2008 Legislation
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SENATE BILL NO. 1447<br /> – State employee/grp insurnce/revised

SENATE BILL NO. 1447

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S1447aa....................................................by STATE AFFAIRS
GROUP INSURANCE - Amends existing law relating to the Department of
Administration and group insurance; to revise powers and duties of the
director of the Department of Administration regarding group insurance; to
provide for the creation of a Group Insurance Fund; to provide for
contributions on the basis of appropriated salaries; and to revise
provisions relating to the use of unused sick leave by the Idaho Public
Employee Retirement Board to pay certain premiums.

02/28    Senate intro - 1st rdg - to printing
02/29    Rpt prt - to Com/HuRes
03/12    Rpt out - to 14th Ord
03/17    Rpt out amen - to engros
    Rpt engros - 1st rdg - to 2nd rdg as amen
03/18    2nd rdg - to 3rd rdg as amen
03/19    3rd rdg as amen - PASSED - 23-10-2
      AYES -- Bair, Bastian, Cameron, Coiner, Corder, Darrington, Davis,
      Fulcher, Geddes, Goedde, Hammond, Heinrich, Hill, Jorgenson, Little,
      Lodge, McGee, McKague, McKenzie, Pearce, Richardson, Siddoway,
      Stegner
      NAYS -- Bilyeu, Broadsword, Burkett, Kelly, Keough, Langhorst,
      Malepeai(Sagness), Schroeder, Stennett, Werk
      Absent and excused -- Andreason, Gannon
    Floor Sponsors - Coiner & Stegner
    Title apvd - to House
03/20    House intro - 1st rdg - Held at Desk
04/01    Ref'd to St Aff

Bill Text




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                       IN THE SENATE

                                    SENATE BILL NO. 1447

                                 BY STATE AFFAIRS COMMITTEE

  1                                        AN ACT
  2    RELATING TO THE DEPARTMENT OF ADMINISTRATION  AND  GROUP  INSURANCE;  AMENDING
  3        SECTION  67-5761,  IDAHO CODE, TO REVISE POWERS AND DUTIES OF THE DIRECTOR
  4        OF THE DEPARTMENT OF ADMINISTRATION REGARDING  GROUP  INSURANCE;  AMENDING
  5        SECTION  67-5771,  IDAHO  CODE,  TO  PROVIDE FOR THE CREATION OF THE GROUP
  6        INSURANCE FUND, TO PROVIDE FOR CORRECT STATUTORY CITATIONS AND TO  PROVIDE
  7        CORRECT  TERMINOLOGY; AND AMENDING SECTION 67-5772, IDAHO CODE, TO PROVIDE
  8        REFERENCE TO THE GROUP INSURANCE FUND, TO PROVIDE FOR CONTRIBUTIONS ON THE
  9        BASIS OF APPROPRIATED SALARIES AND TO DELETE REFERENCE TO RULES.

 10    Be It Enacted by the Legislature of the State of Idaho:

 11        SECTION 1.  That Section 67-5761, Idaho Code, be, and the same  is  hereby
 12    amended to read as follows:

 13        67-5761.  POWERS  AND  DUTIES  -- GROUP INSURANCE. (1) The director of the
 14    department of administration shall: have the authority to:
 15        (a)  Establish an advisory committee to be comprised of  program  partici-
 16        pants  from the executive, legislative and judicial branches of state gov-
 17        ernment. The director of the department of administration, the director of
 18        the department of health and welfare, and the director of  the  department
 19        of insurance shall serve as ex officio members of the committee. The advi-
 20        sory  committee  may  include employee representatives. The director shall
 21        consult with the advisory committee in the performance of those duties  as
 22        enumerated in subsection (2) of this section.
 23        (b)  Fix  and pPromulgate rules for determining eligibility of active per-
 24        sonnel, retired personnel and dependents of such active and  retired  per-
 25        sonnel for participation in any group plans.
 26        (c)  Determine  the  nature  and extent of needs for group life insurance,
 27        group annuities, group disability insurance, and group health care service
 28        coverages with respect to personnel, including elected or appointed  offi-
 29        cers  and  employees, of all offices, departments, divisions, boards, com-
 30        missions, institutions, agencies and operations of the government  of  the
 31        state  of  Idaho  and  retired  personnel, the premiums or prepayments for
 32        which  are  payable  in  whole  or  in  part  from  funds  of  the  state.
 33        "Disability" insurance includes all personal accident,  health,  hospital,
 34        surgical,  and  medical  coverages, and "health care service" includes all
 35        services rendered for maintenance of good health and diagnosis, relief, or
 36        treatment of any injury, ailment, or bodily condition.
 37        (d)  Determine the types, terms, conditions, and amounts of  group  insur-
 38        ance,  group annuities, or group coverage by health care service organiza-
 39        tions, as the case may be, required by such needs.
 40        (e)  Negotiate and contract for, and have placed or  continued  in  effect
 41        all  such  insurance  and  coverages  as may reasonably be obtainable from
 42        insurers and health care  service organizations, as the case may be,  duly
 43        authorized to transact such business in this state. The director may nego-

                                       2

  1        tiate deductibles to any group plan or coverage. Alternatively, the direc-
  2        tor  may  self-insure  any insurance or coverage and may contract with any
  3        insurance company or third party administrator duly authorized to transact
  4        business in this state or administer such plan.
  5        (f)  Prepare or otherwise obtain  and  make  available  to  all  personnel
  6        affected thereby, printed information concerning all such group plans cur-
  7        rently  in  effect, together with the rules governing eligibility, payment
  8        of premium or prepayment where applicable, claims  procedures,  and  other
  9        matters  designed  to  facilitate  utilization  and administration of such
 10        plans.
 11        (g)  Administer all such group plans on behalf of the  insured,  including
 12        but not limited to:
 13             (i)   Enrollment  and reporting to the insurer or health care service
 14             organization of individuals eligible for coverage and  covered  under
 15             particular  policies or contracts, and termination of such enrollment
 16             upon termination of eligibility;
 17             (ii)  Collection or payment of premiums or prepayments for such  cov-
 18             erage, policies and contracts and accounting for the same;
 19             (iii) Establishment  of  reasonable  procedures  for  handling claims
 20             arising under such coverage, policies and  contracts,  and  rendering
 21             assistance  to  claimants, as may be required in the presentation and
 22             consideration of claims;
 23             (iv)  Effectuation of changes in such  coverage,  policies  and  con-
 24             tracts and renewal or termination thereof;
 25             (v)   Making and settlement of claims.
 26        (2)  Nothing  herein shall be deemed to prohibit any such coverage, policy
 27    or contract providing coverage also for dependents of  personnel  under  terms
 28    and  conditions  formulated  and negotiated by the director The director shall
 29    formulate and negotiate a plan or plans of health care service coverage  which
 30    includes eligible active personnel and their dependents.
 31        (3)  The  director shall formulate and negotiate a plan or plans of health
 32    care service coverage which includes eligible retired personnel and dependents
 33    eligible for a retirement benefit through the Idaho public employee retirement
 34    system which benefit equals or exceeds the retiree medical  insurance  premium
 35    in  effect  for  that  retiree at the date of retirement. Coverage for retired
 36    personnel shall parallel the coverage provided to active  state  employees  to
 37    the extent necessary, and shall include a medicare credit for retirees who are
 38    covered  by  medicare.  Any  increased cost on the health care plan for active
 39    employees as a result of such coverage costs shall be paid for  by  the  state
 40    and  by  active  state  employees  in equal shares. Retired personnel shall be
 41    responsible for paying their own premiums for any plan of health care  service
 42    insurance  coverage  provided pursuant to this section. No coverage, policy or
 43    contract which provides coverage or benefits for personnel, dependents of per-
 44    sonnel, or retired personnel shall create any vested right or benefit for  the
 45    retired personnel in retiree group insurance coverages based on the following:
 46        (a)  Beginning  July  1,  2008, the state shall pay one hundred fifty-five
 47        dollars ($155) per eligible retired personnel per month toward such health
 48        care service coverage. Retired personnel shall be responsible  for  paying
 49        their  own  premiums for any plan of health care service coverage provided
 50        pursuant to this section.
 51        (b)  Beginning January 1, 2009, retired personnel health care service cov-
 52        erage shall not be available to any retired personnel who  is  or  becomes
 53        eligible for medicare. Dependent spouses of such medicare eligible retired
 54        personnel who are not themselves medicare eligible, may access health care
 55        service coverage until they become eligible for medicare.

                                       3

  1        (c)  Any  person  who  was  eligible for health care service coverage as a
  2        retired person prior to June 30, 2008, and who notifies the department  of
  3        administration  prior to the date that he or she accepts coverage, remains
  4        eligible for coverage subject to the conditions of subsection  (3)(a)  and
  5        (b) of this section.
  6        (d)  Any  active  employee who retires from state service on or after July
  7        1, 2008, is eligible for health care service coverage if  he  or  she  was
  8        employed  by or in service to an office, department, division, board, com-
  9        mission, agency and operation of the government  of  the  state  of  Idaho
 10        until  he or she is eligible for retirement; and is eligible for a retire-
 11        ment benefit through a public employee retirement  system  based  upon  at
 12        least  20,800 hours of credited state service, and who began employment on
 13        or before June 30, 2008.
 14        (e)  Personnel, including elected or appointed officers and employees,  of
 15        all  offices,  departments,  divisions,  boards, commissions, agencies and
 16        operations of the government of the state of Idaho, beginning  service  or
 17        employment  on or after July 1, 2008, shall be provided or be eligible for
 18        any retired personnel health care service coverage if they  have  credited
 19        state  service  of  at least 20,800 hours before June 30, 2008, and subse-
 20        quent to reemployment, election, or reappointment  on  or  after  July  1,
 21        2008,  accumulate  an  additional 6,240 continuous hours of credited state
 22        service, and who are otherwise eligible for coverage.
 23        (4)  Nothing contained herein and no coverage, policy  or  contract  which
 24        provides  coverage or benefits for active personnel, dependents of person-
 25        nel, or retired personnel shall create any vested right or benefit for any
 26        such individual in group insurance coverage.

 27        SECTION 2.  That Section 67-5771, Idaho Code, be, and the same  is  hereby
 28    amended to read as follows:

 29        67-5771.  GROUP  INSURANCE  ACCOUNT FUND CREATED -- ADMINISTRATION -- PER-
 30    PETUAL APPROPRIATION. There is hereby established in the agency asset fund  in
 31    the  state  treasury,  a  special account, the "Group Insurance Account Fund,"
 32    which shall be administered exclusively for the purposes of this act  sections
 33    67-5760  through  67-5772,  Idaho Code. This account fund shall consist of all
 34    contributions collected pursuant to this act sections 67-5760 though  67-5772,
 35    Idaho Code, and all interest earned upon any moneys in the account fund.

