Rep. Chad Hays

Filed: 3/30/2011

 

 


 

 


 
09700HB2243ham001LRB097 08153 JDS 53419 a

1
AMENDMENT TO HOUSE BILL 2243

2    AMENDMENT NO. ______. Amend House Bill 2243 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The State Employees Group Insurance Act of 1971
5is amended by changing Section 3 as follows:
 
6    (5 ILCS 375/3)  (from Ch. 127, par. 523)
7    Sec. 3. Definitions. Unless the context otherwise
8requires, the following words and phrases as used in this Act
9shall have the following meanings. The Department may define
10these and other words and phrases separately for the purpose of
11implementing specific programs providing benefits under this
12Act.
13    (a) "Administrative service organization" means any
14person, firm or corporation experienced in the handling of
15claims which is fully qualified, financially sound and capable
16of meeting the service requirements of a contract of

 

 

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1administration executed with the Department.
2    (b) "Annuitant" means (1) an employee who retires, or has
3retired, on or after January 1, 1966 on an immediate annuity
4under the provisions of Articles 2, 14 (including an employee
5who has elected to receive an alternative retirement
6cancellation payment under Section 14-108.5 of the Illinois
7Pension Code in lieu of an annuity), 15 (including an employee
8who has retired under the optional retirement program
9established under Section 15-158.2), paragraphs (2), (3), or
10(5) of Section 16-106, or Article 18 of the Illinois Pension
11Code; (2) any person who was receiving group insurance coverage
12under this Act as of March 31, 1978 by reason of his status as
13an annuitant, even though the annuity in relation to which such
14coverage was provided is a proportional annuity based on less
15than the minimum period of service required for a retirement
16annuity in the system involved; (3) any person not otherwise
17covered by this Act who has retired as a participating member
18under Article 2 of the Illinois Pension Code but is ineligible
19for the retirement annuity under Section 2-119 of the Illinois
20Pension Code; (4) the spouse of any person who is receiving a
21retirement annuity under Article 18 of the Illinois Pension
22Code and who is covered under a group health insurance program
23sponsored by a governmental employer other than the State of
24Illinois and who has irrevocably elected to waive his or her
25coverage under this Act and to have his or her spouse
26considered as the "annuitant" under this Act and not as a

 

 

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1"dependent"; or (5) an employee who retires, or has retired,
2from a qualified position, as determined according to rules
3promulgated by the Director, under a qualified local
4government, a qualified rehabilitation facility, a qualified
5domestic violence shelter or service, or a qualified child
6advocacy center. (For definition of "retired employee", see (p)
7post).
8    (b-5) "New SERS annuitant" means a person who, on or after
9January 1, 1998, becomes an annuitant, as defined in subsection
10(b), by virtue of beginning to receive a retirement annuity
11under Article 14 of the Illinois Pension Code (including an
12employee who has elected to receive an alternative retirement
13cancellation payment under Section 14-108.5 of that Code in
14lieu of an annuity), and is eligible to participate in the
15basic program of group health benefits provided for annuitants
16under this Act.
17    (b-6) "New SURS annuitant" means a person who (1) on or
18after January 1, 1998, becomes an annuitant, as defined in
19subsection (b), by virtue of beginning to receive a retirement
20annuity under Article 15 of the Illinois Pension Code, (2) has
21not made the election authorized under Section 15-135.1 of the
22Illinois Pension Code, and (3) is eligible to participate in
23the basic program of group health benefits provided for
24annuitants under this Act.
25    (b-7) "New TRS State annuitant" means a person who, on or
26after July 1, 1998, becomes an annuitant, as defined in

 

 

