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3 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 1 | |
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33 | + | ENGROSSED HOUSE | |
3 | 34 | BILL NO. 3586 By: Strom of the House | |
4 | 35 | ||
5 | 36 | and | |
6 | 37 | ||
7 | 38 | Garvin of the Senate | |
8 | 39 | ||
9 | 40 | ||
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12 | 43 | An Act relating to state employee health insurance; | |
13 | 44 | amending 70 O.S. 2021, Section 14 -108.1, which | |
14 | 45 | relates to health insurance pla n for employees; | |
15 | 46 | modifying references to entity names; amending 70 | |
16 | 47 | O.S. 2021, Section 26 -104, which relates to funding | |
17 | 48 | to provide flexible benefit allowance; modifying | |
18 | 49 | references to entity names; amending 70 O.S. 2021, | |
19 | 50 | Section 26-105, which relates to use of flexible | |
20 | 51 | benefit allowance; modifying references to entity | |
21 | 52 | names; amending 74 O.S. 2021, Section 85.58A, which | |
22 | 53 | relates to establishment of comprehensive | |
23 | 54 | professional risk management program; modifying | |
24 | 55 | references to entity names; amending 74 O.S. 2021, | |
25 | 56 | Section 1316.2, which relates to continuance of | |
26 | 57 | health and dental insurance benefits; modifying | |
27 | 58 | citations; amending 74 O.S. 2021, Section 1321, which | |
28 | 59 | relates to determination of rates and benefits; | |
29 | 60 | modifying references to entity names; amending 74 | |
30 | 61 | O.S. 2021, Section 1332, which relates to | |
31 | 62 | establishment of disability insurance program for | |
32 | 63 | state employees; modifying references to en tity names | |
33 | 64 | and updating citations; amending 74 O.S. 2021, | |
34 | 65 | Section 1332.1, which relates to collections from | |
35 | 66 | state agencies; modify ing references to entity names; | |
36 | 67 | amending 74 O.S. 2021, Section 1346, which relates to | |
37 | 68 | creation of flexible benefit revolving fund; | |
38 | 69 | modifying references to entity names; amending 74 | |
39 | 70 | O.S. 2021, Section 1370, which relates to flexible | |
40 | 71 | benefit dollars in the O klahoma State Employees | |
41 | 72 | Benefits Act; modifying references to entity names; | |
42 | 73 | repealing 74 O.S. 2021, Section 1329.1, which rela tes | |
43 | 74 | to mutual accountability incentive pilot program; | |
44 | 75 | repealing 74 O.S. 2021, Sections 1381, 1382, 1383, | |
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45 | 103 | and 1384, which relate to the Wellness Program Act; | |
46 | - | and providing an effective date . ENR. H. B. NO. 3586 Page 2 | |
47 | - | SUBJECT: State employee health | |
104 | + | and providing an effective date. | |
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49 | 109 | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: | |
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51 | 110 | SECTION 1. AMENDATORY 70 O.S. 2021, Section 14 -108.1, is | |
52 | 111 | amended to read as follows: | |
53 | - | ||
54 | 112 | Section 14-108.1 A. The board of education of each technology | |
55 | 113 | center school district in this state shall provide a health | |
56 | 114 | insurance plan for the employees of the technology center school | |
57 | 115 | district. Technology center school districts may obtain health and | |
58 | 116 | dental insurance coverage as provided for in the State and Education | |
59 | 117 | Employees Group Insurance Oklahoma Employees Insurance and Benefits | |
60 | 118 | Act or may obtain other health insurance coverage. Any technology | |
61 | 119 | center district that does not participate in the health and dental | |
62 | 120 | insurance plans offered through the State and Education Employees | |
63 | 121 | Group Insurance Oklahoma Employees Insurance and Benefits Act shall | |
64 | 122 | obtain health insurance coverage for the employees which provides | |
65 | 123 | open enrollment, and provide for the continuation of health | |
66 | 124 | insurance coverage, including supplemental Medicare insurance | |
67 | 125 | coverage, for those district employees who retire from said district | |
68 | 126 | after September 30, 1991, with a vested benefit in the Teachers' | |
69 | 127 | Retirement System of Oklahoma. A retired person who begins | |
70 | 128 | receiving benefits from the Teachers' Retirement System of Oklahoma | |
71 | 129 | after September 30, 1991, who retires from a technology center | |
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72 | 157 | school district that provides other health insurance coverage, and | |
73 | 158 | who elects to continue said health insurance coverage shall pay t o | |
74 | 159 | the technology center school district the premium rate fo r the | |
75 | 160 | health insurance minus an amount equal to the premium rate of the | |
76 | 161 | Medicare supplement or the amount determined pursuant to subsection | |
77 | 162 | (4) of Section 1316.3 of Title 74 of the Oklahoma Statute s, | |
78 | 163 | whichever is less, which shall be paid by the Teachers' Retirement | |
79 | 164 | System of Oklahoma to the technology center school district. The | |
80 | 165 | technology center school district shall remit to the health | |
81 | 166 | insurance coverage provider the total premium due less any | |
82 | 167 | uncollected amounts payable from retired technology center s chool | |
83 | 168 | district employees or their qualified survivors. | |
84 | - | ||
85 | 169 | B. A technology center school district that participates in | |
86 | 170 | health insurance coverage other than the health insurance plan | |
87 | 171 | offered by the State and Education Employees Group Insurance | |
88 | 172 | Oklahoma Employees Insurance and Benefits Act shall not be required | |
89 | 173 | to pay any portion of the premium for the employees or the | |
90 | 174 | dependents of the employees of said school district. Unless a | |
91 | - | school district | |
175 | + | school district negotia tes an agreement with its employees regarding | |
92 | 176 | health insurance pursuant to Sections 509.1 through 509.9 of this | |
93 | 177 | title, and to the extent that the agreement provides for the members | |
94 | 178 | of the recognized bargaining unit, a technology center school | |
95 | 179 | district that participates in health insurance coverage other than | |
