 3    service annuity, a widow's annuity, a widow's  prior  service
 4    annuity,  or  a minimum annuity, under Article 5, 6, 8 or 11,
 5    by reason of previous  employment  by  the  City  of  Chicago
 6    (hereinafter,  in  this  Section,  "the city"); (2) "Medicare
 7    Plan annuitant" means an annuitant described in item (1)  who
 8    is eligible for Medicare benefits; and (3) "non-Medicare Plan
 9    annuitant"  means  an  annuitant described in item (1) who is
10    not eligible for Medicare benefits.
11        (b)  The  city  shall  offer  group  health  benefits  to
12    annuitants and their eligible  dependents  through  June  30,
13    2003  2002.   The basic city health care plan available as of
14    June 30, 1988 (hereinafter called the basic city plan)  shall
15    cease  to  be a plan offered by the city, except as specified
16    in subparagraphs (4) and (5) below, and shall  be  closed  to
17    new  enrollment  or transfer of coverage for any non-Medicare
18    Plan annuitant as of June 27,  the  effective  date  of  this
19    amendatory  Act  of  1997.  The city shall offer non-Medicare
20    Plan annuitants and their eligible dependents the  option  of
21    enrolling  in  its  Annuitant Preferred Provider Plan and may
22    offer additional plans  for  any  annuitant.   The  city  may
23    amend,  modify,  or  terminate any of its additional plans at
24    its sole discretion.   If  the  city  offers  more  than  one
25    annuitant  plan,  the  city shall allow annuitants to convert
26    coverage from one city annuitant plan to another, except  the
27    basic  city  plan, during times designated by the city, which
28    periods of time shall  occur  at  least  annually.   For  the
29    period  dating  from  June  27,  the  effective  date of this
30    amendatory Act of 1997 through June 30,  2003  2002,  monthly
31    premium rates may be increased for annuitants during the time
32    of  their  participation  in  non-Medicare  plans,  except as
33    provided in subparagraphs (1) through (4) of this subsection.
34             (1)  For non-Medicare Plan  annuitants  who  retired
 
                            -11-           LRB9207506EGfgam03
 1        prior  to  January  1,  1988,  the  annuitant's  share of
 2        monthly premium for non-Medicare Plan coverage only shall
 3        not exceed the highest premium rate chargeable under  any
 4        city  non-Medicare Plan annuitant coverage as of December
 5        1, 1996.
 6             (2)  For non-Medicare Plan annuitants who retire  on
 7        or  after  January  1,  1988,  the  annuitant's  share of
 8        monthly premium for non-Medicare Plan coverage only shall
 9        be the rate in effect on December 1, 1996,  with  monthly
10        premium  increases to take effect no sooner than April 1,
11        1998 at the lower of  (i)  the  premium  rate  determined
12        pursuant to subsection (g) or (ii) 10% of the immediately
13        previous month's rate for similar coverage.
14             (3)  In   no   event  shall  any  non-Medicare  Plan
15        annuitant's share of  monthly  premium  for  non-Medicare
16        Plan  coverage  exceed  10%  of  the  annuitant's monthly
17        annuity.
18             (4)  Non-Medicare Plan annuitants who  are  enrolled
19        in  the  basic city plan as of July 1, 1998 may remain in
20        the basic city plan, if they so choose, on the  condition
21        that they are not entitled to the caps on rates set forth
22        in  subparagraphs (1) through (3), and their premium rate
23        shall  be  the  rate  determined   in   accordance   with
24        subsections (c) and (g).
25             (5)  Medicare  Plan  annuitants  who  are  currently
26        enrolled  in  the  basic  city plan for Medicare eligible
27        annuitants may remain in that plan, if  they  so  choose,
28        through  June  30,  2003  2002.   Annuitants shall not be
29        allowed to enroll in or transfer into the basic city plan
30        for Medicare eligible annuitants  on  or  after  July  1,
31        1999.   The  city  shall  continue  to offer annuitants a
32        supplemental  Medicare   Plan   for   Medicare   eligible
33        annuitants  through  June 30, 2003 2002, and the city may
34        offer additional plans to Medicare eligible annuitants in
 
