98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB3235

 

Introduced , by Rep. Linda Chapa LaVia

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 405/405-105  was 20 ILCS 405/64.1

    Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Provides that the Department of Central Management Services shall charge the employing State agency for workers' compensation payments for medical expenses and temporary total disability benefits (now, just for temporary total disability) paid to any employee (now, the Department shall charge the State agency only after the employee has received temporary total disability payments for 120 days if the employee's physician has issued a release to return to work but the employing State agency does not return the employee to work).


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Department of Central Management Services
5Law of the Civil Administrative Code of Illinois is amended by
6changing Section 405-105 as follows:
 
7    (20 ILCS 405/405-105)  (was 20 ILCS 405/64.1)
8    Sec. 405-105. Fidelity, surety, property, and casualty
9insurance. The Department shall establish and implement a
10program to coordinate the handling of all fidelity, surety,
11property, and casualty insurance exposures of the State and the
12departments, divisions, agencies, branches, and universities
13of the State. In performing this responsibility, the Department
14shall have the power and duty to do the following:
15        (1) Develop and maintain loss and exposure data on all
16    State property.
17        (2) Study the feasibility of establishing a
18    self-insurance plan for State property and prepare
19    estimates of the costs of reinsurance for risks beyond the
20    realistic limits of the self-insurance.
21        (3) Prepare a plan for centralizing the purchase of
22    property and casualty insurance on State property under a
23    master policy or policies and purchase the insurance

 

 

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1    contracted for as provided in the Illinois Purchasing Act.
2        (4) Evaluate existing provisions for fidelity bonds
3    required of State employees and recommend changes that are
4    appropriate commensurate with risk experience and the
5    determinations respecting self-insurance or reinsurance so
6    as to permit reduction of costs without loss of coverage.
7        (5) Investigate procedures for inclusion of school
8    districts, public community college districts, and other
9    units of local government in programs for the centralized
10    purchase of insurance.
11        (6) Implement recommendations of the State Property
12    Insurance Study Commission that the Department finds
13    necessary or desirable in the performance of its powers and
14    duties under this Section to achieve efficient and
15    comprehensive risk management.
16        (7) Prepare and, in the discretion of the Director,
17    implement a plan providing for the purchase of public
18    liability insurance or for self-insurance for public
19    liability or for a combination of purchased insurance and
20    self-insurance for public liability (i) covering the State
21    and drivers of motor vehicles owned, leased, or controlled
22    by the State of Illinois pursuant to the provisions and
23    limitations contained in the Illinois Vehicle Code, (ii)
24    covering other public liability exposures of the State and
25    its employees within the scope of their employment, and
26    (iii) covering drivers of motor vehicles not owned, leased,

 

 

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1    or controlled by the State but used by a State employee on
2    State business, in excess of liability covered by an
3    insurance policy obtained by the owner of the motor vehicle
4    or in excess of the dollar amounts that the Department
5    shall determine to be reasonable. Any contract of insurance
6    let under this Law shall be by bid in accordance with the
7    procedure set forth in the Illinois Purchasing Act. Any
8    provisions for self-insurance shall conform to subdivision
9    (11).
10        The term "employee" as used in this subdivision (7) and
11    in subdivision (11) means a person while in the employ of
12    the State who is a member of the staff or personnel of a
13    State agency, bureau, board, commission, committee,
14    department, university, or college or who is a State
15    officer, elected official, commissioner, member of or ex
16    officio member of a State agency, bureau, board,
17    commission, committee, department, university, or college,
18    or a member of the National Guard while on active duty
19    pursuant to orders of the Governor of the State of
20    Illinois, or any other person while using a licensed motor
21    vehicle owned, leased, or controlled by the State of
22    Illinois with the authorization of the State of Illinois,
23    provided the actual use of the motor vehicle is within the
24    scope of that authorization and within the course of State
25    service.
26        Subsequent to payment of a claim on behalf of an

 

 