96 | 180 | the health insurance plan offered by the State and Education | |
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97 | 208 | Employees Group Insurance Oklahoma Employees Insurance and Benefits | |
98 | 209 | Act is prohibited from acquiring additional or supplemental health | |
99 | 210 | or dental insurance for any board member, superintendent or any | |
100 | 211 | other employee which is not available to all employees of said | |
101 | 212 | district, and said technology center school district shall not pay a | |
102 | 213 | greater portion of the employee or dependent premium for any healt h | |
103 | 214 | or dental insurance plan or plans provided by said technology center | |
104 | 215 | school district on behalf of any board member, superintendent or | |
105 | 216 | employee than that portion paid on behalf of all participating | |
106 | 217 | employees of said district. | |
107 | - | ||
108 | 218 | C. If a technology center sc hool district obtains health | |
109 | 219 | insurance coverage from a sour ce other than through the State and | |
110 | 220 | Education Employees Group Insurance Oklahoma Employees Insurance and | |
111 | 221 | Benefits Act, the employees of the technology center school district | |
112 | 222 | who would be eligible t o participate in the health and dental plans | |
113 | 223 | may require the board of education of the technology center school | |
114 | 224 | district to call an election to allow said employees to vote as to | |
115 | 225 | whether the technology center school district shall participate in | |
116 | 226 | the health and dental insurance plans offered through the State and | |
117 | 227 | Education Employees Group Insurance Oklahoma Employees Insurance and | |
118 | 228 | Benefits Act. Upon the filing with the board of education of a | |
119 | 229 | petition calling for such an election which is signed by no less | |
120 | 230 | than thirty percent (30%) of the eligible employees of the | |
121 | 231 | technology center school district, the board of education shall call | |
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122 | 259 | an election for the purpose of determining whether the technology | |
123 | 260 | center school district shall participate in the health and den tal | |
124 | 261 | insurance plans offered through the State and Education Employees | |
125 | 262 | Group Insurance Oklahoma Employees Insurance and Benefits Act. The | |
126 | 263 | election shall be held within thirty (30) days of the filing of the | |
127 | 264 | petition. If a majority of those eligible employe es voting at the | |
128 | 265 | election vote to participate in the health and dental insurance | |
129 | 266 | plans offered through the State and Education Employees Group | |
130 | 267 | Insurance Oklahoma Employees Insurance and Benefits Act, the board | |
131 | 268 | of education of the technology center school d istrict shall apply | |
132 | 269 | for such participation within thirty (3 0) days of the election. | |
133 | - | ||
134 | 270 | D. If a technology center school district does not have any | |
135 | 271 | health insurance coverage of the type required by this section, that | |
136 | - | technology center school district shall | |
272 | + | technology center school district shall im mediately be enrolled in | |
137 | 273 | the health and dental insurance plans offered through the State and | |
138 | 274 | Education Employees Group Insurance Oklahoma Employees Insurance and | |
139 | 275 | Benefits Act. | |
140 | - | ||
141 | 276 | E. A carrier providing health insurance coverage for employees | |
142 | 277 | of a technology center school district health insurance group which | |
143 | 278 | replaces a previous carrier for such technology center school | |
144 | 279 | district employees shall provide coverage for each retired employee | |
145 | 280 | who is receiving a benefit or terminates employment with a vested | |
146 | 281 | benefit from the Teachers' Retirement System of Oklahoma and who is | |
147 | 282 | enrolled in the health insurance group by the previous carrier at | |
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148 | 310 | the time the previous carrier providing health insurance coverage is | |
149 | 311 | replaced. Notwithstanding any provision in this section to t he | |
150 | 312 | contrary, any person who retires pursuant to the provisi ons of the | |
151 | 313 | Teachers' Retirement System of Oklahoma prior to May 1, 1993, or | |
152 | 314 | terminates service with a vested benefit, pursuant to the provisions | |
153 | 315 | of the Teachers' Retirement System of Oklahoma prior to May 1, 1993, | |
154 | 316 | may continue to participate in the health and dental plans | |
155 | 317 | authorized by the provisions of the State and Education Employees | |
156 | 318 | Group Insurance Oklahoma Employees Insurance and Benefits Act. | |
157 | - | ||
158 | 319 | F. In the event a technology center school distric t ceases to | |
159 | 320 | exist, the assets and duties of said technology center school | |
160 | 321 | district are transferred to one or more other technology center | |
161 | 322 | school districts, said other technology center school district or | |
162 | 323 | districts do not agree to employ all of the former e mployees of the | |
163 | 324 | technology center school district that is ceasing to exist, and said | |
164 | 325 | former employees who are not being reemployed have rights under | |
165 | 326 | federal or state law to continue group insurance coverage, the | |
166 | 327 | annexing technology center school district h aving the largest | |
167 | 328 | general fund revenue for the most recent preceding fiscal year for | |
168 | 329 | which data is available shall provide group insurance coverage to | |
169 | 330 | said former employees not being retained during the period as | |
170 | 331 | required by law. | |
171 | - | ||
172 | 332 | SECTION 2. AMENDATORY 70 O.S. 2021, Section 26 -104, is | |
173 | 333 | amended to read as follows: | |
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174 | 360 | ||
175 | 361 | Section 26-104. A. Each fiscal year, the Legislature shall | |
176 | 362 | appropriate adequate funding to the State Board of Education and the | |
177 | 363 | State Board of Career and Technology Educat ion for the purpose of | |