                            -12-           LRB9207506EGfgam03
 1        its sole discretion.  All Medicare Plan annuitant monthly
 2        rates shall be determined in accordance with  subsections
 3        (c) and (g).
 4        (c)  The  city  shall  pay 50% of the aggregated costs of
 5    the  claims  or  premiums,  whichever   is   applicable,   as
 6    determined  in  accordance with subsection (g), of annuitants
 7    and their dependents under all health care plans  offered  by
 8    the  city.  The city may reduce its obligation by application
 9    of  price  reductions  obtained  as  a  result  of  financial
10    arrangements with providers or plan administrators.
11        (d)   From January 1, 1993 until June 30, 2003 2002,  the
12    board  shall pay to the city on behalf of each of the board's
13    annuitants who chooses to participate in any  of  the  city's
14    plans the following amounts: up to a maximum of $75 per month
15    for  each  such  annuitant  who  is  not qualified to receive
16    medicare benefits, and up to a maximum of $45 per  month  for
17    each  such  annuitant  who  is  qualified to receive medicare
18    benefits.
19        Commencing on August  23,  the  effective  date  of  this
20    amendatory Act of 1989, the board is authorized to pay to the
21    board  of  education  on behalf of each person who chooses to
22    participate in the board  of  education's  plan  the  amounts
23    specified  in this subsection (d) during the years indicated.
24    For the  period  January  1,  1988  through  August  23,  the
25    effective  date  of  this  amendatory  Act of 1989, the board
26    shall  pay  to  the  board  of   education   annuitants   who
27    participate  in the board of education's health benefits plan
28    for annuitants the following amounts: $10 per month  to  each
29    annuitant  who is not qualified to receive medicare benefits,
30    and $14 per month to  each  annuitant  who  is  qualified  to
31    receive medicare benefits.
32        The  payments  described in this subsection shall be paid
33    from the  tax  levy  authorized  under  Section  8-189;  such
34    amounts  shall  be credited to the reserve for group hospital
 
                            -13-           LRB9207506EGfgam03
 1    care and group medical and surgical plan  benefits,  and  all
 2    payments  to the city required under this subsection shall be
 3    charged against it.
 4        (e)  The city's obligations under subsections (b) and (c)
 5    shall terminate on June 30, 2003 2002, except with regard  to
 6    covered expenses incurred but not paid as of that date.  This
 7    subsection  shall  not  affect  other obligations that may be
 8    imposed by law.
 9        (f)  The group coverage plans described in  this  Section
10    are  not  and  shall  not  be  construed  to  be  pension  or
11    retirement benefits for purposes of Section 5 of Article XIII
12    of the Illinois Constitution of 1970.
13        (g)  For  each  annuitant  plan  offered by the city, the
14    aggregate cost of claims, as reflected in the  claim  records
15    of  the  plan  administrator, shall be estimated by the city,
16    based upon a written determination by a qualified independent
17    actuary to be appointed and paid by the city and  the  board.
18    If  the estimated annual cost for each annuitant plan offered
19    by  the  city  is  more  than  the  estimated  amount  to  be
20    contributed by the city for that plan pursuant to subsections
21    (b) and (c) during that year plus the estimated amounts to be
22    paid pursuant to subsection (d)  and  by  the  other  pension
23    boards  on  behalf  of  other  participating  annuitants, the
24    difference shall be paid by all annuitants  participating  in
25    the  plan,  except  as provided in subsection (b).  The city,
26    based upon the  determination  of  the  independent  actuary,
27    shall set the monthly amounts to be paid by the participating
28    annuitants.    The board may deduct the amounts to be paid by
29    its annuitants from  the  participating  annuitants'  monthly
30    annuities.
31        If it is determined from the city's annual audit, or from
32    audited  experience  data,  that the total amount paid by all
33    participating annuitants was more or less than the difference
34    between (1) the cost  of  providing  the  group  health  care
 
                            -14-           LRB9207506EGfgam03
 1    plans,  and  (2) the sum of the amount to be paid by the city
 2    as determined under subsection (c) and the  amounts  paid  by
 3    all  the pension boards, then the independent actuary and the
 4    city shall account for the excess or shortfall  in  the  next
 5    year's   payments   by  annuitants,  except  as  provided  in
 6    subsection (b).
 7        (h)  An annuitant may elect to terminate  coverage  in  a
 8    plan  at the end of any month, which election shall terminate
 9    the annuitant's obligation to contribute  toward  payment  of
10    the excess described in subsection (g).
11        (i)  The  city  shall  advise  the  board of all proposed
12    premium increases for health care at least 75 days  prior  to
13    the  effective  date of the change, and any increase shall be
14    prospective only.
15    (Source: P.A. 90-32, eff. 6-27-97.)

