103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3769 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 215 ILCS 5/367f from Ch. 73, par. 979f Amends the Illinois Insurance Code. In provisions concerning firemen's continuance privilege, changes the definition of "fireman" and "firemen" to include any person who is not eligible to participate in a pension fund established under the Downstate Firefighter Article of the Illinois Pension Code and is employed on a full-time basis by a participating municipality or fire protection district to perform duties as a firefighter, paramedic, emergency medical technician, emergency medical technician-basic, emergency medical technician-intermediate, or advanced emergency medical technician. LRB103 28960 BMS 55346 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3769 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 215 ILCS 5/367f from Ch. 73, par. 979f 215 ILCS 5/367f from Ch. 73, par. 979f Amends the Illinois Insurance Code. In provisions concerning firemen's continuance privilege, changes the definition of "fireman" and "firemen" to include any person who is not eligible to participate in a pension fund established under the Downstate Firefighter Article of the Illinois Pension Code and is employed on a full-time basis by a participating municipality or fire protection district to perform duties as a firefighter, paramedic, emergency medical technician, emergency medical technician-basic, emergency medical technician-intermediate, or advanced emergency medical technician. LRB103 28960 BMS 55346 b LRB103 28960 BMS 55346 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3769 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 215 ILCS 5/367f from Ch. 73, par. 979f 215 ILCS 5/367f from Ch. 73, par. 979f 215 ILCS 5/367f from Ch. 73, par. 979f Amends the Illinois Insurance Code. In provisions concerning firemen's continuance privilege, changes the definition of "fireman" and "firemen" to include any person who is not eligible to participate in a pension fund established under the Downstate Firefighter Article of the Illinois Pension Code and is employed on a full-time basis by a participating municipality or fire protection district to perform duties as a firefighter, paramedic, emergency medical technician, emergency medical technician-basic, emergency medical technician-intermediate, or advanced emergency medical technician. LRB103 28960 BMS 55346 b LRB103 28960 BMS 55346 b LRB103 28960 BMS 55346 b A BILL FOR HB3769LRB103 28960 BMS 55346 b HB3769 LRB103 28960 BMS 55346 b HB3769 LRB103 28960 BMS 55346 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Insurance Code is amended by 5 changing Section 367f as follows: 6 (215 ILCS 5/367f) (from Ch. 73, par. 979f) 7 Sec. 367f. Firemen's continuance privilege. As used in 8 this Section: 9 1. The terms "municipality", "deferred pensioner" and 10 "creditable service" shall have the meaning ascribed to such 11 terms by Sections 4-103, 4-105a and 4-108, respectively, of 12 the Illinois Pension Code, as now or hereafter amended. 13 2. The terms "fireman" and "firemen" shall have the 14 meaning ascribed to the term "firefighter" by Section 4-106 of 15 the Illinois Pension Code, and include those persons under the 16 coverage of Article 4 of that Code, and any person who is not 17 eligible to participate in a pension fund established under 18 Article 4 of the Illinois Pension Code and is employed on a 19 full-time basis by a participating municipality or fire 20 protection district to perform duties as a firefighter, 21 paramedic, emergency medical technician, emergency medical 22 technician-basic, emergency medical technician-intermediate, 23 or advanced emergency medical technician, as heretofore or 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3769 Introduced , by Rep. Katie Stuart SYNOPSIS AS INTRODUCED: 215 ILCS 5/367f from Ch. 73, par. 979f 215 ILCS 5/367f from Ch. 73, par. 979f 215 ILCS 5/367f from Ch. 73, par. 979f Amends the Illinois Insurance Code. In provisions concerning firemen's continuance privilege, changes the definition of "fireman" and "firemen" to include any person who is not eligible to participate in a pension fund established under the Downstate Firefighter Article of the Illinois Pension Code and is employed on a full-time basis by a participating municipality or fire protection district to perform duties as a firefighter, paramedic, emergency medical technician, emergency medical technician-basic, emergency medical technician-intermediate, or advanced emergency medical technician. LRB103 28960 BMS 55346 b LRB103 28960 BMS 55346 b LRB103 28960 BMS 55346 b A BILL FOR 215 ILCS 5/367f from Ch. 73, par. 979f LRB103 28960 BMS 55346 b HB3769 LRB103 28960 BMS 55346 b HB3769- 2 -LRB103 28960 BMS 55346 b HB3769 - 2 - LRB103 28960 BMS 55346 b HB3769 - 2 - LRB103 28960 BMS 55346 b 1 hereafter amended. 