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1    employee pursuant to this Section and after reasonable
2    advance written notice to the employee, the Director may
3    exclude the employee from future coverage or limit the
4    coverage under the plan if (i) the Director determines that
5    the claim resulted from an incident in which the employee
6    was grossly negligent or had engaged in willful and wanton
7    misconduct or (ii) the Director determines that the
8    employee is no longer an acceptable risk based on a review
9    of prior accidents in which the employee was at fault and
10    for which payments were made pursuant to this Section.
11        The Director is authorized to promulgate
12    administrative rules that may be necessary to establish and
13    administer the plan.
14        Appropriations from the Road Fund shall be used to pay
15    auto liability claims and related expenses involving
16    employees of the Department of Transportation, the
17    Illinois State Police, and the Secretary of State.
18        (8) Charge, collect, and receive from all other
19    agencies of the State government fees or monies equivalent
20    to the cost of purchasing the insurance.
21        (9) Establish, through the Director, charges for risk
22    management services rendered to State agencies by the
23    Department. The State agencies so charged shall reimburse
24    the Department by vouchers drawn against their respective
25    appropriations. The reimbursement shall be determined by
26    the Director as amounts sufficient to reimburse the

 

 

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1    Department for expenditures incurred in rendering the
2    service.
3        The Department shall charge the employing State agency
4    or university for workers' compensation payments for
5    medical expenses and temporary total disability benefits
6    paid to any employee after the employee has received
7    temporary total disability payments for 120 days if the
8    employee's treating physician has issued a release to
9    return to work with restrictions and the employee is able
10    to perform modified duty work but the employing State
11    agency or university does not return the employee to work
12    at modified duty. Modified duty shall be duties assigned
13    that may or may not be delineated as part of the duties
14    regularly performed by the employee. Modified duties shall
15    be assigned within the prescribed restrictions established
16    by the treating physician and the physician who performed
17    the independent medical examination. The amount of all
18    reimbursements shall be deposited into the Workers'
19    Compensation Revolving Fund which is hereby created as a
20    revolving fund in the State treasury. In addition to any
21    other purpose authorized by law, moneys in the Fund shall
22    be used, subject to appropriation, to pay medical these or
23    other temporary total disability claims of employees of
24    State agencies and universities.
25        Beginning with fiscal year 1996, all amounts recovered
26    by the Department through subrogation in workers'

 

 

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1    compensation and workers' occupational disease cases shall
2    be deposited into the Workers' Compensation Revolving Fund
3    created under this subdivision (9).
4        (10) Establish rules, procedures, and forms to be used
5    by State agencies in the administration and payment of
6    workers' compensation claims. For claims filed prior to
7    July 1, 2013, the Department shall initially evaluate and
8    determine the compensability of any injury that is the
9    subject of a workers' compensation claim and provide for
10    the administration and payment of such a claim for all
11    State agencies. For claims filed on or after July 1, 2013,
12    the Department shall retain responsibility for certain
13    administrative payments including, but not limited to,
14    payments to the private vendor contracted to perform
15    services under subdivision (10b) of this Section, payments
16    related to travel expenses for employees of the Office of
17    the Attorney General, and payments to internal Department
18    staff responsible for the oversight and management of any
19    contract awarded pursuant to subdivision (10b) of this
20    Section. Through December 31, 2012, the Director may
21    delegate to any agency with the agreement of the agency
22    head the responsibility for evaluation, administration,
23    and payment of that agency's claims. Neither the Department
24    nor the private vendor contracted to perform services under
25    subdivision (10b) of this Section shall be responsible for
26    providing workers' compensation services to the Illinois

 

 