16        (40 ILCS 5/11-160.1) (from Ch. 108 1/2, par. 11-160.1)
17        Sec. 11-160.1.  Group health benefit.
18        (a)  For the purposes of this  Section:  (1)  "annuitant"
19    means  a person receiving an age and service annuity, a prior
20    service annuity, a widow's annuity, a widow's  prior  service
21    annuity,  or  a minimum annuity, under Article 5, 6, 8 or 11,
22    by reason of previous  employment  by  the  City  of  Chicago
23    (hereinafter,  in  this  Section,  "the city"); (2) "Medicare
24    Plan annuitant" means an annuitant described in item (1)  who
25    is eligible for Medicare benefits; and (3) "non-Medicare Plan
26    annuitant"  means  an  annuitant described in item (1) who is
27    not eligible for Medicare benefits.
28        (b)  The  city  shall  offer  group  health  benefits  to
29    annuitants and their eligible  dependents  through  June  30,
30    2003  2002.   The basic city health care plan available as of
31    June 30, 1988 (hereinafter called the basic city plan)  shall
32    cease  to  be a plan offered by the city, except as specified
33    in subparagraphs (4) and (5) below, and shall  be  closed  to
 
                            -15-           LRB9207506EGfgam03
 1    new  enrollment  or transfer of coverage for any non-Medicare
 2    Plan annuitant as of June 27,  the  effective  date  of  this
 3    amendatory  Act  of  1997.  The city shall offer non-Medicare
 4    Plan annuitants and their eligible dependents the  option  of
 5    enrolling  in  its  Annuitant Preferred Provider Plan and may
 6    offer additional plans  for  any  annuitant.   The  city  may
 7    amend,  modify,  or  terminate any of its additional plans at
 8    its sole discretion.   If  the  city  offers  more  than  one
 9    annuitant  plan,  the  city shall allow annuitants to convert
10    coverage from one city annuitant plan to another, except  the
11    basic  city  plan, during times designated by the city, which
12    periods of time shall  occur  at  least  annually.   For  the
13    period  dating  from  June  27,  the  effective  date of this
14    amendatory Act of 1997 through June 30,  2003  2002,  monthly
15    premium rates may be increased for annuitants during the time
16    of  their  participation  in  non-Medicare  plans,  except as
17    provided in subparagraphs (1) through (4) of this subsection.
18             (1)  For non-Medicare Plan  annuitants  who  retired
19        prior  to  January  1,  1988,  the  annuitant's  share of
20        monthly premium for non-Medicare Plan coverage only shall
21        not exceed the highest premium rate chargeable under  any
22        city  non-Medicare Plan annuitant coverage as of December
23        1, 1996.
24             (2)  For non-Medicare Plan annuitants who retire  on
25        or  after  January  1,  1988,  the  annuitant's  share of
26        monthly premium for non-Medicare Plan coverage only shall
27        be the rate in effect on December 1, 1996,  with  monthly
28        premium  increases to take effect no sooner than April 1,
29        1998 at the lower of  (i)  the  premium  rate  determined
30        pursuant to subsection (g) or (ii) 10% of the immediately
31        previous month's rate for similar coverage.
32             (3)  In   no   event  shall  any  non-Medicare  Plan
33        annuitant's share of  monthly  premium  for  non-Medicare
34        Plan  coverage  exceed  10%  of  the  annuitant's monthly
 
                            -16-           LRB9207506EGfgam03
 1        annuity.
 2             (4)  Non-Medicare Plan annuitants who  are  enrolled
 3        in  the  basic city plan as of July 1, 1998 may remain in
 4        the basic city plan, if they so choose, on the  condition
 5        that they are not entitled to the caps on rates set forth
 6        in  subparagraphs (1) through (3), and their premium rate
 7        shall  be  the  rate  determined   in   accordance   with
 8        subsections (c) and (g).
 9             (5)  Medicare  Plan  annuitants  who  are  currently
10        enrolled  in  the  basic  city plan for Medicare eligible
11        annuitants may remain in that plan, if  they  so  choose,
12        through  June  30,  2003  2002.   Annuitants shall not be
13        allowed to enroll in or transfer into the basic city plan
14        for Medicare eligible annuitants  on  or  after  July  1,
15        1999.   The  city  shall  continue  to offer annuitants a
16        supplemental  Medicare   Plan   for   Medicare   eligible
17        annuitants  through  June 30, 2003 2002, and the city may
18        offer additional plans to Medicare eligible annuitants in
19        its sole discretion.  All Medicare Plan annuitant monthly
20        rates shall be determined in accordance with  subsections
21        (c) and (g).
22        (c)  The  city  shall  pay 50% of the aggregated costs of
23    the  claims  or  premiums,  whichever   is   applicable,   as
24    determined  in  accordance with subsection (g), of annuitants
25    and their dependents under all health care plans  offered  by
26    the  city.  The city may reduce its obligation by application
27    of  price  reductions  obtained  as  a  result  of  financial
28    arrangements with providers or plan administrators.
29        (d)   From January 1, 1993 until June 30, 2003 2002,  the
30    board  shall pay to the city on behalf of each of the board's
31    annuitants who chooses to participate in any  of  the  city's
32    plans the following amounts: up to a maximum of $75 per month
33    for  each  such  annuitant  who  is  not qualified to receive
34    medicare benefits, and up to a maximum of $45 per  month  for
 