178 | 364 | providing a flexible benefit allowan ce to school district employees | |
179 | 365 | pursuant to this act. Unless the Legislature appropriates adequate | |
180 | 366 | funding specifically for the purpose of providing a flexible benefit | |
181 | - | allowance to school district employees, the Oklahoma State Board of | |
367 | + | allowance to school district employees, the Oklahoma State Board of | |
182 | 368 | Education shall allocate from the funds appropriated to the Oklahoma | |
183 | 369 | State Board of Education for the support of public school activities | |
184 | 370 | an amount to fully fund the flexible benefit allowance, which shall | |
185 | 371 | occur first prior to allocating the funds for any other purpose. | |
186 | 372 | The amount appropriated for funding and disbursed to school | |
187 | 373 | districts shall be calculated by multiplying the number of eligible | |
188 | 374 | school district employees employed by school districts which are | |
189 | 375 | participating in the health insurance plan offered by the State and | |
190 | 376 | Education Employees Group Insurance Oklahoma Employees Insurance and | |
191 | 377 | Benefits Board or are self-insured as counted in February of each | |
192 | 378 | year by the amount of the flexible benefit allowance credite d to the | |
193 | 379 | eligible school employees as established in Sectio n 26-105 of this | |
194 | 380 | title. Each Board shall disburse the total amount appropriated for | |
195 | 381 | funding the flexible benefit allowance to school districts during | |
196 | 382 | the fiscal year. From the total amount approp riated, each Board | |
197 | 383 | shall disburse the appropriate amounts, based on the number of | |
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198 | 411 | eligible school district employees employed by that school district, | |
199 | 412 | to each school district. | |
200 | - | ||
201 | 413 | B. Every school district shall establish or make available to | |
202 | 414 | school district employees a cafeteria plan pursuant to 26 U.S.C. | |
203 | 415 | Section 125 of the United States Code. The plan shall offer, as a | |
204 | 416 | benefit, major medical health care plan coverage. | |
205 | - | ||
206 | 417 | C. The flexible benefit allowance amount established pursuant | |
207 | 418 | to Section 26-105 of this title shall be credited to each eligible | |
208 | 419 | school district employee. School district employees shall elect | |
209 | 420 | whether to use the flexible benefit allowance to pay for coverage in | |
210 | 421 | the health insurance plan offered by the State and Education | |
211 | 422 | Employees Group Insura nce Oklahoma Employees Insurance and Benefits | |
212 | 423 | Board or the self-insured plan offered by the school district and | |
213 | 424 | may receive the excess flexible benefit allowance as taxable | |
214 | 425 | compensation as provided in Section 26 -105 of this title. | |
215 | - | ||
216 | 426 | D. The administrator of the cafeteria plan shall maintain a | |
217 | 427 | separate account for each participating school district employee. | |
218 | 428 | School districts shall forward the school district employee flexible | |
219 | 429 | benefit allowance amounts to the administrator for elected purchases | |
220 | 430 | of cafeteria plan benefits. | |
221 | - | ||
222 | 431 | E. Expenses included in an employee's salary adjustment | |
223 | 432 | agreement pursuant to the cafeteria plan shall be limited to | |
224 | 433 | expenses for: | |
225 | - | ENR. H. B. NO. 3586 Page 6 | |
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226 | 461 | 1. Premiums for any health insurance, health maintenance | |
227 | 462 | organization, life insurance, long term disability in surance, dental | |
228 | 463 | insurance or high deductible health benefit plan offered to | |
229 | 464 | employees and their dependents; and | |
230 | - | ||
231 | 465 | 2. All other eligible benefit programs offered under 26 U.S.C. | |
232 | 466 | Section 125 of the United States Code. | |
233 | - | ||
234 | 467 | F. The flexible benefit allowance amount established in Section | |
235 | 468 | 26-105 of this title shall not be i ncluded as income in computation | |
236 | 469 | of state retirement contributions and benefits or as part of the | |
237 | 470 | Minimum Salary Schedule for teachers established in Section 18 - | |
238 | 471 | 114.12 of this title. School distri cts shall not consider the | |
239 | 472 | flexible benefit allowance amount as income for eligible support | |
240 | 473 | employees and thereby shall not reduce the salary of an eligible | |
241 | 474 | support employee. | |
242 | - | ||
243 | 475 | SECTION 3. AMENDATORY 70 O.S. 2021, Section 26 -105, is | |
244 | 476 | amended to read as follows: | |
245 | - | ||
246 | 477 | Section 26-105. A. The flexible benefit allowance shall be | |
247 | 478 | used by a school district employee who is participating in the | |
248 | 479 | cafeteria plan to purchase major medical health care plan coverage | |
249 | 480 | offered by the school district throug h a cafeteria plan. Any excess | |
250 | 481 | flexible benefit allowance over the cost of the major medical | |
251 | 482 | coverage purchased by the employee who is participating in the | |
252 | 483 | cafeteria plan may be used to purchase any of the additional | |
253 | 484 | benefits offered by the school distric t or may be taken as taxable | |
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254 | 512 | compensation as provided in su bsection C of this section. Certified | |
255 | 513 | personnel who choose not to participate in the school -district- | |
256 | 514 | sponsored cafeteria plan shall receive Sixty -nine Dollars and | |
257 | 515 | seventy-one cents ($69.71) per mo nth as taxable compensation in lieu | |
258 | 516 | of the flexible benefit allowance amount provided in subsection B of | |
259 | 517 | this section. Support personnel who choose not to participate in | |
260 | 518 | the school-district-sponsored cafeteria plan shall receive One | |
261 | 519 | Hundred Eighty-nine Dollars and sixty-nine cents ($189.69) per month | |
262 | 520 | as taxable compensation in lieu of the flexible benefit allowance | |
263 | 521 | amount provided in subsection B of this section. | |
264 | - | ||
265 | 522 | B. Each eligible school district employee shall be credited | |