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1    State Toll Highway Authority or to State universities that
2    maintain self-funded workers' compensation liability
3    programs.
4        (10a) By April 1 of each year prior to calendar year
5    2013, the Director must report and provide information to
6    the State Workers' Compensation Program Advisory Board
7    concerning the status of the State workers' compensation
8    program for the next fiscal year. Information that the
9    Director must provide to the State Workers' Compensation
10    Program Advisory Board includes, but is not limited to,
11    documents, reports of negotiations, bid invitations,
12    requests for proposals, specifications, copies of proposed
13    and final contracts or agreements, and any other materials
14    concerning contracts or agreements for the program. By the
15    first of each month prior to calendar year 2013, the
16    Director must provide updated, and any new, information to
17    the State Workers' Compensation Program Advisory Board
18    until the State workers' compensation program for the next
19    fiscal year is determined.
20        (10b) No later than January 1, 2013, the chief
21    procurement officer appointed under paragraph (4) of
22    subsection (a) of Section 10-20 of the Illinois Procurement
23    Code (hereinafter "chief procurement officer"), in
24    consultation with the Department of Central Management
25    Services, shall procure one or more private vendors to
26    administer the program providing payments for workers'

 

 

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1    compensation liability with respect to the employees of all
2    State agencies. The chief procurement officer may procure a
3    single contract applicable to all State agencies or
4    multiple contracts applicable to one or more State
5    agencies. If the chief procurement officer procures a
6    single contract applicable to all State agencies, then the
7    Department of Central Management Services shall be
8    designated as the agency that enters into the contract and
9    shall be responsible for the contract. If the chief
10    procurement officer procures multiple contracts applicable
11    to one or more State agencies, each agency to which the
12    contract applies shall be designated as the agency that
13    shall enter into the contract and shall be responsible for
14    the contract. If the chief procurement officer procures
15    contracts applicable to an individual State agency, the
16    agency subject to the contract shall be designated as the
17    agency responsible for the contract.
18        (10c) The procurement of private vendors for the
19    administration of the workers' compensation program for
20    State employees is subject to the provisions of the
21    Illinois Procurement Code and administration by the chief
22    procurement officer.
23        (10d) Contracts for the procurement of private vendors
24    for the administration of the workers' compensation
25    program for State employees shall be based upon, but
26    limited to, the following criteria: (i) administrative

 

 

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1    cost, (ii) service capabilities of the vendor, and (iii)
2    the compensation (including premiums, fees, or other
3    charges). A vendor for the administration of the workers'
4    compensation program for State employees shall provide
5    services, including, but not limited to:
6            (A) providing a web-based case management system
7        and provide access to the Office of the Attorney
8        General;
9            (B) ensuring claims adjusters are available to
10        provide testimony or information as requested by the
11        Office of the Attorney General;
12            (C) establishing a preferred provider program for
13        all State agencies and facilities; and
14            (D) authorizing the payment of medical bills at the
15        preferred provider discount rate.
16        (10e) By September 15, 2012, the Department of Central
17    Management Services shall prepare a plan to effectuate the
18    transfer of responsibility and administration of the
19    workers' compensation program for State employees to the
20    selected private vendors. The Department shall submit a
21    copy of the plan to the General Assembly.
22        (11) Any plan for public liability self-insurance
23    implemented under this Section shall provide that (i) the
24    Department shall attempt to settle and may settle any
25    public liability claim filed against the State of Illinois
26    or any public liability claim filed against a State

 

 

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1    employee on the basis of an occurrence in the course of the
2    employee's State employment; (ii) any settlement of such a
3    claim is not subject to fiscal year limitations and must be
4    approved by the Director and, in cases of settlements
5    exceeding $100,000, by the Governor; and (iii) a settlement
6    of any public liability claim against the State or a State
7    employee shall require an unqualified release of any right
8    of action against the State and the employee for acts
9    within the scope of the employee's employment giving rise
10    to the claim.
11        Whenever and to the extent that a State employee
12    operates a motor vehicle or engages in other activity
13    covered by self-insurance under this Section, the State of
14    Illinois shall defend, indemnify, and hold harmless the
15    employee against any claim in tort filed against the
16    employee for acts or omissions within the scope of the
17    employee's employment in any proper judicial forum and not
18    settled pursuant to this subdivision (11), provided that
19    this obligation of the State of Illinois shall not exceed a
20    maximum liability of $2,000,000 for any single occurrence
21    in connection with the operation of a motor vehicle or
22    $100,000 per person per occurrence for any other single
23    occurrence, or $500,000 for any single occurrence in
24    connection with the provision of medical care by a licensed
25    physician employee.
26        Any claims against the State of Illinois under a