                            -17-           LRB9207506EGfgam03
 1    each  such  annuitant  who  is  qualified to receive medicare
 2    benefits.
 3        The payments described in this subsection shall  be  paid
 4    from  the  tax  levy  authorized  under  Section 11-178; such
 5    amounts shall be credited to the reserve for  group  hospital
 6    care  and  group  medical and surgical plan benefits, and all
 7    payments to the city required under this subsection shall  be
 8    charged against it.
 9        (e)  The city's obligations under subsections (b) and (c)
10    shall  terminate on June 30, 2003 2002, except with regard to
11    covered expenses incurred but not paid as of that date.  This
12    subsection shall not affect other  obligations  that  may  be
13    imposed by law.
14        (f)  The  group  coverage plans described in this Section
15    are  not  and  shall  not  be  construed  to  be  pension  or
16    retirement benefits for purposes of Section 5 of Article XIII
17    of the Illinois Constitution of 1970.
18        (g)  For each annuitant plan offered  by  the  city,  the
19    aggregate  cost  of claims, as reflected in the claim records
20    of the plan administrator, shall be estimated  by  the  city,
21    based upon a written determination by a qualified independent
22    actuary  to  be appointed and paid by the city and the board.
23    If the estimated annual cost for each annuitant plan  offered
24    by  the  city  is  more  than  the  estimated  amount  to  be
25    contributed by the city for that plan pursuant to subsections
26    (b) and (c) during that year plus the estimated amounts to be
27    paid  pursuant  to  subsection  (d)  and by the other pension
28    boards on  behalf  of  other  participating  annuitants,  the
29    difference  shall  be paid by all annuitants participating in
30    the plan, except as provided in subsection  (b).   The  city,
31    based  upon  the  determination  of  the independent actuary,
32    shall set the monthly amounts to be paid by the participating
33    annuitants.  The board may deduct the amounts to be  paid  by
34    its  annuitants  from  the  participating annuitants' monthly
 
                            -18-           LRB9207506EGfgam03
 1    annuities.
 2        If it is determined from the city's annual audit, or from
 3    audited experience data, that the total amount  paid  by  all
 4    participating annuitants was more or less than the difference
 5    between  (1)  the  cost  of  providing  the group health care
 6    plans, and (2) the sum of the amount to be paid by  the  city
 7    as  determined  under  subsection (c) and the amounts paid by
 8    all the pension boards, then the independent actuary and  the
 9    city  shall  account  for the excess or shortfall in the next
10    year's  payments  by  annuitants,  except  as   provided   in
11    subsection (b).
12        (h)  An  annuitant  may  elect to terminate coverage in a
13    plan at the end of any month, which election shall  terminate
14    the  annuitant's  obligation  to contribute toward payment of
15    the excess described in subsection (g).
16        (i)  The city shall advise  the  board  of  all  proposed
17    premium  increases  for health care at least 75 days prior to
18    the effective date of the change, and any increase  shall  be
19    prospective only.
20    (Source: P.A. 90-32, eff. 6-27-97.)

21        Section  90.  The State Mandates Act is amended by adding
22    Section 8.26 as follows:

23        (30 ILCS 805/8.26 new)
24        Sec. 8.26. Exempt mandate.   Notwithstanding  Sections  6
25    and  8 of this Act, no reimbursement by the State is required
26    for  the  implementation  of  any  mandate  created  by  this
27    amendatory Act of the 92nd General Assembly.

28        Section 99. Effective date.  This Act takes  effect  upon
29    becoming law.".

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