Illinois 2025-2026 Regular Session

Illinois Senate Bill SB1379 Compare Versions

Only one version of the bill is available at this time.

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1	1	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1379 Introduced 1/29/2025, by Sen. Chapin Rose SYNOPSIS AS INTRODUCED: 5 ILCS 375/8 from Ch. 127, par. 528 Amends the State Employees Group Insurance Act of 1971. Provides that beginning January 1, 2026, the Director of Central Management Services shall implement a program providing choice to Medicare-primary members and their Medicare-primary dependents. Provides that the program shall include a monthly voucher in the amount that the State would have contributed toward that member's monthly premium if the Medicare-primary member elected to participate in the group health benefits program. Provides that the voucher shall be used by the Medicare-primary member to pay the monthly premium cost of an individual Medicare Advantage plan of his or her choosing. Effective immediately. LRB104 10089 BDA 20161 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1379 Introduced 1/29/2025, by Sen. Chapin Rose SYNOPSIS AS INTRODUCED: 5 ILCS 375/8 from Ch. 127, par. 528 5 ILCS 375/8 from Ch. 127, par. 528 Amends the State Employees Group Insurance Act of 1971. Provides that beginning January 1, 2026, the Director of Central Management Services shall implement a program providing choice to Medicare-primary members and their Medicare-primary dependents. Provides that the program shall include a monthly voucher in the amount that the State would have contributed toward that member's monthly premium if the Medicare-primary member elected to participate in the group health benefits program. Provides that the voucher shall be used by the Medicare-primary member to pay the monthly premium cost of an individual Medicare Advantage plan of his or her choosing. Effective immediately. LRB104 10089 BDA 20161 b LRB104 10089 BDA 20161 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1379 Introduced 1/29/2025, by Sen. Chapin Rose SYNOPSIS AS INTRODUCED:
3	3	5 ILCS 375/8 from Ch. 127, par. 528 5 ILCS 375/8 from Ch. 127, par. 528
4	4	5 ILCS 375/8 from Ch. 127, par. 528
5	5	Amends the State Employees Group Insurance Act of 1971. Provides that beginning January 1, 2026, the Director of Central Management Services shall implement a program providing choice to Medicare-primary members and their Medicare-primary dependents. Provides that the program shall include a monthly voucher in the amount that the State would have contributed toward that member's monthly premium if the Medicare-primary member elected to participate in the group health benefits program. Provides that the voucher shall be used by the Medicare-primary member to pay the monthly premium cost of an individual Medicare Advantage plan of his or her choosing. Effective immediately.
6	6	LRB104 10089 BDA 20161 b LRB104 10089 BDA 20161 b
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8	8	A BILL FOR
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11	11	1 AN ACT concerning State government.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The State Employees Group Insurance Act of 1971
15	15	5 is amended by changing Section 8 as follows:
16	16	6 (5 ILCS 375/8) (from Ch. 127, par. 528)
17	17	7 Sec. 8. Eligibility.
18	18	8 (a) Each employee eligible under the provisions of this
19	19	9 Act and any rules and regulations promulgated and adopted
20	20	10 hereunder by the Director shall become immediately eligible
21	21	11 and covered for all benefits available under the programs.
22	22	12 Employees electing coverage for eligible dependents shall have
23	23	13 the coverage effective immediately, provided that the election
24	24	14 is properly filed in accordance with required filing dates and
25	25	15 procedures specified by the Director, including the completion
26	26	16 and submission of all documentation and forms required by the
27	27	17 Director.
28	28	18 (1) Every member originally eligible to elect
29	29	19 dependent coverage, but not electing it during the
30	30	20 original eligibility period, may subsequently obtain
31	31	21 dependent coverage only in the event of a qualifying
32	32	22 change in status, special enrollment, special circumstance
33	33	23 as defined by the Director, or during the annual Benefit
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37	37	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1379 Introduced 1/29/2025, by Sen. Chapin Rose SYNOPSIS AS INTRODUCED:
38	38	5 ILCS 375/8 from Ch. 127, par. 528 5 ILCS 375/8 from Ch. 127, par. 528
39	39	5 ILCS 375/8 from Ch. 127, par. 528
40	40	Amends the State Employees Group Insurance Act of 1971. Provides that beginning January 1, 2026, the Director of Central Management Services shall implement a program providing choice to Medicare-primary members and their Medicare-primary dependents. Provides that the program shall include a monthly voucher in the amount that the State would have contributed toward that member's monthly premium if the Medicare-primary member elected to participate in the group health benefits program. Provides that the voucher shall be used by the Medicare-primary member to pay the monthly premium cost of an individual Medicare Advantage plan of his or her choosing. Effective immediately.
41	41	LRB104 10089 BDA 20161 b LRB104 10089 BDA 20161 b
42	42	LRB104 10089 BDA 20161 b
43	43	A BILL FOR
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49	49	5 ILCS 375/8 from Ch. 127, par. 528
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68	68	1 Choice Period.
69	69	2 (2) Members described above being transferred from
70	70	3 previous coverage towards which the State has been
71	71	4 contributing shall be transferred regardless of
72	72	5 preexisting conditions, waiting periods, or other
73	73	6 requirements that might jeopardize claim payments to which
74	74	7 they would otherwise have been entitled.
75	75	8 (3) Eligible and covered members that are eligible for
76	76	9 coverage as dependents except for the fact of being
77	77	10 members shall be transferred to, and covered under,
78	78	11 dependent status regardless of preexisting conditions,
79	79	12 waiting periods, or other requirements that might
80	80	13 jeopardize claim payments to which they would otherwise
81	81	14 have been entitled upon cessation of member status and the
82	82	15 election of dependent coverage by a member eligible to
83	83	16 elect that coverage.
84	84	17 (b) New employees shall be immediately insured for the
85	85	18 basic group life insurance and covered by the program of
86	86	19 health benefits on the first day of active State service.
87	87	20 Optional life insurance coverage one to 4 times the basic
88	88	21 amount, if elected during the relevant eligibility period,
89	89	22 will become effective on the date of employment. Optional life
90	90	23 insurance coverage exceeding 4 times the basic amount and all
91	91	24 life insurance amounts applied for after the eligibility
92	92	25 period will be effective, subject to satisfactory evidence of
93	93	26 insurability when applicable, or other necessary
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104	104	1 qualifications, pursuant to the requirements of the applicable
105	105	2 benefit program, unless there is a change in status that would
106	106	3 confer new eligibility for change of enrollment under rules
107	107	4 established supplementing this Act, in which event application
108	108	5 must be made within the new eligibility period.
109	109	6 (c) As to the group health benefits program contracted to
110	110	7 begin or continue after June 30, 1973, each annuitant,
111	111	8 survivor, and retired employee shall become immediately
112	112	9 eligible for all benefits available under that program. Each
113	113	10 annuitant, survivor, and retired employee shall have coverage
114	114	11 effective immediately, provided that the election is properly
115	115	12 filed in accordance with the required filing dates and
116	116	13 procedures specified by the Director, including the completion
117	117	14 and submission of all documentation and forms required by the
118	118	15 Director. Annuitants, survivors, and retired employees may
119	119	16 elect coverage for eligible dependents and shall have the
120	120	17 coverage effective immediately, provided that the election is
121	121	18 properly filed in accordance with required filing dates and
122	122	19 procedures specified by the Director, except that, for a
123	123	20 survivor, the dependent sought to be added on or after the
124	124	21 effective date of this amendatory Act of the 97th General
125	125	22 Assembly must have been eligible for coverage as a dependent
126	126	23 under the deceased member upon whom the survivor's annuity is
127	127	24 based in order to be eligible for coverage under the survivor.
128	128	25 Except as otherwise provided in this Act, where husband
129	129	26 and wife are both eligible members, each shall be enrolled as a
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140	140	1 member and coverage on their eligible dependent children, if
141	141	2 any, may be under the enrollment and election of either.
142	142	3 Regardless of other provisions herein regarding late
143	143	4 enrollment or other qualifications, as appropriate, the
144	144	5 Director may periodically authorize open enrollment periods
145	145	6 for each of the benefit programs at which time each member may
146	146	7 elect enrollment or change of enrollment without regard to
147	147	8 age, sex, health, or other qualification under the conditions
148	148	9 as may be prescribed in rules and regulations supplementing
149	149	10 this Act. Special open enrollment periods may be declared by
150	150	11 the Director for certain members only when special
151	151	12 circumstances occur that affect only those members.
152	152	13 (d) Eligible members may elect not to participate in the
153	153	14 program of health benefits as defined in this Act. The
154	154	15 election must be made during the annual benefit choice period
155	155	16 or upon showing a qualifying change in status as defined in the
156	156	17 U.S. Internal Revenue Code, subject to the conditions in this
157	157	18 subsection.
158	158	19 (1) (Blank).
159	159	20 (2) Members may re-enroll in the Department of Central
160	160	21 Management Services program of health benefits upon
161	161	22 showing a qualifying change in status, as defined in the
162	162	23 U.S. Internal Revenue Code, without evidence of
163	163	24 insurability and with no limitations on coverage for
164	164	25 pre-existing conditions.
165	165	26 (3) Members may also re-enroll in the program of
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176	176	1 health benefits during any annual benefit choice period,
177	177	2 without evidence of insurability.
178	178	3 (4) Members who elect not to participate in the
179	179	4 program of health benefits shall be furnished a written
180	180	5 explanation of the requirements and limitations for the
181	181	6 election not to participate in the program and for
182	182	7 re-enrolling in the program. The explanation shall also be
183	183	8 included in the annual benefit choice options booklets
184	184	9 furnished to members.
185	185	10 (d-5) Beginning July 1, 2005, the Director may establish a
186	186	11 program of financial incentives to encourage annuitants
187	187	12 receiving a retirement annuity, but who are not eligible for
188	188	13 benefits under the federal Medicare health insurance program
189	189	14 (Title XVIII of the Social Security Act, as added by Public Law
190	190	15 89-97) to elect not to participate in the program of health
191	191	16 benefits provided under this Act. The election by an annuitant
192	192	17 not to participate under this program must be made in
193	193	18 accordance with the requirements set forth under subsection
194	194	19 (d). The financial incentives provided to these annuitants
195	195	20 under the program may not exceed $150 per month for each
196	196	21 annuitant electing not to participate in the program of health
197	197	22 benefits provided under this Act.
198	198	23 (d-6) Beginning July 1, 2013, the Director may establish a
199	199	24 program of financial incentives to encourage annuitants with
200	200	25 20 or more years of creditable service but who are not eligible
201	201	26 for benefits under the federal Medicare health insurance
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212	212	1 program (Title XVIII of the Social Security Act, as added by
213	213	2 Public Law 89-97) to elect not to participate in the program of
214	214	3 health benefits provided under this Act. The election by an
215	215	4 annuitant not to participate under this program must be made
216	216	5 in accordance with the requirements set forth under subsection
217	217	6 (d). The program established under this subsection (d-6) may
218	218	7 include a prorated incentive for annuitants with fewer than 20
219	219	8 years of creditable service, as determined by the Director.
220	220	9 The financial incentives provided to these annuitants under
221	221	10 this program may not exceed $500 per month for each annuitant
222	222	11 electing not to participate in the program of health benefits
223	223	12 provided under this Act.
224	224	13 (d-7) Effective January 1, 2026, the Director shall
225	225	14 implement a program providing choice to Medicare-primary
226	226	15 members and their Medicare-primary dependents as provided
227	227	16 under this Act. The program established under this subsection
228	228	17 (d-7) shall include a voucher, to be issued monthly, in the
229	229	18 amount that the State would have contributed toward that
230	230	19 member's monthly premium if the Medicare-primary member
231	231	20 elected to participate in the group health benefits program
232	232	21 for Medicare-primary members and their Medicare-primary
233	233	22 dependents provided under this Act. The voucher shall be used
234	234	23 by the Medicare-primary member to pay the monthly premium cost
235	235	24 of an individual Medicare Advantage plan of his or her
236	236	25 choosing. Any amount of premium cost in excess of the amount of
237	237	26 the voucher is the Medicare-primary member's responsibility.
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248	248	1 (e) Notwithstanding any other provision of this Act or the
249	249	2 rules adopted under this Act, if a person participating in the
250	250	3 program of health benefits as the dependent spouse of an
251	251	4 eligible member becomes an annuitant, the person may elect, at
252	252	5 the time of becoming an annuitant or during any subsequent
253	253	6 annual benefit choice period, to continue participation as a
254	254	7 dependent rather than as an eligible member for as long as the
255	255	8 person continues to be an eligible dependent. In order to be
256	256	9 eligible to make such an election, the person must have been
257	257	10 enrolled as a dependent under the program of health benefits
258	258	11 for no less than one year prior to becoming an annuitant.
259	259	12 An eligible member who has elected to participate as a
260	260	13 dependent may re-enroll in the program of health benefits as
261	261	14 an eligible member (i) during any subsequent annual benefit
262	262	15 choice period or (ii) upon showing a qualifying change in
263	263	16 status, as defined in the U.S. Internal Revenue Code, without
264	264	17 evidence of insurability and with no limitations on coverage
265	265	18 for pre-existing conditions.
266	266	19 A person who elects to participate in the program of
267	267	20 health benefits as a dependent rather than as an eligible
268	268	21 member shall be furnished a written explanation of the
269	269	22 consequences of electing to participate as a dependent and the
270	270	23 conditions and procedures for re-enrolling as an eligible
271	271	24 member. The explanation shall also be included in the annual
272	272	25 benefit choice options booklet furnished to members.
273	273	26 (Source: P.A. 102-19, eff. 7-1-21.)
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