266 | 523 | annually with a specified amount as a flexible benefit allowance | |
267 | 524 | which shall be available for the purchase of benefits. The amount | |
268 | 525 | of the flexible benefit allowance credited to each eligible school | |
269 | 526 | district employee shall be communicated to the employee prior to the | |
270 | - | enrollment period for each plan year. ENR. H. B. NO. 3586 Page 7 | |
271 | - | ||
527 | + | enrollment period for each plan year. | |
272 | 528 | 1. For the fiscal year ending June 30, 20 02, the flexible | |
273 | 529 | benefit allowance amount for certified personnel shall be no less | |
274 | 530 | than Sixty-nine Dollars and seventy -one cents ($69.71) per month. | |
275 | 531 | For the fiscal year ending June 30, 2002, the f lexible benefit | |
276 | 532 | allowance amount for support personnel shall be no less than One | |
277 | 533 | Hundred Eighty-nine Dollars and sixty -nine cents ($189.69) per | |
278 | 534 | month. | |
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280 | 562 | 2. For the fiscal year ending June 30, 2004, the flexible | |
281 | 563 | benefit allowance amount for certified personn el shall be no less | |
282 | 564 | than fifty-eight percent (58%) of the p remium amount for the | |
283 | 565 | HealthChoice (Hi) option plan for an individual offered by the State | |
284 | 566 | and Education Employees Group Insurance Oklahoma Employees Insurance | |
285 | 567 | and Benefits Board. For the fiscal y ear ending June 30, 2003, and | |
286 | 568 | each fiscal year thereafter, the flexible benefit allowance amount | |
287 | 569 | for support personnel shall be no less than one hundred percent | |
288 | 570 | (100%) of the premium amount for the HealthChoice (Hi) option plan | |
289 | 571 | for an individual offered by the State and Education Employees Group | |
290 | 572 | Insurance Oklahoma Employees Insurance and Benefits Board. | |
291 | - | ||
292 | 573 | 3. For the fiscal year ending June 30, 2005, and each fiscal | |
293 | 574 | year thereafter, the flexible benefit allowance amount for certified | |
294 | 575 | personnel shall be no les s than one hundred percent (100%) of the | |
295 | 576 | premium amount for the HealthChoice (Hi) option plan for an | |
296 | 577 | individual offered by the State and Education Employees Group | |
297 | 578 | Insurance Oklahoma Employees Insurance and Benefits Board. | |
298 | - | ||
299 | 579 | C. If a school district employee who is participating in the | |
300 | 580 | cafeteria plan elects benefits whose sum total is less than the | |
301 | 581 | flexible benefit allowance, the employee shall receive any excess | |
302 | 582 | flexible benefit allowance as taxable compensation. Such taxable | |
303 | 583 | compensation shall be paid in su bstantially equal amounts each pay | |
304 | 584 | period over the plan year. Except as otherwise provided for in | |
305 | 585 | subsection D of this section, on termination during a plan year, a | |
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306 | 613 | participating school district employee shall have no right to | |
307 | 614 | receive any taxable cash com pensation allocated to the portion of | |
308 | 615 | the plan year after t he termination of the employee. | |
309 | - | ||
310 | 616 | D. In cases where the employee of a school district fulfills | |
311 | 617 | the terms of their contract and terminates employment for the | |
312 | 618 | subsequent year, the employee shall be en titled to the flexible | |
313 | 619 | benefit allowance for the remainder of the current benefit term. | |
314 | - | For purposes of this subsection, "benefit term" shall mean the | |
620 | + | For purposes of this subsection, "benefit term" shall mean the | |
315 | 621 | twelve-month period after the initiation of benefits for the | |
316 | 622 | position held by the employee. | |
317 | - | ||
318 | 623 | E. Each school district employee shall make an annual election | |
319 | 624 | of benefits under the plan during an enrollment period to be held | |
320 | 625 | prior to the beginning of each plan year. The enrollment period | |
321 | 626 | dates will be determined annually and will be announced by the | |
322 | 627 | school district, providing the enrollment period shall end no later | |
323 | 628 | than thirty (30) days before the beginning of the plan year. Each | |
324 | 629 | school district employee shall make an irrevocable advance election | |
325 | 630 | for the plan year or the remainder of the plan year pursuant to | |
326 | 631 | procedures the school district shall prescribe. | |
327 | - | ||
328 | 632 | F. The school district shall prescribe the forms that school | |
329 | 633 | district employees shall be required to use in making their | |
330 | 634 | elections, and may prescribe deadlines and other procedures for | |
331 | 635 | filing the elections. | |
332 | 636 | ||
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333 | 663 | G. School district employees hired after the closing of the | |
334 | 664 | enrollment period shall be allowed to make an election as provided | |
335 | 665 | in this act. | |
336 | - | ||
337 | 666 | H. A district board of education shall have the option of | |
338 | 667 | providing a flexible benefit allowance to the superinte ndent of the | |
339 | 668 | school district in an amount not more than the amount of the | |
340 | 669 | flexible benefit allowance established for certified personnel in | |
341 | 670 | subsection B of this section. Funding for the flexible benefit | |
342 | 671 | allowance for a superintendent shall be provided thr ough local | |
343 | 672 | revenue. | |
344 | - | ||
345 | 673 | SECTION 4. AMENDATORY 74 O.S. 2021, Section 85.58A, is | |
346 | 674 | amended to read as follows: | |
347 | - | ||
348 | 675 | Section 85.58A A. The Office of Management and Enterprise | |
349 | 676 | Services (OMES) shall establish for all state agencies, whether or | |
350 | 677 | not subject to the Oklahoma Central Purchasing Act, and oth er | |
351 | 678 | entities as provided by law a comprehensive professional risk | |
352 | 679 | management program which shall: | |
353 | - | ||
354 | 680 | 1. Identify and evaluate risks of loss and exposures to loss to | |
355 | 681 | officers, employees and properties; | |
356 | - | ||
357 | 682 | 2. Minimize risks through loss -prevention and loss-control | |
358 | 683 | programs; | |
359 | - | ENR. H. B. NO. 3586 Page 9 | |