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1subsection (b), by virtue of beginning to receive a retirement
2annuity under Article 16 of the Illinois Pension Code based on
3service as a teacher as defined in paragraph (2), (3), or (5)
4of Section 16-106 of that Code, and is eligible to participate
5in the basic program of group health benefits provided for
6annuitants under this Act.
7    (c) "Carrier" means (1) an insurance company, a corporation
8organized under the Limited Health Service Organization Act or
9the Voluntary Health Services Plan Act, a partnership, or other
10nongovernmental organization, which is authorized to do group
11life or group health insurance business in Illinois, or (2) the
12State of Illinois as a self-insurer.
13    (d) "Compensation" means salary or wages payable on a
14regular payroll by the State Treasurer on a warrant of the
15State Comptroller out of any State, trust or federal fund, or
16by the Governor of the State through a disbursing officer of
17the State out of a trust or out of federal funds, or by any
18Department out of State, trust, federal or other funds held by
19the State Treasurer or the Department, to any person for
20personal services currently performed, and ordinary or
21accidental disability benefits under Articles 2, 14, 15
22(including ordinary or accidental disability benefits under
23the optional retirement program established under Section
2415-158.2), paragraphs (2), (3), or (5) of Section 16-106, or
25Article 18 of the Illinois Pension Code, for disability
26incurred after January 1, 1966, or benefits payable under the

 

 

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1Workers' Compensation or Occupational Diseases Act or benefits
2payable under a sick pay plan established in accordance with
3Section 36 of the State Finance Act. "Compensation" also means
4salary or wages paid to an employee of any qualified local
5government, qualified rehabilitation facility, qualified
6domestic violence shelter or service, or qualified child
7advocacy center.
8    (e) "Commission" means the State Employees Group Insurance
9Advisory Commission authorized by this Act. Commencing July 1,
101984, "Commission" as used in this Act means the Commission on
11Government Forecasting and Accountability as established by
12the Legislative Commission Reorganization Act of 1984.
13    (f) "Contributory", when referred to as contributory
14coverage, shall mean optional coverages or benefits elected by
15the member toward the cost of which such member makes
16contribution, or which are funded in whole or in part through
17the acceptance of a reduction in earnings or the foregoing of
18an increase in earnings by an employee, as distinguished from
19noncontributory coverage or benefits which are paid entirely by
20the State of Illinois without reduction of the member's salary.
21    (g) "Department" means any department, institution, board,
22commission, officer, court or any agency of the State
23government receiving appropriations and having power to
24certify payrolls to the Comptroller authorizing payments of
25salary and wages against such appropriations as are made by the
26General Assembly from any State fund, or against trust funds

 

 

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1held by the State Treasurer and includes boards of trustees of
2the retirement systems created by Articles 2, 14, 15, 16 and 18
3of the Illinois Pension Code. "Department" also includes the
4Illinois Comprehensive Health Insurance Board, the Board of
5Examiners established under the Illinois Public Accounting
6Act, and the Illinois Finance Authority.
7    (h) "Dependent", when the term is used in the context of
8the health and life plan, means a member's spouse and any child
9(1) from birth to age 26 including an adopted child, a child
10who lives with the member from the time of the filing of a
11petition for adoption until entry of an order of adoption, a
12stepchild or adjudicated child, or a child who lives with the
13member if such member is a court appointed guardian of the
14child or (2) age 19 or over who is mentally or physically
15disabled from a cause originating prior to the age of 19 (age
1626 if enrolled as an adult child dependent). For the health
17plan only, the term "dependent" also includes (1) any person
18enrolled prior to the effective date of this Section who is
19dependent upon the member to the extent that the member may
20claim such person as a dependent for income tax deduction
21purposes and (2) any person who has received after June 30,
222000 an organ transplant and who is financially dependent upon
23the member and eligible to be claimed as a dependent for income
24tax purposes. A member requesting to cover any dependent must
25provide documentation as requested by the Department of Central
26Management Services and file with the Department any and all

 

 