 

 

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1    self-insurance plan that are not settled pursuant to this
2    subdivision (11) shall be heard and determined by the Court
3    of Claims and may not be filed or adjudicated in any other
4    forum. The Attorney General of the State of Illinois or the
5    Attorney General's designee shall be the attorney with
6    respect to all public liability self-insurance claims that
7    are not settled pursuant to this subdivision (11) and
8    therefore result in litigation. The payment of any award of
9    the Court of Claims entered against the State relating to
10    any public liability self-insurance claim shall act as a
11    release against any State employee involved in the
12    occurrence.
13        (12) Administer a plan the purpose of which is to make
14    payments on final settlements or final judgments in
15    accordance with the State Employee Indemnification Act.
16    The plan shall be funded through appropriations from the
17    General Revenue Fund specifically designated for that
18    purpose, except that indemnification expenses for
19    employees of the Department of Transportation, the
20    Illinois State Police, and the Secretary of State shall be
21    paid from the Road Fund. The term "employee" as used in
22    this subdivision (12) has the same meaning as under
23    subsection (b) of Section 1 of the State Employee
24    Indemnification Act. Subject to sufficient appropriation,
25    the Director shall approve payment of any claim, without
26    regard to fiscal year limitations, presented to the

 

 

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1    Director that is supported by a final settlement or final
2    judgment when the Attorney General and the chief officer of
3    the public body against whose employee the claim or cause
4    of action is asserted certify to the Director that the
5    claim is in accordance with the State Employee
6    Indemnification Act and that they approve of the payment.
7    In no event shall an amount in excess of $150,000 be paid
8    from this plan to or for the benefit of any claimant.
9        (13) Administer a plan the purpose of which is to make
10    payments on final settlements or final judgments for
11    employee wage claims in situations where there was an
12    appropriation relevant to the wage claim, the fiscal year
13    and lapse period have expired, and sufficient funds were
14    available to pay the claim. The plan shall be funded
15    through appropriations from the General Revenue Fund
16    specifically designated for that purpose.
17        Subject to sufficient appropriation, the Director is
18    authorized to pay any wage claim presented to the Director
19    that is supported by a final settlement or final judgment
20    when the chief officer of the State agency employing the
21    claimant certifies to the Director that the claim is a
22    valid wage claim and that the fiscal year and lapse period
23    have expired. Payment for claims that are properly
24    submitted and certified as valid by the Director shall
25    include interest accrued at the rate of 7% per annum from
26    the forty-fifth day after the claims are received by the

 

 

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1    Department or 45 days from the date on which the amount of
2    payment is agreed upon, whichever is later, until the date
3    the claims are submitted to the Comptroller for payment.
4    When the Attorney General has filed an appearance in any
5    proceeding concerning a wage claim settlement or judgment,
6    the Attorney General shall certify to the Director that the
7    wage claim is valid before any payment is made. In no event
8    shall an amount in excess of $150,000 be paid from this
9    plan to or for the benefit of any claimant.
10        Nothing in Public Act 84-961 shall be construed to
11    affect in any manner the jurisdiction of the Court of
12    Claims concerning wage claims made against the State of
13    Illinois.
14        (14) Prepare and, in the discretion of the Director,
15    implement a program for self-insurance for official
16    fidelity and surety bonds for officers and employees as
17    authorized by the Official Bond Act.
18(Source: P.A. 96-928, eff. 6-15-10; 97-18, eff. 6-28-11;
1997-895, eff. 8-3-12; 97-1143, eff. 12-28-12.)