360 | 684 | 3. Transfer risks, if economically advantageous to the state, | |
361 | 685 | by acquiring commercial insurance, contractual pass through of | |
362 | 686 | liability, or by other means; | |
363 | 687 | ||
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364 | 714 | 4. Consolidate and administe r risk management plans and | |
365 | 715 | programs including self -insurance programs, except State Employees | |
366 | 716 | Group Insurance; | |
367 | - | ||
368 | 717 | 5. Determine feasibility of and, if feasible, establish self - | |
369 | 718 | insurance programs, considering whether a program may be self - | |
370 | 719 | supporting to remain financially and actuarially sound; | |
371 | - | ||
372 | 720 | 6. Provide a system to allocate insurance and program costs to | |
373 | 721 | determine payment for insurance coverage and program expenses | |
374 | 722 | provided by the Office of Management and Enterprise Services; | |
375 | - | ||
376 | 723 | 7. When requested by a state re tirement system or the State and | |
377 | 724 | Education Employees Group Insurance Oklahoma Employees Insurance and | |
378 | 725 | Benefits Board, assist in obtaining insurance authorized by law. If | |
379 | 726 | requested by the Oklahoma State Regents for Higher Education, assist | |
380 | 727 | trust funds for which the State Regents serve as trustees in | |
381 | 728 | obtaining insurance authorized by law; | |
382 | - | ||
383 | 729 | 8. Assist state agencies and officers, employees, and members | |
384 | 730 | thereof, charged with licensing authority, in obtaining insurance | |
385 | 731 | for liability for judgments, based on the l icensing authority, | |
386 | 732 | rendered by any court pursuant to feder al law; | |
387 | - | ||
388 | 733 | 9. When requested by a public trust established pursuant to | |
389 | 734 | Title 60 of the Oklahoma Statutes of which the State of Oklahoma is | |
390 | 735 | the beneficiary, obtain, provide or assist the public trust in | |
391 | 736 | obtaining insurance authorized by law or trust indenture covering | |
392 | 737 | any board member, trustee, official, officer, employee or volunteer | |
738 | + | ||
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393 | 765 | for errors and omissions or liability risks arising from the | |
394 | 766 | performance of official duties pursuant to law or trust in denture; | |
395 | - | ||
396 | 767 | 10. When requested by the Oklahoma State Regents for Higher | |
397 | 768 | Education, for the purpose of insuring real property required | |
398 | 769 | pursuant to Section 4018 of Title 70 of the Oklahoma Statutes, of | |
399 | 770 | which the Oklahoma State Regents for Higher Education is t he | |
400 | 771 | beneficiary, obtain, provide or assist the Oklahoma State Regents | |
401 | 772 | for Higher Education in obtaining insurance for the real property | |
402 | 773 | pursuant to the provisions of this section; and | |
403 | - | ENR. H. B. NO. 3586 Page 10 | |
404 | 774 | 11. Authorize the Risk Management Administrator to declare an | |
405 | 775 | emergency for the purpose of mitigating damages to any state -owned | |
406 | 776 | property insured under the comprehensive professional risk | |
407 | 777 | management program administered by OMES. | |
408 | - | ||
409 | 778 | B. The Director of the Office of Management and Enterprise | |
410 | 779 | Services may hire or contract for the s ervices of a Risk Management | |
411 | 780 | Administrator to supervise the Comprehensive Professional Risk | |
412 | 781 | Management Program established pursuant to this section. If | |
413 | 782 | appointed by the Director as a state employee, the Risk Management | |
414 | 783 | Administrator shall be in the unclas sified service. | |
415 | - | ||
416 | 784 | C. The Risk Management Administrator shall evaluate insurance | |
417 | 785 | coverage needs and in force for state agencies, whether or not | |
418 | 786 | subject to the Oklahoma Central Purchasing Act, and other entities | |
419 | 787 | as provided by law. All entities shall submit to the Risk | |
788 | + | ||
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420 | 815 | Management Administrator all information which the Risk Management | |
421 | 816 | Administrator deems necessary to perform this duty. | |
422 | - | ||
423 | 817 | D. The Risk Management Administrator in conjunction with the | |
424 | 818 | State Purchasing Director under the authority of the Director o f the | |
425 | 819 | Office of Management and Enterprise Services may nego tiate insurance | |
426 | 820 | coverage and insurance -related services including, but not limited | |
427 | 821 | to, insurance brokerage and consulting services. The State | |
428 | 822 | Purchasing Director shall ensure open processes for so licitation and | |
429 | 823 | qualification of insurance coverage and services providers. The | |
430 | 824 | State Purchasing Director shall award contracts for insurance | |
431 | 825 | coverage and services to the provider or providers which offer the | |
432 | 826 | best and final terms and conditions. The State Purchasing Director | |
433 | 827 | may authorize the Risk Management Admi nistrator to bind for | |
434 | 828 | insurance coverage with providers. | |
435 | - | ||
436 | 829 | E. The school districts of this state may request the Risk | |
437 | 830 | Management Administrator to advise for the purchase of insurance | |
438 | 831 | coverage for the school districts. | |
439 | - | ||
440 | 832 | F. A state agency, whether or not subject to the Oklahoma | |
441 | 833 | Central Purchasing Act, that contemplates purchase of property and | |
442 | 834 | casualty insurance, shall provide details of the proposed purchase | |
443 | 835 | to the Risk Management Administrator for ap proval or disapproval | |
444 | 836 | prior to the purchase. | |
445 | 837 | ||
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446 | 864 | G. The Director of the Office of Management and Enterprise | |
447 | 865 | Services shall promulgate rules to effect the provisions of the | |
448 | - | comprehensive professional risk management program. ENR. H. B. NO. 3586 Page 11 | |
449 | - | ||
866 | + | comprehensive professional risk management program. | |
450 | 867 | H. 1. a. Any community action agen cy established pursuant to | |
451 | 868 | Sections 5035 through 5040 of this title may | |