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1forms required by the Department.
2    (i) "Director" means the Director of the Illinois
3Department of Central Management Services or of any successor
4agency designated to administer this Act.
5    (j) "Eligibility period" means the period of time a member
6has to elect enrollment in programs or to select benefits
7without regard to age, sex or health.
8    (k) "Employee" means and includes each officer or employee
9in the service of a department who (1) receives his
10compensation for service rendered to the department on a
11warrant issued pursuant to a payroll certified by a department
12or on a warrant or check issued and drawn by a department upon
13a trust, federal or other fund or on a warrant issued pursuant
14to a payroll certified by an elected or duly appointed officer
15of the State or who receives payment of the performance of
16personal services on a warrant issued pursuant to a payroll
17certified by a Department and drawn by the Comptroller upon the
18State Treasurer against appropriations made by the General
19Assembly from any fund or against trust funds held by the State
20Treasurer, and (2) is employed full-time or part-time in a
21position normally requiring actual performance of duty during
22not less than 1/2 of a normal work period, as established by
23the Director in cooperation with each department, except that
24persons elected by popular vote will be considered employees
25during the entire term for which they are elected regardless of
26hours devoted to the service of the State, and (3) except that

 

 

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1"employee" does not include any person who is not eligible by
2reason of such person's employment to participate in one of the
3State retirement systems under Articles 2, 14, 15 (either the
4regular Article 15 system or the optional retirement program
5established under Section 15-158.2) or 18, or under paragraph
6(2), (3), or (5) of Section 16-106, of the Illinois Pension
7Code, but such term does include persons who are employed
8during the 6 month qualifying period under Article 14 of the
9Illinois Pension Code. Such term also includes any person who
10(1) after January 1, 1966, is receiving ordinary or accidental
11disability benefits under Articles 2, 14, 15 (including
12ordinary or accidental disability benefits under the optional
13retirement program established under Section 15-158.2),
14paragraphs (2), (3), or (5) of Section 16-106, or Article 18 of
15the Illinois Pension Code, for disability incurred after
16January 1, 1966, (2) receives total permanent or total
17temporary disability under the Workers' Compensation Act or
18Occupational Disease Act as a result of injuries sustained or
19illness contracted in the course of employment with the State
20of Illinois, or (3) is not otherwise covered under this Act and
21has retired as a participating member under Article 2 of the
22Illinois Pension Code but is ineligible for the retirement
23annuity under Section 2-119 of the Illinois Pension Code.
24However, a person who satisfies the criteria of the foregoing
25definition of "employee" except that such person is made
26ineligible to participate in the State Universities Retirement

 

 

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1System by clause (4) of subsection (a) of Section 15-107 of the
2Illinois Pension Code is also an "employee" for the purposes of
3this Act. "Employee" also includes any person receiving or
4eligible for benefits under a sick pay plan established in
5accordance with Section 36 of the State Finance Act. "Employee"
6also includes (i) each officer or employee in the service of a
7qualified local government, including persons appointed as
8trustees of sanitary districts regardless of hours devoted to
9the service of the sanitary district, (ii) each employee in the
10service of a qualified rehabilitation facility, (iii) each
11full-time employee in the service of a qualified domestic
12violence shelter or service, and (iv) each full-time employee
13in the service of a qualified child advocacy center, as
14determined according to rules promulgated by the Director.
15Notwithstanding any other provision of this Act or any law to
16the contrary, "employee" does not include, on and after the
17effective date of this amendatory Act of the 97th General
18Assembly, a member of a statutorily created board or commission
19who serves in that capacity, on average, for fewer than 30
20hours per week.
21    (l) "Member" means an employee, annuitant, retired
22employee or survivor.
23    (m) "Optional coverages or benefits" means those coverages
24or benefits available to the member on his or her voluntary
25election, and at his or her own expense.
26    (n) "Program" means the group life insurance, health

 

 

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1benefits and other employee benefits designed and contracted
2for by the Director under this Act.
3    (o) "Health plan" means a health benefits program offered
4by the State of Illinois for persons eligible for the plan.
5    (p) "Retired employee" means any person who would be an
6annuitant as that term is defined herein but for the fact that
7such person retired prior to January 1, 1966. Such term also
8includes any person formerly employed by the University of
9Illinois in the Cooperative Extension Service who would be an
10annuitant but for the fact that such person was made ineligible
11to participate in the State Universities Retirement System by
12clause (4) of subsection (a) of Section 15-107 of the Illinois
13Pension Code.
14    (q) "Survivor" means a person receiving an annuity as a
15survivor of an employee or of an annuitant. "Survivor" also
16includes: (1) the surviving dependent of a person who satisfies
17the definition of "employee" except that such person is made
18ineligible to participate in the State Universities Retirement
19System by clause (4) of subsection (a) of Section 15-107 of the
20Illinois Pension Code; (2) the surviving dependent of any
21person formerly employed by the University of Illinois in the
22Cooperative Extension Service who would be an annuitant except
23for the fact that such person was made ineligible to
24participate in the State Universities Retirement System by
25clause (4) of subsection (a) of Section 15-107 of the Illinois
26Pension Code; and (3) the surviving dependent of a person who

 

 

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1was an annuitant under this Act by virtue of receiving an
2alternative retirement cancellation payment under Section
314-108.5 of the Illinois Pension Code.
4    (q-2) "SERS" means the State Employees' Retirement System
5of Illinois, created under Article 14 of the Illinois Pension
6Code.
7    (q-3) "SURS" means the State Universities Retirement
8System, created under Article 15 of the Illinois Pension Code.
9    (q-4) "TRS" means the Teachers' Retirement System of the
10State of Illinois, created under Article 16 of the Illinois
11Pension Code.
12    (q-5) "New SERS survivor" means a survivor, as defined in
13subsection (q), whose annuity is paid under Article 14 of the
14Illinois Pension Code and is based on the death of (i) an
15employee whose death occurs on or after January 1, 1998, or
16(ii) a new SERS annuitant as defined in subsection (b-5). "New
17SERS survivor" includes the surviving dependent of a person who
18was an annuitant under this Act by virtue of receiving an
19alternative retirement cancellation payment under Section
2014-108.5 of the Illinois Pension Code.
21    (q-6) "New SURS survivor" means a survivor, as defined in
22subsection (q), whose annuity is paid under Article 15 of the
23Illinois Pension Code and is based on the death of (i) an
24employee whose death occurs on or after January 1, 1998, or
25(ii) a new SURS annuitant as defined in subsection (b-6).
26    (q-7) "New TRS State survivor" means a survivor, as defined

 

 

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1in subsection (q), whose annuity is paid under Article 16 of
2the Illinois Pension Code and is based on the death of (i) an
3employee who is a teacher as defined in paragraph (2), (3), or
4(5) of Section 16-106 of that Code and whose death occurs on or
5after July 1, 1998, or (ii) a new TRS State annuitant as
6defined in subsection (b-7).
7    (r) "Medical services" means the services provided within
8the scope of their licenses by practitioners in all categories
9licensed under the Medical Practice Act of 1987.
10    (s) "Unit of local government" means any county,
11municipality, township, school district (including a
12combination of school districts under the Intergovernmental
13Cooperation Act), special district or other unit, designated as
14a unit of local government by law, which exercises limited
15governmental powers or powers in respect to limited
16governmental subjects, any not-for-profit association with a
17membership that primarily includes townships and township
18officials, that has duties that include provision of research
19service, dissemination of information, and other acts for the
20purpose of improving township government, and that is funded
21wholly or partly in accordance with Section 85-15 of the
22Township Code; any not-for-profit corporation or association,
23with a membership consisting primarily of municipalities, that
24operates its own utility system, and provides research,
25training, dissemination of information, or other acts to
26promote cooperation between and among municipalities that

 

 

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1provide utility services and for the advancement of the goals
2and purposes of its membership; the Southern Illinois
3Collegiate Common Market, which is a consortium of higher
4education institutions in Southern Illinois; the Illinois
5Association of Park Districts; and any hospital provider that
6is owned by a county that has 100 or fewer hospital beds and
7has not already joined the program. "Qualified local
8government" means a unit of local government approved by the
9Director and participating in a program created under
10subsection (i) of Section 10 of this Act.
11    (t) "Qualified rehabilitation facility" means any
12not-for-profit organization that is accredited by the
13Commission on Accreditation of Rehabilitation Facilities or
14certified by the Department of Human Services (as successor to
15the Department of Mental Health and Developmental
16Disabilities) to provide services to persons with disabilities
17and which receives funds from the State of Illinois for
18providing those services, approved by the Director and
19participating in a program created under subsection (j) of
20Section 10 of this Act.
21    (u) "Qualified domestic violence shelter or service" means
22any Illinois domestic violence shelter or service and its
23administrative offices funded by the Department of Human
24Services (as successor to the Illinois Department of Public
25Aid), approved by the Director and participating in a program
26created under subsection (k) of Section 10.

 

 

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1    (v) "TRS benefit recipient" means a person who:
2        (1) is not a "member" as defined in this Section; and
3        (2) is receiving a monthly benefit or retirement
4    annuity under Article 16 of the Illinois Pension Code; and
5        (3) either (i) has at least 8 years of creditable
6    service under Article 16 of the Illinois Pension Code, or
7    (ii) was enrolled in the health insurance program offered
8    under that Article on January 1, 1996, or (iii) is the
9    survivor of a benefit recipient who had at least 8 years of
10    creditable service under Article 16 of the Illinois Pension
11    Code or was enrolled in the health insurance program
12    offered under that Article on the effective date of this
13    amendatory Act of 1995, or (iv) is a recipient or survivor
14    of a recipient of a disability benefit under Article 16 of
15    the Illinois Pension Code.
16    (w) "TRS dependent beneficiary" means a person who:
17        (1) is not a "member" or "dependent" as defined in this
18    Section; and
19        (2) is a TRS benefit recipient's: (A) spouse, (B)
20    dependent parent who is receiving at least half of his or
21    her support from the TRS benefit recipient, or (C) natural,
22    step, adjudicated, or adopted child who is (i) under age
23    26, (ii) was, on January 1, 1996, participating as a
24    dependent beneficiary in the health insurance program
25    offered under Article 16 of the Illinois Pension Code, or
26    (iii) age 19 or over who is mentally or physically disabled

 

 

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1    from a cause originating prior to the age of 19 (age 26 if
2    enrolled as an adult child).
3    (x) "Military leave" refers to individuals in basic
4training for reserves, special/advanced training, annual
5training, emergency call up, activation by the President of the
6United States, or any other training or duty in service to the
7United States Armed Forces.
8    (y) (Blank).
9    (z) "Community college benefit recipient" means a person
10who:
11        (1) is not a "member" as defined in this Section; and
12        (2) is receiving a monthly survivor's annuity or
13    retirement annuity under Article 15 of the Illinois Pension
14    Code; and
15        (3) either (i) was a full-time employee of a community
16    college district or an association of community college
17    boards created under the Public Community College Act
18    (other than an employee whose last employer under Article
19    15 of the Illinois Pension Code was a community college
20    district subject to Article VII of the Public Community
21    College Act) and was eligible to participate in a group
22    health benefit plan as an employee during the time of
23    employment with a community college district (other than a
24    community college district subject to Article VII of the
25    Public Community College Act) or an association of
26    community college boards, or (ii) is the survivor of a

 

 

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1    person described in item (i).
2    (aa) "Community college dependent beneficiary" means a
3person who:
4        (1) is not a "member" or "dependent" as defined in this
5    Section; and
6        (2) is a community college benefit recipient's: (A)
7    spouse, (B) dependent parent who is receiving at least half
8    of his or her support from the community college benefit
9    recipient, or (C) natural, step, adjudicated, or adopted
10    child who is (i) under age 26, or (ii) age 19 or over and
11    mentally or physically disabled from a cause originating
12    prior to the age of 19 (age 26 if enrolled as an adult
13    child).
14    (bb) "Qualified child advocacy center" means any Illinois
15child advocacy center and its administrative offices funded by
16the Department of Children and Family Services, as defined by
17the Children's Advocacy Center Act (55 ILCS 80/), approved by
18the Director and participating in a program created under
19subsection (n) of Section 10.
20(Source: P.A. 95-331, eff. 8-21-07; 95-632, eff. 9-25-07;
2196-756, eff. 1-1-10; 96-1519, eff. 2-4-11.)
 
22    Section 99. Effective date. This Act takes effect upon
23becoming law.".