2 3. The "retirement or disability period" of a fireman 3 means the period: 4 a. which begins on the day the fireman is removed from 5 a municipality's fire department payroll because of the 6 occurrence of any of the following events, to wit: (i) the 7 fireman retires as a deferred pensioner under Section 8 4-105a of the Illinois Pension Code, (ii) the fireman 9 retires from active service as a fireman with an attained 10 age and accumulated creditable service which together 11 qualify the fireman for immediate receipt of retirement 12 pension benefits under Section 4-109 of the Illinois 13 Pension Code, or (iii) the fireman's disability is 14 established under Section 4-112 of the Illinois Pension 15 Code; and 16 b. which ends on the first to occur of any of the 17 following events, to wit: (i) the fireman's reinstatement 18 or reentry into active service on the municipality's fire 19 department as provided for under Article 4 of the Illinois 20 Pension Code, (ii) the fireman's exercise of any refund 21 option available under Section 4-116 of the Illinois 22 Pension Code, (iii) the fireman's loss pursuant to Section 23 4-138 of the Illinois Pension Code of any benefits 24 provided for in Article 4 of that Code, or (iv) the 25 fireman's death or -- if at the time of the fireman's death 26 the fireman is survived by a spouse who, in that capacity, HB3769 - 2 - LRB103 28960 BMS 55346 b HB3769- 3 -LRB103 28960 BMS 55346 b HB3769 - 3 - LRB103 28960 BMS 55346 b HB3769 - 3 - LRB103 28960 BMS 55346 b 1 is entitled to receive a surviving spouse's monthly 2 pension pursuant to Article 4 of the Illinois Pension Code - 3 - then the death or remarriage of that spouse. 4 No policy of group accident and health insurance under 5 which firemen employed by a municipality are insured for their 6 individual benefit shall be issued or delivered in this State 7 to any municipality unless such group policy provides for the 8 election of continued group insurance coverage for the 9 retirement or disability period of each fireman who is insured 10 under the provisions of the group policy on the day 11 immediately preceding the day on which the retirement or 12 disability period of such fireman begins. So long as any 13 required premiums for continued group insurance coverage are 14 paid in accordance with the provisions of the group policy, an 15 election made pursuant to this Section shall provide continued 16 group insurance coverage for a fireman throughout the 17 retirement or disability period of the fireman and, unless the 18 fireman otherwise elects and subject to any other provisions 19 of the group policy which relate either to the provision or to 20 the termination of dependents' coverage and which are not 21 inconsistent with this Section, for any dependents of the 22 fireman who are insured under the group policy on the day 23 immediately preceding the day on which the retirement or 24 disability period of the fireman begins; provided, however, 25 that when such continued group insurance coverage is in effect 26 with respect to a fireman on the date of the fireman's death HB3769 - 3 - LRB103 28960 BMS 55346 b HB3769- 4 -LRB103 28960 BMS 55346 b HB3769 - 4 - LRB103 28960 BMS 55346 b HB3769 - 4 - LRB103 28960 BMS 55346 b 1 but the retirement or disability period of the fireman does 2 not end with such fireman's death, then the deceased fireman's 3 surviving spouse upon whose death or remarriage such 4 retirement or disability period will end shall be entitled, 5 without further election and upon payment of any required 6 premiums in accordance with the provisions of the group 7 policy, to maintain such continued group insurance coverage in 8 effect until the end of such retirement or disability period. 9 Continued group insurance coverage shall be provided in 10 accordance with this Section at the same premium rate from 11 time to time charged for equivalent coverage provided under 12 the group policy with respect to covered firemen whose 13 retirement or disability period has not begun, and no 14 distinction or discrimination in the amount or rate of 15 premiums or in any waiver of premium or other benefit 16 provision shall be made between continued group insurance 17 coverage elected pursuant to this Section and equivalent 18 coverage provided to firemen under the group policy other than 19 pursuant to the provisions of this Section; provided that no 20 municipality shall be required by reason of any provision of 21 this Section to pay any group insurance premium other than one 22 that may be negotiated in a collective bargaining agreement. 23 If a person electing continued coverage under this Section 24 becomes eligible for medicare coverage, benefits under the 25 group policy may continue as a supplement to the medicare 26 coverage upon payment of any required premiums to maintain the HB3769 - 4 - LRB103 28960 BMS 55346 b HB3769- 5 -LRB103 28960 BMS 55346 b HB3769 - 5 - LRB103 28960 BMS 55346 b HB3769 - 5 - LRB103 28960 BMS 55346 b 1 benefits of the group policy as supplemental coverage. 2 Within 15 days of the beginning of the retirement or 3 disability period of any fireman entitled to elect continued 4 group insurance coverage under any group policy affected by 5 this Section, the municipality last employing such fireman 6 shall give written notice of such beginning by certified mail, 7 return receipt requested to the insurance company issuing such 8 policy. The notice shall include the fireman's name and last 9 known place of residence and the beginning date of the 10 fireman's retirement or disability period. 11 Within 15 days of the date of receipt of such notice from 12 the municipality, the insurance company by certified mail, 13 return receipt requested, shall give written notice to the 14 fireman at the fireman's last known place of residence that 15 coverage under the group policy may be continued for the 16 retirement or disability period of the fireman as provided in 17 this Section. Such notice shall set forth: (i) a statement of 18 election to be filed by the fireman if the fireman wishes to 19 continue such group insurance coverage, (ii) the amount of 20 monthly premium, including a statement of the portion of such 21 monthly premium attributable to any dependents' coverage which 22 the fireman may elect, and (iii) instructions as to the return 23 of the election form to the insurance company issuing such 24 policy. Election shall be made, if at all, by returning the 25 statement of election to the insurance company by certified 26 mail, return receipt requested within 15 days after having HB3769 - 5 - LRB103 28960 BMS 55346 b HB3769- 6 -LRB103 28960 BMS 55346 b HB3769 - 6 - LRB103 28960 BMS 55346 b HB3769 - 6 - LRB103 28960 BMS 55346 b 1 received it. 2 If the fireman elects to continue coverage, it shall be 3 the obligation of the fireman to pay the monthly premium 4 directly to the municipality which shall forward it to the 5 insurance company issuing the group insurance policy, or as 6 otherwise directed by the insurance company; provided, 7 however, that the fireman shall be entitled to designate on 8 the statement of election required to be filed with the 9 insurance company that the total monthly premium, or such 10 portion thereof as is not contributed by a municipality, be 11 deducted by a Firefighter's Pension Fund from any monthly 12 pension payment otherwise payable to or on behalf of the 13 fireman pursuant to Article 4 of the Illinois Pension Code, 14 and be remitted by such Pension Fund to the insurance company. 15 The portion, if any, of the monthly premium contributed by a 16 municipality for such continued group insurance coverage shall 17 be paid by the municipality directly to the insurance company 18 issuing the group insurance policy, or as otherwise directed 19 by the insurance company. Such continued group insurance 20 coverage shall relate back to the beginning of the fireman's 21 retirement or disability period. 22 The amendment, renewal or extension of any group insurance 23 policy affected by this Section shall be deemed to be the 24 issuance of a new policy of insurance for purposes of this 25 Section. 26 In the event that a municipality makes a program of HB3769 - 6 - LRB103 28960 BMS 55346 b HB3769- 7 -LRB103 28960 BMS 55346 b HB3769 - 7 - LRB103 28960 BMS 55346 b HB3769 - 7 - LRB103 28960 BMS 55346 b 1 accident, health, hospital or medical benefits available to 2 its firemen through self-insurance, or by participation in a 3 pool or reciprocal insurer, or by contract in a form other than 4 a policy of group insurance with one or more medical service 5 plans, health care service corporations, health maintenance 6 organizations, or any other professional corporations or plans 7 under which health care or reimbursement for the costs thereof 8 is provided, whether the cost of such benefits is borne by the 9 municipality or the firemen or both, such firemen and their 10 surviving spouses shall have the same right to elect continued 11 coverage under such program of benefits as they would have if 12 such benefits were provided by a policy of group accident and 13 health insurance. In such cases, the notice of right to elect 14 continued coverage shall be sent by the municipality; the 15 statement of election shall be sent to the municipality; and 16 references to the required premium shall refer to that portion 17 of the cost of such benefits which is not borne by the 18 municipality, either voluntarily or pursuant to the provisions 19 of a collective bargaining agreement. In the case of a 20 municipality providing such benefits through self-insurance or 21 participation in a pool or reciprocal insurer, the right to 22 elect continued coverage which is provided by this paragraph 23 shall be implemented and made available to the firemen of the 24 municipality and qualifying surviving spouses not later than 25 July 1, 1985. 26 The amendment, renewal or extension of any such contract HB3769 - 7 - LRB103 28960 BMS 55346 b HB3769- 8 -LRB103 28960 BMS 55346 b HB3769 - 8 - LRB103 28960 BMS 55346 b HB3769 - 8 - LRB103 28960 BMS 55346 b 1 in a form other than a policy of group insurance policy shall 2 be deemed the formation of a new contract for the purposes of 3 this Section. 4 This Section shall not limit the exercise of any 5 conversion privileges available under Section 367e. 6 Pursuant to paragraphs (h) and (i) of Section 6 of Article 7 VII of the Illinois Constitution, this Section specifically 8 denies and limits the exercise by a home rule unit of any power 9 which is inconsistent with this Section and all existing laws 10 and ordinances which are inconsistent with this Section are 11 hereby superseded. This Section does not preempt the 12 concurrent exercise by home rule units of powers consistent 13 herewith. 14 The Division of Insurance of the Department of Financial 15 and Professional Regulation shall enforce the provisions of 16 this Section, including provisions relating to municipality 17 self-insured benefit plans. 18 (Source: P.A. 94-858, eff. 6-15-06.) HB3769 - 8 - LRB103 28960 BMS 55346 b