 36        SECTION  3.  That  Section 67-5772, Idaho Code, be, and the same is hereby
 37    amended to read as follows:

 38        67-5772.  REMITTANCE OF CONTRIBUTIONS -- COLLECTION OF DELINQUENCIES.  (1)
 39    Between  the  first  and twentieth day of each month, each employer, or, where
 40    the employer's payroll is paid separately by departments, each  department  of
 41    each employer, shall remit to the director of the department of administration
 42    group  insurance  fund   all contributions required of it and its employees on
 43    the basis of appropriated salaries paid by it during the previous month. These
 44    remittances shall be accompanied by such reports as required by rules  of  the
 45    director of the department of administration.
 46        (2)  If  any employer shall fail or refuse to remit any such contributions
 47    within thirty (30) days after the date due, the director of the department  of
 48    administration may  certify to the state treasurer the fact of such failure or
 49    refusal  and  the  amount  of  the  delinquent  contribution or contributions,
 50    together with a request that such amount be set over from funds of the  delin-
 51    quent  employer to the credit of the group insurance fund. A copy of such cer-

                                       4

  1    tification and request shall be furnished the delinquent employer.
  2        (3)  Within ten (10) days after receipt of such request,  the  state  con-
  3    troller shall draw his warrant for payment of such amount out of moneys in the
  4    state treasury allocated to the use of such employer during the current fiscal
  5    year.  If  such moneys are not so available, the director of the department of
  6    administration shall take any legal steps necessary to collect such amount.

Amendment




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                                     Moved by    Coiner

                                                     Seconded by Cameron


                                       IN THE SENATE
                             SENATE AMENDMENT TO S.B. NO. 1447



  1                               AMENDMENTS TO SECTION 1
  2        On page 1 of the printed bill, in line 20, delete  "may  include  employee
  3    representatives"  and  insert:  "may  shall include one (1) active and one (1)
  4    retired  employee representatives"; in line 22, delete  "subsection  (2)"  and
  5    insert:  "subsections  (2)  and  (3)";  on  page  2,  in  line  32,  following
  6    "dependents"  insert: ", and are jointly rated with the plan or plans provided
  7    for in subsection (2) of this section."; in line 45, delete "based on the fol-
  8    lowing:"; in line 55, following "medicare."  insert:  "The  director  has  the
  9    authority  to  make  exceptions  to the provisions of this paragraph (b)."; on
 10    page 3, delete lines 1 through 13 and insert:
 11        "(c)  The Idaho department of administration shall work with  select  ven-
 12        dors to develop products to meet the specific needs of the medicare eligi-
 13        ble retirees and shall assist the retirees in transitioning to these prod-
 14        ucts.
 15        (d)  Any  person  who  is  eligible  for health care service coverage as a
 16        retired person prior to June 30, 2008, remains eligible for coverage  sub-
 17        ject to the conditions of subsection (3)(a) and (b) of this section.
 18        (e)  Any  active  employee who retires from state service on or after July
 19        1, 2008, is eligible for health care service coverage  if  he  or  she  is
 20        drawing  a state retirement benefit and that benefit equals or exceeds the
 21        retiree medical insurance premium in effect for that retiree at  the  date
 22        of  retirement,  or is drawing a state retirement benefit and has at least
 23        20,800 hours of credited state service, and who  began  employment  on  or
 24        before June 30, 2008.";
 25    and in line 14 delete "(e)" and insert: "(f)".

 26                                  AMENDMENTS TO BILL
 27        On page 4, following line 6, insert:

 28        "SECTION  4.  That Section 67-5333, Idaho Code, be, and the same is hereby
 29    amended to read as follows:

 30        67-5333.  SICK LEAVE. (1) Sick leave shall be computed as follows:
 31        (a)  The rate per hour at which sick  leave  shall  accrue  to  classified
 32        officers and employees earning credited state service shall be at the rate
 33        represented  by  the  proportion  96/2080. Sick leave shall accrue without
 34        limit, and shall be transferable from department to department.
 35        (b)  Sick leave shall not accrue to any officer or employee on any kind of
 36        leave of absence without pay, suspension without pay or layoff. Sick leave
 37        shall accrue while an officer or employee is on approved leave  with  pay,
 38        on  approved  vacation  leave, on approved military leave with pay, and on
 39        approved sick leave, but not when compensatory time or earned  administra-

                                       2

  1        tive leave is taken.
  2        (c)  All  accrued  sick leave shall be forfeited at the time of separation
  3        from state service and no officer or  employee  shall  be  reimbursed  for
  4        accrued  sick  leave at the time of separation, except as provided in sub-
  5        section (2) of this section. If such officer or employee returns to  cred-
  6        ited  state  service  within  three (3) years of such separation, all sick
  7        leave credits accrued at the  time  of  separation  shall  be  reinstated,
  8        except  to the extent that unused sick leave was utilized for the purposes
  9        specified in subsection (2) of this section.
 10        (d)  Sick leave shall be taken on a  workday  basis.  Regularly  scheduled
 11        days  off  and  officially  designated holidays falling within a period of
 12        sick leave shall not be counted against sick leave. Sick leave  shall  not
 13        be taken in advance of being earned.
 14        (e)  In  cases  where absences for sick leave exceed three (3) consecutive
 15        working days, the appointing authority may require verification by a  phy-
 16        sician or other authorized practitioner.
 17        (f)  If  an  absence  for  illness or injury extends beyond the sick leave
 18        accrued to the credit of the officer or employee, the officer or  employee
 19        may be granted leave without pay.
 20        (g)  The  administrator  shall  prescribe additional requirements for sick
 21        leave for classified officers and employees on a  part-time  or  irregular
 22        schedule,  for maintaining sick leave records, for funeral leave, and such
 23        other applicable purposes as necessary.
 24        (2)  Unused sick leave may be used as follows:
 25        (a)  Upon separation from state employment  by  retirement  in  accordance
 26        with  chapter  13,  title  59  or  chapter  1,  title  33,  Idaho Code, an
 27        employee's unused sick leave shall be determined based on accumulated sick
 28        leave earned subsequent to July 1, 1976, and  shall  be  reported  by  the
 29        employer  to  the  public employee retirement system. Upon separation from
 30        state employment by retirement in accordance with  chapter  20,  title  1,
 31        Idaho  Code,  an employee's unused sick leave shall be determined based on
 32        accumulated sick leave earned subsequent to July 1,  2000,  and  shall  be
 33        reported  by  the employer to the public employee retirement system. A sum
 34        equal to one-half (1/2), or the maximum amount allowed by paragraph (b) of
 35        this subsection (2), whichever is the lesser, of  the  monetary  value  of
 36        such unused sick leave, calculated at the rate of pay for such employee at
 37        the  time  of  retirement, as determined by the retirement board, shall be
 38        transferred from the sick leave account provided by paragraph (c) of  this
 39        subsection  (2)  and  shall  be  credited  to  such  employee's retirement
 40        account. Such sums shall be used by the Idaho public  employee  retirement
 41        board  to  pay premiums, as permitted by and subject to applicable federal
 42        tax laws and limits, for such  group  health,  dental,  vision,  long-term
 43        care,  prescription  drug and life insurance programs as may be maintained
 44        by the state, to the extent  of  the  funds  credited  to  the  employee's
 45        account pursuant to this section. Upon an employee's death, any unexpended
 46        sums remaining in the account shall revert to the sick leave account.
 47        (b)  For  the  purposes  of  determining the monetary value of unused sick
 48        leave, the maximum unused sick leave which may be considered, shall be:
 49             (i)   During the first ten thousand four hundred  (10,400)  hours  of
 50             credited  state  service,  the maximum unused sick leave which may be
 51             considered shall be four hundred twenty (420) hours;
 52             (ii)  During the second ten thousand four hundred (10,400)  hours  of
 53             credited  state  service,  the maximum unused sick leave which may be
 54             considered shall be four hundred eighty (480) hours;
 55             (iii) During the third ten thousand four hundred  (10,400)  hours  of

                                       3

  1             credited  state  service,  the maximum unused sick leave which may be
  2             considered shall be five hundred forty (540) hours; and
  3             (iv)  Thereafter, the maximum unused sick leave which may be  consid-
  4             ered shall be six hundred (600) hours.
  5        (c)  Each  employer  in  state government shall contribute to a sick leave
  6        account maintained by the  public  employee  retirement  system  in  trust
  7        exclusively for the purpose of the provisions of this section. The retire-
  8        ment board shall serve as trustee of the trust and shall be indemnified to
  9        the  same extent as provided in section 59-1305, Idaho Code. Assets in the
 10        trust shall not be assignable or  subject  to  execution,  garnishment  or
 11        attachment  or  to  the operation of any bankruptcy or insolvency law. The
 12        rate of such contribution each pay period shall consist of a percentage of
 13        employees' salaries as determined by the board, and such rate shall remain
 14        in effect until next determined by the board. Any excess  balance  in  the
 15        sick  leave  account  shall  be invested, and the earnings therefrom shall
 16        accrue to the sick leave account except the amount required by  the  board
 17        to  defray  administrative expenses. Assets of the trust may be commingled
 18        for investment purposes with other assets managed by the retirement board.
 19        All moneys payable to the sick leave account are hereby perpetually appro-
 20        priated to the board, and shall not be included in its  departmental  bud-
 21        get. The state insurance fund and public health districts shall be consid-
 22        ered  employers  in  state  government for purposes of participation under
 23        this section.

 24        SECTION 5.  An emergency existing  therefor,  which  emergency  is  hereby
 25    declared to exist, this act shall be in full force and effect on and after its
 26    passage and approval.".

 27                                 CORRECTIONS TO TITLE
 28        On  page  1,  in  line  7,  delete "AND"; and in line 9, following "RULES"
 29    insert: "; AMENDING SECTION 67-5333, IDAHO CODE, TO REVISE PROVISIONS RELATING
 30    TO THE USE OF UNUSED SICK LEAVE BY THE IDAHO PUBLIC EMPLOYEE RETIREMENT  BOARD
 31    TO PAY CERTAIN PREMIUMS; AND DECLARING AN EMERGENCY".

Engrossed Bill (Original Bill with Amendment(s) Incorporated)




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                       IN THE SENATE

                              SENATE BILL NO. 1447, As Amended

                                 BY STATE AFFAIRS COMMITTEE

  1                                        AN ACT
  2    RELATING TO THE DEPARTMENT OF ADMINISTRATION  AND  GROUP  INSURANCE;  AMENDING
  3        SECTION  67-5761,  IDAHO CODE, TO REVISE POWERS AND DUTIES OF THE DIRECTOR
  4        OF THE DEPARTMENT OF ADMINISTRATION REGARDING  GROUP  INSURANCE;  AMENDING
  5        SECTION  67-5771,  IDAHO  CODE,  TO  PROVIDE FOR THE CREATION OF THE GROUP
  6        INSURANCE FUND, TO PROVIDE FOR CORRECT STATUTORY CITATIONS AND TO  PROVIDE
  7        CORRECT TERMINOLOGY; AMENDING SECTION 67-5772, IDAHO CODE, TO PROVIDE REF-
  8        ERENCE  TO  THE  GROUP INSURANCE FUND, TO PROVIDE FOR CONTRIBUTIONS ON THE
  9        BASIS OF APPROPRIATED SALARIES AND TO DELETE REFERENCE TO RULES;  AMENDING
 10        SECTION  67-5333,  IDAHO CODE, TO REVISE PROVISIONS RELATING TO THE USE OF
 11        UNUSED SICK LEAVE BY THE IDAHO PUBLIC EMPLOYEE  RETIREMENT  BOARD  TO  PAY
 12        CERTAIN PREMIUMS; AND DECLARING AN EMERGENCY.

 13    Be It Enacted by the Legislature of the State of Idaho:

 14        SECTION  1.  That  Section 67-5761, Idaho Code, be, and the same is hereby
 15    amended to read as follows:

 16        67-5761.  POWERS AND DUTIES -- GROUP INSURANCE. (1) The  director  of  the
 17    department of administration shall: have the authority to:
 18        (a)  Establish  an  advisory committee to be comprised of program partici-
 19        pants from the executive, legislative and judicial branches of state  gov-
 20        ernment. The director of the department of administration, the director of
 21        the  department  of health and welfare, and the director of the department
 22        of insurance shall serve as ex officio members of the committee. The advi-
 23        sory committee may shall include  one  (1)  active  and  one  (1)  retired
 24        employee  representatives.  The  director  shall consult with the advisory
 25        committee in the performance of those duties as enumerated in  subsections
 26        (2) and (3) of this section.
 27        (b)  Fix  and pPromulgate rules for determining eligibility of active per-
 28        sonnel, retired personnel and dependents of such active and  retired  per-
 29        sonnel for participation in any group plans.
 30        (c)  Determine  the  nature  and extent of needs for group life insurance,
 31        group annuities, group disability insurance, and group health care service
 32        coverages with respect to personnel, including elected or appointed  offi-
 33        cers  and  employees, of all offices, departments, divisions, boards, com-
 34        missions, institutions, agencies and operations of the government  of  the
 35        state  of  Idaho  and  retired  personnel, the premiums or prepayments for
 36        which  are  payable  in  whole  or  in  part  from  funds  of  the  state.
 37        "Disability" insurance includes all personal accident,  health,  hospital,
 38        surgical,  and  medical  coverages, and "health care service" includes all
 39        services rendered for maintenance of good health and diagnosis, relief, or
 40        treatment of any injury, ailment, or bodily condition.
 41        (d)  Determine the types, terms, conditions, and amounts of  group  insur-
 42        ance,  group annuities, or group coverage by health care service organiza-
 43        tions, as the case may be, required by such needs.

                                       2

  1        (e)  Negotiate and contract for, and have placed or  continued  in  effect
  2        all  such  insurance  and  coverages  as may reasonably be obtainable from
  3        insurers and health care  service organizations, as the case may be,  duly
  4        authorized to transact such business in this state. The director may nego-
  5        tiate deductibles to any group plan or coverage. Alternatively, the direc-
  6        tor  may  self-insure  any insurance or coverage and may contract with any
  7        insurance company or third party administrator duly authorized to transact
  8        business in this state or administer such plan.
  9        (f)  Prepare or otherwise obtain  and  make  available  to  all  personnel
 10        affected thereby, printed information concerning all such group plans cur-
 11        rently  in  effect, together with the rules governing eligibility, payment
 12        of premium or prepayment where applicable, claims  procedures,  and  other
 13        matters  designed  to  facilitate  utilization  and administration of such
 14        plans.
 15        (g)  Administer all such group plans on behalf of the  insured,  including
 16        but not limited to:
 17             (i)   Enrollment  and reporting to the insurer or health care service
 18             organization of individuals eligible for coverage and  covered  under
 19             particular  policies or contracts, and termination of such enrollment
 20             upon termination of eligibility;
 21             (ii)  Collection or payment of premiums or prepayments for such  cov-
 22             erage, policies and contracts and accounting for the same;
 23             (iii) Establishment  of  reasonable  procedures  for  handling claims
 24             arising under such coverage, policies and  contracts,  and  rendering
 25             assistance  to  claimants, as may be required in the presentation and
 26             consideration of claims;
 27             (iv)  Effectuation of changes in such  coverage,  policies  and  con-
 28             tracts and renewal or termination thereof;
 29             (v)   Making and settlement of claims.
 30        (2)  Nothing  herein shall be deemed to prohibit any such coverage, policy
 31    or contract providing coverage also for dependents of  personnel  under  terms
 32    and  conditions  formulated  and negotiated by the director The director shall
 33    formulate and negotiate a plan or plans of health care service coverage  which
 34    includes eligible active personnel and their dependents.
 35        (3)  The  director shall formulate and negotiate a plan or plans of health
 36    care  service  coverage  which  includes  eligible   retired   personnel   and
 37    dependents,  and are jointly rated with the plan or plans provided for in sub-
 38    section (2) of this section. eligible for a  retirement  benefit  through  the
 39    Idaho  public  employee  retirement system which benefit equals or exceeds the
 40    retiree medical insurance premium in effect for that retiree at  the  date  of
 41    retirement.  Coverage  for  retired personnel shall parallel the coverage pro-
 42    vided to active state employees to the extent necessary, and shall  include  a
 43    medicare  credit  for retirees who are covered by medicare. Any increased cost
 44    on the health care plan for active employees as  a  result  of  such  coverage
 45    costs  shall  be  paid for by the state and by active state employees in equal
 46    shares. Retired personnel shall be responsible for paying their  own  premiums
 47    for  any  plan  of health care service insurance coverage provided pursuant to
 48    this section. No coverage, policy or contract which provides coverage or bene-
 49    fits for personnel, dependents of personnel, or retired personnel shall create
 50    any vested right or benefit for the retired personnel in retiree group  insur-
 51    ance coverages
 52        (a)  Beginning  July  1,  2008, the state shall pay one hundred fifty-five
 53        dollars ($155) per eligible retired personnel per month toward such health
 54        care service coverage. Retired personnel shall be responsible  for  paying
 55        their  own  premiums for any plan of health care service coverage provided

                                       3

  1        pursuant to this section.
  2        (b)  Beginning January 1, 2009, retired personnel health care service cov-
  3        erage shall not be available to any retired personnel who  is  or  becomes
  4        eligible for medicare. Dependent spouses of such medicare eligible retired
  5        personnel who are not themselves medicare eligible, may access health care
  6        service coverage until they become eligible for medicare. The director has
  7        the authority to make exceptions to the provisions of this paragraph (b).
  8        (c)  The Idaho department of administration shall work with select vendors
  9        to  develop  products  to meet the specific needs of the medicare eligible
 10        retirees and shall assist the retirees in transitioning to these products.
 11        (d)  Any person who is eligible for health  care  service  coverage  as  a
 12        retired  person prior to June 30, 2008, remains eligible for coverage sub-
 13        ject to the conditions of subsection (3)(a) and (b) of this section.
 14        (e)  Any active employee who retires from state service on or  after  July
 15        1,  2008,  is  eligible  for  health care service coverage if he or she is
 16        drawing a state retirement benefit and that benefit equals or exceeds  the
 17        retiree  medical  insurance premium in effect for that retiree at the date
 18        of retirement, or is drawing a state retirement benefit and has  at  least
 19        20,800  hours  of  credited  state service, and who began employment on or
 20        before June 30, 2008.
 21        (f)  Personnel, including elected or appointed officers and employees,  of
 22        all  offices,  departments,  divisions,  boards, commissions, agencies and
 23        operations of the government of the state of Idaho, beginning  service  or
 24        employment  on or after July 1, 2008, shall be provided or be eligible for
 25        any retired personnel health care service coverage if they  have  credited
 26        state  service  of  at least 20,800 hours before June 30, 2008, and subse-
 27        quent to reemployment, election, or reappointment  on  or  after  July  1,
 28        2008,  accumulate  an  additional 6,240 continuous hours of credited state
 29        service, and who are otherwise eligible for coverage.
 30        (4)  Nothing contained herein and no coverage, policy  or  contract  which
 31        provides  coverage or benefits for active personnel, dependents of person-
 32        nel, or retired personnel shall create any vested right or benefit for any
 33        such individual in group insurance coverage.

 34        SECTION 2.  That Section 67-5771, Idaho Code, be, and the same  is  hereby
 35    amended to read as follows:

 36        67-5771.  GROUP  INSURANCE  ACCOUNT FUND CREATED -- ADMINISTRATION -- PER-
 37    PETUAL APPROPRIATION. There is hereby established in the agency asset fund  in
 38    the  state  treasury,  a  special account, the "Group Insurance Account Fund,"
 39    which shall be administered exclusively for the purposes of this act  sections
 40    67-5760  through  67-5772,  Idaho Code. This account fund shall consist of all
 41    contributions collected pursuant to this act sections 67-5760 though  67-5772,
 42    Idaho Code, and all interest earned upon any moneys in the account fund.

 43        SECTION  3.  That  Section 67-5772, Idaho Code, be, and the same is hereby
 44    amended to read as follows:

 45        67-5772.  REMITTANCE OF CONTRIBUTIONS -- COLLECTION OF DELINQUENCIES.  (1)
 46    Between  the  first  and twentieth day of each month, each employer, or, where
 47    the employer's payroll is paid separately by departments, each  department  of
 48    each employer, shall remit to the director of the department of administration
 49    group  insurance  fund   all contributions required of it and its employees on
 50    the basis of appropriated salaries paid by it during the previous month. These
 51    remittances shall be accompanied by such reports as required by rules  of  the

                                       4

  1    director of the department of administration.
  2        (2)  If  any employer shall fail or refuse to remit any such contributions
  3    within thirty (30) days after the date due, the director of the department  of
  4    administration may  certify to the state treasurer the fact of such failure or
  5    refusal  and  the  amount  of  the  delinquent  contribution or contributions,
  6    together with a request that such amount be set over from funds of the  delin-
  7    quent  employer to the credit of the group insurance fund. A copy of such cer-
  8    tification and request shall be furnished the delinquent employer.
  9        (3)  Within ten (10) days after receipt of such request,  the  state  con-
 10    troller shall draw his warrant for payment of such amount out of moneys in the
 11    state treasury allocated to the use of such employer during the current fiscal
 12    year.  If  such moneys are not so available, the director of the department of
 13    administration shall take any legal steps necessary to collect such amount.

 14        SECTION 4.  That Section 67-5333, Idaho Code, be, and the same  is  hereby
 15    amended to read as follows:

 16        67-5333.  SICK LEAVE. (1) Sick leave shall be computed as follows:
 17        (a)  The  rate  per  hour  at  which sick leave shall accrue to classified
 18        officers and employees earning credited state service shall be at the rate
 19        represented by the proportion 96/2080. Sick  leave  shall  accrue  without
 20        limit, and shall be transferable from department to department.
 21        (b)  Sick leave shall not accrue to any officer or employee on any kind of
 22        leave of absence without pay, suspension without pay or layoff. Sick leave
 23        shall  accrue  while an officer or employee is on approved leave with pay,
 24        on approved vacation leave, on approved military leave with  pay,  and  on
 25        approved  sick leave, but not when compensatory time or earned administra-
 26        tive leave is taken.
 27        (c)  All accrued sick leave shall be forfeited at the time  of  separation
 28        from  state  service  and  no  officer or employee shall be reimbursed for
 29        accrued sick leave at the time of separation, except as provided  in  sub-
 30        section  (2) of this section. If such officer or employee returns to cred-
 31        ited state service within three (3) years of  such  separation,  all  sick
 32        leave  credits  accrued  at  the  time  of separation shall be reinstated,
 33        except to the extent that unused sick leave was utilized for the  purposes
 34        specified in subsection (2) of this section.
 35        (d)  Sick  leave  shall  be  taken on a workday basis. Regularly scheduled
 36        days off and officially designated holidays falling  within  a  period  of
 37        sick  leave  shall not be counted against sick leave. Sick leave shall not
 38        be taken in advance of being earned.
 39        (e)  In cases where absences for sick leave exceed three  (3)  consecutive
 40        working  days, the appointing authority may require verification by a phy-
 41        sician or other authorized practitioner.
 42        (f)  If an absence for illness or injury extends  beyond  the  sick  leave
 43        accrued  to the credit of the officer or employee, the officer or employee
 44        may be granted leave without pay.
 45        (g)  The administrator shall prescribe additional  requirements  for  sick
 46        leave  for  classified  officers and employees on a part-time or irregular
 47        schedule, for maintaining sick leave records, for funeral leave, and  such
 48        other applicable purposes as necessary.
 49        (2)  Unused sick leave may be used as follows:
 50        (a)  Upon  separation  from  state  employment by retirement in accordance
 51        with chapter 13,  title  59  or  chapter  1,  title  33,  Idaho  Code,  an
 52        employee's unused sick leave shall be determined based on accumulated sick
 53        leave  earned  subsequent  to  July  1, 1976, and shall be reported by the

                                       5

  1        employer to the public employee retirement system.  Upon  separation  from
  2        state  employment  by  retirement  in accordance with chapter 20, title 1,
  3        Idaho Code, an employee's unused sick leave shall be determined  based  on
  4        accumulated  sick  leave  earned  subsequent to July 1, 2000, and shall be
  5        reported by the employer to the public employee retirement system.  A  sum
  6        equal to one-half (1/2), or the maximum amount allowed by paragraph (b) of
  7        this  subsection  (2),  whichever  is the lesser, of the monetary value of
  8        such unused sick leave, calculated at the rate of pay for such employee at
  9        the time of retirement, as determined by the retirement  board,  shall  be
 10        transferred  from the sick leave account provided by paragraph (c) of this
 11        subsection (2)  and  shall  be  credited  to  such  employee's  retirement
 12        account.  Such  sums shall be used by the Idaho public employee retirement
 13        board to pay premiums, as permitted by and subject to  applicable  federal
 14        tax  laws  and  limits,  for  such group health, dental, vision, long-term
 15        care, prescription drug and life insurance programs as may  be  maintained
 16        by  the  state,  to  the  extent  of  the funds credited to the employee's
 17        account pursuant to this section. Upon an employee's death, any unexpended
 18        sums remaining in the account shall revert to the sick leave account.
 19        (b)  For the purposes of determining the monetary  value  of  unused  sick
 20        leave, the maximum unused sick leave which may be considered, shall be:
 21             (i)   During  the  first  ten thousand four hundred (10,400) hours of
 22             credited state service, the maximum unused sick leave  which  may  be
 23             considered shall be four hundred twenty (420) hours;
 24             (ii)  During  the  second ten thousand four hundred (10,400) hours of
 25             credited state service, the maximum unused sick leave  which  may  be
 26             considered shall be four hundred eighty (480) hours;
 27             (iii) During  the  third  ten thousand four hundred (10,400) hours of
 28             credited state service, the maximum unused sick leave  which  may  be
 29             considered shall be five hundred forty (540) hours; and
 30             (iv)  Thereafter,  the maximum unused sick leave which may be consid-
 31             ered shall be six hundred (600) hours.
 32        (c)  Each employer in state government shall contribute to  a  sick  leave
 33        account  maintained  by  the  public  employee  retirement system in trust
 34        exclusively for the purpose of the provisions of this section. The retire-
 35        ment board shall serve as trustee of the trust and shall be indemnified to
 36        the same extent as provided in section 59-1305, Idaho Code. Assets in  the
 37        trust  shall  not  be  assignable  or subject to execution, garnishment or
 38        attachment or to the operation of any bankruptcy or  insolvency  law.  The
 39        rate of such contribution each pay period shall consist of a percentage of
 40        employees' salaries as determined by the board, and such rate shall remain
 41        in  effect  until  next determined by the board. Any excess balance in the
 42        sick leave account shall be invested, and  the  earnings  therefrom  shall
 43        accrue  to  the sick leave account except the amount required by the board
 44        to defray administrative expenses. Assets of the trust may  be  commingled
 45        for investment purposes with other assets managed by the retirement board.
 46        All moneys payable to the sick leave account are hereby perpetually appro-
 47        priated  to  the board, and shall not be included in its departmental bud-
 48        get. The state insurance fund and public health districts shall be consid-
 49        ered employers in state government for  purposes  of  participation  under
 50        this section.