452 | 869 | participate in the comprehensive professional risk | |
453 | 870 | management program established pursuant to this | |
454 | 871 | section for risks incurred as a result of operating a | |
455 | 872 | Head Start program or providing transportation | |
456 | 873 | services to the public. The Risk Managemen t | |
457 | 874 | Administrator shall obtain or provide for insurance | |
458 | 875 | coverage for such community action agencies or bonding | |
459 | 876 | for employees of such community action agencies. Any | |
460 | 877 | liability insurance coverage obtai ned or provided | |
461 | 878 | shall include expenses for administrative and legal | |
462 | 879 | services obtained or provided by the Risk Management | |
463 | 880 | Administrator. | |
464 | - | ||
465 | 881 | b. The Risk Management Administrator shall determine | |
466 | 882 | criteria for participation in the risk management | |
467 | 883 | program by such community action agencies. In | |
468 | 884 | addition, the Risk Management Administrator may | |
469 | 885 | require each such community action agency to: | |
470 | - | ||
471 | 886 | (1) provide adequate qualified personnel and suitable | |
472 | 887 | facilities and equipment for operating a Head | |
888 | + | ||
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473 | 915 | Start program or providing trans portation | |
474 | 916 | services to the public, and | |
475 | - | ||
476 | 917 | (2) comply with such standards as are necessary for | |
477 | 918 | the protection of the clients it serves. | |
478 | - | ||
479 | 919 | 2. To receive coverage pursuant to this section, a community | |
480 | 920 | action agency shall make payments for any insurance coverage an d | |
481 | 921 | shall otherwise comply with the provisions of this sectio n and rules | |
482 | 922 | promulgated by the Office pursuant to the provisions of this | |
483 | 923 | section. | |
484 | - | ||
485 | 924 | 3. Requests for the insurance coverage provided pursuant to the | |
486 | 925 | provisions of this subsection shall be submitted i n writing to the | |
487 | 926 | Risk Management Administrator by the community action agencies. | |
488 | - | ||
489 | 927 | I. The Risk Management Administrator may provide or obtain for | |
490 | 928 | any state agency, public trust with the state as a beneficiary and a | |
491 | 929 | director, officer, employee or member ther eof, insurance for | |
492 | 930 | liability for loss, including judgments, awards, settlements, costs | |
493 | - | and legal expenses, resulting from violations of rights or | |
931 | + | and legal expenses, resulting from violations of rights or | |
494 | 932 | privileges secured by the Constitution or laws of the United States | |
495 | 933 | of America which occur while a director, o fficer, employee or member | |
496 | 934 | is acting within the scope of service to the State of Oklahoma. The | |
497 | 935 | insurance shall be for coverage in excess of the limits on liability | |
498 | 936 | established by The Governmental Tort Claims Act but shall not limit | |
499 | 937 | or waive any immunities now or hereafter available to the State of | |
500 | 938 | Oklahoma or any state agency, any public trust with the state as a | |
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501 | 966 | beneficiary, or any director, officer, employee or member thereof | |
502 | 967 | including, but not limited to, any immunities under the Eleventh | |
503 | 968 | Amendment to the Constitution of the United States, state sovereign | |
504 | 969 | immunity, and any absolute or qualified immunity held by any | |
505 | 970 | director, officer, employee or member. | |
506 | - | ||
507 | 971 | SECTION 5. AMENDATORY 74 O.S. 2021, Section 1316.2, is | |
508 | 972 | amended to read as fo llows: | |
509 | - | ||
510 | 973 | Section 1316.2 A. Any employee, other than an educ ation | |
511 | 974 | employee, who retires pursuant to the provisions of the Oklahoma | |
512 | 975 | Public Employees Retirement System or who has a vested benefit | |
513 | 976 | pursuant to the provisions of the Oklahoma Public Employees | |
514 | 977 | Retirement System may continue in force the health and dental | |
515 | 978 | insurance benefits authorized by the provisions of the Oklahoma | |
516 | 979 | Employees Insurance and Benefits Act, or other employer insurance | |
517 | 980 | benefits if the employer does not participate in the plans offered | |
518 | 981 | by the Office of Management and Enterprise Services, if suc h | |
519 | 982 | election to continue in force is made within thirty (30) days from | |
520 | 983 | the date of termination of service. Except as otherwise provided | |
521 | 984 | for in Section 840-2.27I of this title and subsection H of this | |
522 | 985 | section, health and dental insurance coverage may not be reinstated | |
523 | 986 | at a later time if the election to continue in force is declined. | |
524 | 987 | Vested employees other than education employees who have terminated | |
525 | 988 | service and are not receiving benefits and effectiv e July 1, 1996, | |
526 | 989 | nonvested persons who have terminated servi ce with more than eight | |
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527 | 1017 | (8) years of participating service with a participating employer, | |
528 | 1018 | who within thirty (30) days from the date of termination of service | |
529 | 1019 | elect to continue such coverage, shall pay the full cost of the | |
530 | 1020 | insurance premium at the rate and pursuant to the terms and | |
531 | 1021 | conditions established by the Office. Provided also, any employee | |
532 | 1022 | other than an education employee who commences employment with a | |
533 | 1023 | participating employer on or after Sept ember 1, 1991, who terminates | |
534 | 1024 | service with such employer on or after July 1, 1996, but who | |
535 | 1025 | otherwise has insufficient years of service to retire or terminate | |
536 | 1026 | service with a vested benefit pursuant to the provisions of the | |
537 | 1027 | Oklahoma Public Employees Retireme nt System or to elect to continue | |
538 | - | coverage as a nonvested employee as provided in this section, but | |
1028 | + | coverage as a nonvested employee as provided in this section, but | |
539 | 1029 | who, immediately prior to employment with the participating | |
540 | 1030 | employer, was covered as a dependent on the health and dental | |
541 | 1031 | insurance policy of a spouse who w as an active employee other than | |
542 | 1032 | an education employee, may count as part of his or her credited | |
543 | 1033 | service for the purpose of determining eligibility to elect to | |
544 | 1034 | continue coverage under this section, the time during which the | |
545 | 1035 | terminating employee was covered as such a dependent. | |
546 | - | ||
547 | 1036 | B. 1. Health insurance benefit plans offered pursuant to this | |
548 | 1037 | section shall include: | |
549 | - | ||
550 | 1038 | a. indemnity plans offered through the Office, | |
551 | - | ||
552 | 1039 | b. managed care plans offered as alternatives to the | |
553 | 1040 | indemnity plans offered through the Office, | |
554 | 1041 | ||
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555 | 1068 | c. Medicare supplements offered pursuant to the Oklahoma | |
556 | 1069 | Employees Insurance and Benefits Act, | |
557 | - | ||
558 | 1070 | d. Medicare risk-sharing contracts offered as | |
559 | 1071 | alternatives to the Medicare supplements offered | |
560 | 1072 | through the Office. All Medicare risk -sharing | |
561 | 1073 | contracts shall be sub ject to a risk adjustment | |
562 | 1074 | factor, based on generally accepted actuarial | |
563 | 1075 | principles for adverse selection which may occur, and | |
564 | - | ||
565 | 1076 | e. for the Oklahoma Public Employees Retirement System, | |
566 | 1077 | other employer-provided health insurance benefit plans | |
567 | 1078 | if the employer does not participate in the plans | |
568 | 1079 | offered pursuant to the Okla homa Employees Insurance | |
569 | 1080 | and Benefits Act. | |
570 | - | ||
571 | 1081 | 2. Health insurance benefit plans offered pursuant to this | |
572 | 1082 | section shall provide prescription drug benefits, except for plans | |
573 | 1083 | designed pursuant to the Me dicare Prescription Drug Improvement and | |
574 | 1084 | Modernization Act of 2003, pursuant to 42 USCA Section 1395w -101, et | |
575 | 1085 | seq., for which provision of prescription drug benefits is optional, | |
576 | 1086 | and except for plans offered pursuant to subparagraph e of paragraph | |
577 | 1087 | 1 of this subsection. | |
578 | - | ||
579 | 1088 | C. 1. Designated public retirement systems shall contribute a | |
580 | 1089 | monthly amount towards the health insurance premium of certain | |
581 | 1090 | individuals receiving benefits from the public retirement system as | |
582 | 1091 | follows: | |
583 | - | ENR. H. B. NO. 3586 Page 14 | |
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584 | 1119 | a. a retired employee, other than an e ducation employee | |
585 | 1120 | or an employee who participates in the defined | |
586 | 1121 | contribution system administered by the Oklahoma | |
587 | 1122 | Public Employees Retirement System on or after | |
588 | 1123 | November 1, 2015, who is receiving benefits from the | |
589 | 1124 | Oklahoma Public Employees Retirement Syste m after | |
590 | 1125 | September 30, 1988, shall have One Hundred Five | |
591 | 1126 | Dollars ($105.00), or the premium rate of the health | |
592 | 1127 | insurance benefit plan, whichever is less, paid by the | |
593 | 1128 | Oklahoma Public Employees Retirement System to the | |
594 | 1129 | Board or to another insurance carrier or other | |
595 | 1130 | qualified benefits administrator of the employer if | |
596 | 1131 | the employer does not participate in the plans offered | |
597 | 1132 | by the Office in the manner specified in subsection G | |
598 | 1133 | of this section, | |
599 | - | ||
600 | 1134 | b. a retired employee or surviving spouse other than an | |
601 | 1135 | education employee who is receiving benefits from the | |
602 | 1136 | Oklahoma Law Enforcem ent Retirement System after | |
603 | 1137 | September 30, 1988, is under sixty -five (65) years of | |
604 | 1138 | age and is not otherwise eligible for Medicare shall | |
605 | 1139 | have the premium rate for the health insurance benefit | |
606 | 1140 | plan or One Hundred Five Dollars ($105.00), whichever | |
607 | 1141 | is less, paid by the Oklahoma Law Enforcement | |
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608 | 1169 | Retirement System to the Office in the manner | |
609 | 1170 | specified in subsection G of this section, | |
610 | - | ||
611 | 1171 | c. a retired employee other than an education employee | |
612 | 1172 | who is receiving benefits from the Oklahoma Law | |
613 | 1173 | Enforcement Retirement System after September 30, | |
614 | 1174 | 1988, is sixty-five (65) years of age or older or who | |
615 | 1175 | is under sixty-five (65) years of age and is eligible | |
616 | 1176 | for Medicare shall have One Hundred Five Dollars | |
617 | 1177 | ($105.00), or the pr emium rate of the health insurance | |
618 | 1178 | benefit plan, whichever is less, paid by the Oklahoma | |
619 | 1179 | Law Enforcement Retirement System to the Office in the | |
620 | 1180 | manner specified in subsection G of this section, and | |
621 | - | ||
622 | 1181 | d. a retired employee other than an education employee | |
623 | 1182 | who is receiving benefits from the Uniform Retirement | |
624 | 1183 | System for Justices and Judges after September 30, | |
625 | 1184 | 1988, shall have One Hundred Five Dollars ($105.00), | |
626 | 1185 | or the premium rate of the health insurance plan, | |
627 | - | whichever is less, paid by the Uniform Retirement | |
1186 | + | whichever is less, paid by the Uniform Retirement | |
628 | 1187 | System for Justices and Judges to the Office in the | |
629 | 1188 | manner specified in subsection G of this section. | |
630 | - | ||
631 | 1189 | 2. Premium payments made pursuant to this section shall be made | |
632 | 1190 | subject to the following conditions: | |
633 | - | ||
634 | 1191 | a. the health plan shall be authorized by the provisi ons | |
635 | 1192 | of the Oklahoma Employees Insurance and Benefits Act, | |
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636 | 1220 | except that if an employer from which an employee | |
637 | 1221 | retired or with a vested benefit pursuant to the | |
638 | 1222 | provisions of the Oklahoma Public Employees Retirement | |
639 | 1223 | System does not participate in the plans aut horized by | |
640 | 1224 | the provisions of the Oklahoma Employees Insurance and | |
641 | 1225 | Benefits Act, the health plan will be the health | |
642 | 1226 | insurance benefits of the employer from which the | |
643 | 1227 | individual retired or vested, | |
644 | - | ||
645 | 1228 | b. for plans offered by the Oklahoma Employees Insurance | |
646 | 1229 | and Benefits Act, the amount to be paid shall be | |
647 | 1230 | determined pursuant to the provisions of this | |
648 | 1231 | subsection and shall first be applied in whole or in | |
649 | 1232 | part to the prescription drug coverage premium. Any | |
650 | 1233 | remaining amount shall be applied toward the medical | |
651 | 1234 | coverage premium, | |
652 | - | ||
653 | 1235 | c. for all plans, if the amount paid by the public | |
654 | 1236 | retirement system does not cover the full cost of the | |
655 | 1237 | elected coverage, the individual shall pay the | |
656 | 1238 | remaining premium amount, and | |
657 | - | ||
658 | 1239 | d. payment shall be made by the retirement systems in the | |
659 | 1240 | manner specified under subsection G of this section. | |
660 | - | ||
661 | 1241 | D. For any member of the Oklahoma Law Enforcement Retirement | |
662 | 1242 | System killed in the line of duty, whether the member was killed in | |
663 | 1243 | the line of duty prior to May 18, 2005, or on or after May 18, 2005, | |
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664 | 1271 | or if the member was on a disability leave status at the time of | |
665 | 1272 | death, the surviving spouse or dependents of such deceased member of | |
666 | 1273 | the Oklahoma Law Enforcement Retirement System may elect to continue | |
667 | 1274 | or commence health and dental insurance benefits, provided th e | |
668 | 1275 | dependents pay the full cost of such insurance, and for d eaths | |
669 | 1276 | occurring on or after July 1, 2002, such election is made within | |
670 | 1277 | thirty (30) days of the date of death. The eligibility for the | |
671 | 1278 | benefits shall terminate for the surviving children when the | |
672 | - | children cease to quali fy as dependents. ENR. H. B. NO. 3586 Page 16 | |
673 | - | ||
1279 | + | children cease to qualify as dependents. | |
674 | 1280 | E. Effective July 1, 2004, a retired member of the Oklahoma Law | |
675 | 1281 | Enforcement Retirement System who retired from the System by means | |
676 | 1282 | of a personal and traumatic injury of a catastrophic nature and in | |
677 | 1283 | the line of duty and any surviving spouse of such retired member and | |
678 | 1284 | any surviving spouse of a member who was killed in the line of duty | |
679 | 1285 | shall have one hundred percent (100%) of the retired member's or | |
680 | 1286 | surviving spouse's health care premium cost, whether the member or | |
681 | 1287 | surviving spouse elects coverage under the Medicare supplement or | |
682 | 1288 | Medicare risk-sharing contract, paid by the Oklahoma Law Enforcement | |
683 | 1289 | Retirement System to the Office in the manner specified in | |
684 | 1290 | subsection H of this section. For plans offered by the Office, su ch | |
685 | 1291 | contributions will first be applied in whole or in part to the | |
686 | 1292 | prescription drug coverage premium, if any. | |
687 | - | ||
688 | 1293 | F. Dependents of a deceased employee who was on active work | |
689 | 1294 | status or on a disability leave at the time of death or of a | |
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690 | 1322 | participating retardant or of any person who has elected to receive | |
691 | 1323 | a vested benefit under the Oklahoma Public Employees Retirement | |
692 | 1324 | System, the Uniform Retirement System for Justices and Judges or the | |
693 | 1325 | Oklahoma Law Enforcement Retirement System may continue the health | |
694 | 1326 | and dental insurance benefits in force, provided the dependents pay | |
695 | 1327 | the full cost of such insurance and they were covered as eligible | |
696 | 1328 | dependents at the time of such death and such election is made | |
697 | 1329 | within thirty (30) days of date of death. The eligibility for the | |
698 | 1330 | benefits shall terminate for the surviving children when the | |
699 | 1331 | children cease to qualify as dependents. | |
700 | - | ||
701 | 1332 | G. The amounts required to be paid by the Oklahoma Public | |
702 | 1333 | Employees Retirement System, the Uniform Retirement System for | |
703 | 1334 | Justices and Judges and the Oklahoma Law Enforcement Retirement | |
704 | 1335 | System pursuant to this section shall be forwarded no later than the | |
705 | 1336 | tenth day of each month following the month for which payment is due | |
706 | 1337 | by the Oklahoma Public Employees Retirement System Board of Trustees | |
707 | 1338 | or the Oklahoma Law E nforcement Retirement Board to the Office for | |
708 | 1339 | deposit in the Health, Dental and Life Insurance Reserve Fund or to | |
709 | 1340 | another insurance carrier or other administrator of qualified | |
710 | 1341 | benefits of the employer as provided for in subsection H of Section | |
711 | 1342 | 1315 of this title. | |
712 | - | ||
713 | 1343 | H. Upon retirement from employment of the Board of Regents of | |
714 | 1344 | the University of Oklahoma, any person who was or is employed at the | |
715 | 1345 | George Nigh Rehabilitation Institute and who transferred employment | |
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716 | 1373 | pursuant to Section 3427 of Title 70 of the Okla homa Statutes, any | |
717 | - | person who was employed at the Medical Technology and Research | |
1374 | + | person who was employed at the Medical Technology and Research | |
718 | 1375 | Authority and who transferred employment pursuant to Section 7068 of | |
719 | 1376 | this title and any person who is a member of the Oklahoma Law | |
720 | 1377 | Enforcement Retirement System pursuant to t he authority of Section | |
721 | 1378 | 2-314 of Title 47 of the Oklahoma S tatutes may participate in the | |
722 | 1379 | benefits authorized by the provisions of the Oklahoma Employees | |
723 | 1380 | Insurance and Benefits Act for retired participants including | |
724 | 1381 | health, dental and life insurance benefi ts, if such election to | |
725 | 1382 | participate is made within thirty (30) days from the date of | |
726 | 1383 | termination of service. