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H. B. No. 146 As IntroducedAs Introduced
128th General Assembly | Regular Session | 2009-2010 |
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Cosponsors:
Representatives Harris, Harwood, Yuko, Letson, Murray, Boyd, Foley, Chandler, Skindell
A BILL
To amend sections 124.82 and 305.171 of the
Revised
Code to allow counties to participate in
a state
employee health insurance plan sponsored
by the
Department of Administrative Services.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 124.82 and 305.171 of the
Revised
Code be amended to read as follows:
Sec. 124.82. (A) Except as provided in division (D) of
this
section, the department of administrative services, in
consultation with the superintendent of insurance, shall, in
accordance with competitive selection procedures of Chapter 125.
of the
Revised Code, contract with an insurance
company or a
health plan in combination with an
insurance company, authorized
to do business in this state, for
the issuance of a policy or
contract of health, medical,
hospital, dental, or surgical
benefits, or any combination
of those benefits, covering
state
employees who are paid directly by
warrant of the director of
budget and management, including elected state
officials, and
county officers and employees that participate in the policy or
contract under section
305.171 of the Revised Code. The
department may
fulfill its
obligation under this
division by
exercising its
authority under
division (A)(2) of
section 124.81
of the Revised
Code.
(B) The department may, in addition, in consultation with
the
superintendent of insurance, negotiate and contract with
health
insuring corporations holding a
certificate of authority
under
Chapter 1751. of the
Revised Code, in their approved service
areas
only, for
issuance of a contract or contracts of health care
services,
covering state employees who are paid directly by
warrant of the
director of budget and management, including
elected state
officials, and county officers and employees that
participate in the policy or contract under section 305.171 of the
Revised Code. The
department may enter into contracts with
one or
more insurance
carriers or
health plans to
provide the
same
plan
of benefits,
provided that:
(1) The amount of the premium or cost for such coverage
contributed by the state, for an individual or for an individual
and the individual's family, does not exceed that same
amount of
the premium
or cost contributed by the state under division (A) of
this
section;
(2) The employee be permitted to exercise the option as to
which plan the employee will select under division (A) or (B)
of
this section, at a time that shall
be determined by the
department;
(3) The health insuring corporations do not refuse to accept
the
employee, or the
employee and the employee's family, if the
employee exercises the option to select
care provided by the
corporations;
(4) The employee may choose participation in only one of the
plans sponsored
by the department;
(5) The director of health examines and certifies to the
department that the quality and adequacy of care rendered by the
health insuring corporations meet at least the standards of care
provided
by hospitals
and physicians in that employee's community,
who would be providing
such care as would be covered by a contract
awarded under
division (A) of this section.
(C) All or any portion of the cost, premium, or charge for
the coverage in divisions (A) and (B) of this section may be paid
in such manner or combination of manners as the department
determines and may include the proration of health care costs,
premiums, or
charges for part-time employees.
(D) Notwithstanding division (A) of this section, the
department may provide benefits equivalent to those that may be
paid under a policy or contract issued by an insurance company or
a health plan pursuant to division (A) of this section.
(E) This section does not prohibit the state office of
collective bargaining from entering into an agreement with an
employee representative for the purposes of providing fringe
benefits, including, but not limited to, hospitalization, surgical
care, major medical care, disability, dental care, vision care,
medical care, hearing aids, prescription drugs, group life
insurance, sickness and accident insurance, group legal services
or other benefits, or any combination
of those benefits,
to
employees paid
directly by warrant of the director of budget and
management
through a jointly
administered trust fund. The
employer's
contribution for the
cost
of the benefit care shall be
mutually
agreed to in the
collectively bargained agreement. The
amount,
type, and
structure
of fringe benefits provided under this
division is
subject to the
determination of the board of trustees
of the
jointly administered
trust fund. Notwithstanding any other
provision of the Revised
Code, competitive bidding does not apply
to the purchase of fringe
benefits for employees under this
division when
those benefits are
provided through a jointly
administered trust fund.
(F) Members of state boards
or commissions
may be covered
by
any
policy, contract, or plan of benefits or services described
in
division (A) or (B) of this section. Board or
commission members
who are appointed for a fixed term and who are
compensated on a
per meeting basis, or paid only for expenses, or
receive a
combination of per diem payments and expenses shall pay
the entire
amount
of the premiums, costs, or charges for that
coverage.
(G) The director of administrative services shall adopt by
rule procedures for county officers and employees' participation
in the state policy or contract selected by the department
pursuant to this section, including method of application, payment
of benefits, and transfer of money.
Sec. 305.171. (A) The board of county commissioners of
any
county may contract for, purchase, or otherwise procure and
pay
all or any part of the cost of group insurance policies that
may
provide benefits including, but not limited to,
hospitalization,
surgical care, major medical care, disability,
dental care, eye
care, medical care, hearing aids, or
prescription drugs, and that
may provide sickness and accident
insurance, group legal services,
or group life insurance, or a
combination of any of the foregoing
types of insurance or
coverage, for county officers and employees
and their immediate
dependents from the funds or budgets from
which the county officers or
employees are compensated for
services, issued by an insurance
company.
(B) The board of county commissioners also may negotiate and
contract for any plan
or plans of health care services with health
insuring corporations holding a
certificate of authority under
Chapter 1751. of the
Revised Code, provided that each county
officer or employee
shall be permitted to do both of the
following:
(1) Exercise an option between a plan offered by an
insurance
company and a plan or plans offered by health
insuring
corporations under
this division, on the condition that the county
officer or employee shall pay
any amount by which the cost of the
plan chosen by the county officer
or employee pursuant to this
division exceeds the cost of the
plan offered under division (A)
of this section;
(2) Change from one of the plans to another at a time each
year as determined by the board.
(C) Section 307.86 of the Revised Code does not apply to
the
purchase of benefits for county officers or employees under
divisions (A) and (B) of this section when those benefits are
provided through a jointly administered health and welfare trust
fund in which the county or contracting authority and a
collective
bargaining representative of the county employees or
contracting
authority agree to participate.
(D) The board of trustees of a jointly administered trust
fund that receives contributions pursuant to collective
bargaining
agreements entered into between the board of county
commissioners
of any county and a collective bargaining
representative of the
employees of the county may provide for
self-insurance of all risk
in the provision of fringe benefits,
and may provide through the
self-insurance method specific fringe
benefits as authorized by
the rules of the board of trustees of
the jointly administered
trust fund. The fringe benefits may
include, but are not limited
to, hospitalization, surgical care,
major medical care,
disability, dental care, vision care, medical
care, hearing aids,
prescription drugs, group life insurance,
sickness and accident
insurance, group legal services, or a
combination of any of the
foregoing types of insurance or
coverage, for county employees and
their dependents.
(E) The board of county commissioners may provide the
benefits described in divisions (A) to (D) of this section
through
an individual self-insurance program or a joint
self-insurance
program as provided in section 9.833 of the
Revised Code or
through a plan sponsored by the department of administrative
services under section 124.82 of the Revised Code.
(F) When a board of county commissioners offers health
benefits authorized
under this section to a county officer or
employee, the board may
offer the benefits through a cafeteria
plan meeting the requirements of
section 125 of the "Internal
Revenue Code of 1986," 100 Stat. 2085, 26
U.S.C.A. 125, as
amended, and, as part of that plan, may offer the county officer
or
employee the option of receiving a cash payment in any form
permissible under
such cafeteria plans. A cash payment made to a
county officer or employee under
this division shall not exceed
twenty-five per cent of the cost of premiums or
payments that
otherwise would be paid by the board for benefits for the county
officer or employee under a policy or plan.
(G) The board of county commissioners may establish a policy
authorizing any
county appointing authority to make a cash payment
to any county officer or employee
in lieu of providing a benefit
authorized under this section if the county officer or
employee
elects to take the cash payment instead of the offered benefit. A
cash payment made to a county officer or employee under this
division shall not
exceed twenty-five per cent of the cost of
premiums or payments that otherwise
would be paid by the board for
benefits for the county officer or employee under an
offered
policy or plan.
(H) No cash payment in lieu of a health benefit shall be made
to a county
officer or employee under division (F) or (G) of this
section unless the county
officer or employee signs a statement
affirming that the county officer
or employee is covered under
another health insurance or health care
policy, contract, or plan,
and setting forth the name of the employer, if any,
that sponsors
the coverage, the name of the carrier that provides the
coverage,
and the identifying number of the policy, contract, or plan.
(I) The legislative authority of a county-operated
municipal
court, after consultation with the judges, or the clerk
and deputy
clerks, of the municipal court, shall negotiate and
contract for,
purchase, or otherwise procure, and pay the costs,
premiums, or
charges for, group health care coverage for the
judges, and group
health care coverage for the clerk and deputy
clerks, in
accordance with section 1901.111 or 1901.312 of the
Revised Code.
(J) As used in this section:
(1) "County officer or employee" includes, but is not limited
to, a member or employee of the county board of elections.
(2) "County-operated municipal court" and "legislative
authority" have the same meanings as in section 1901.03 of the
Revised Code.
(3) "Health care coverage" has the same meaning as in section
1901.111 of the Revised Code.
Section 2. That existing sections 124.82 and 305.171 of the
Revised Code are hereby repealed.
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