 51        SECTION  5.  An  emergency  existing  therefor,  which emergency is hereby
 52    declared to exist, this act shall be in full force and effect on and after its
 53    passage and approval.

Statement of Purpose / Fiscal Impact


                    STATEMENT OF PURPOSE

                          RS18008
                              
  This legislation makes changes to state law regarding
  eligibility and management of health insurance for active
  employees and retirees of state service.  It clarifies that
  the Department of Administration shall establish an advisory
  committee comprising members from all three branches of
  government, and includes as ex-officio (nonvoting) members
  the director of the state Department of Health and Welfare,
  the director of the Department of Insurance, and the
  director of the Department of Administration.  The advisory
  committee shall also include an active and retired state
  employee.
  
  This bill requires the Department of Administration to
  promulgate rules determining eligibility for health
  insurance benefits.  It also directs the director of the
  Department of Administration to develop a plan, or plans
  that include active employees and retirees and their
  dependents and provides for joint rating for active
  employees, retirees, and their dependents.
  
  This legislation changes the eligibility for access to and
  defines the state's contribution to any state-sponsored
  health insurance plan or plans for retirees and their
  dependents.  Beginning July 1, 2008, each eligible retiree
  shall receive $155 each month or $1,860 per year toward
  their premiums for health insurance.  
  
  Any retiree who is currently eligible (whether or not they
  are on the state plan) will remain so until they become
  eligible for Medicare.  Beginning on January 1, 2009,
  retired personnel health care coverage will not be available
  to retirees and their spouses if they are both eligible for
  Medicare.  A spouse will be eligible for the monthly subsidy
  if the retiree becomes eligible for Medicare first and until
  the spouse also becomes eligible for Medicare.  The director
  of the Department of Administration may make exceptions to
  this provision of law if he determines it to be in the best
  interest of the retiree or their dependents.  The Department
  of Administration is also directed to work with vendors to
  develop products to meet the needs of the Medicare eligible
  retirees and shall assist the retirees in transitioning to
  these products.
  
  In the future an employee will be eligible for health care
  coverage when they retire if they meet the following
  conditions:
            1.  Were an active employee on or before June 30, 2008;
            and,
            2.  Are eligible for a retirement benefit from a public
            employee retirement service or a retirement
            service for educators with at least 20,800 hours
            of credited state service; and,
  	    3.  Retire directly from state service.
  
  Persons with previous state employment intending to obtain
  coverage under the state-sponsored plan after retirement
  from another employer will no longer be able to do so. 
  Finally, any employees or elected officials rehired,
  reelected, or reappointed on or after July 1, 2008, will be
  eligible for retiree coverage if they had at least ten years
  of previously credited state service before June 30, 2008,
  accumulate an additional three years of credited state
  service, and are otherwise eligible.
  
  Section 2 of this bill makes technical corrections to code
  citations references to the Group Insurance Fund.
  
  Section 4 of this bill removes the limitation on the use of
  the sick leave benefit accrued by state employees from just
  group plans to also include individual health plans.
  

                        FISCAL NOTE
  
  The bill reduces the liability to the General Fund by
  $4,579,000 by freezing the retiree subsidy, and avoids the
  requirement to fund an additional $5,760,000 to the reserves
  from the General Fund on behalf of retirees and their
  dependents.
  
  Passage of this legislation will also slow the growth of the
  state's estimated GASB liability and will eventually begin
  reducing that liability.  Current GASB liabilities are
  estimated at $442 million.  This bill reduces that liability
  to approximately $136 million.  It is anticipated that if
  such changes are not made, the State of Idaho's liability
  will climb to over $800 million by 2016.
  
  
  Contact Persons:
  Senator Charles Coiner
  Senator Joe Stegner
  Representative Ken Roberts
  Phone:  332-1333
  

  STATEMENT OF PURPOSE/FISCAL NOTE                  S1447aa     
  
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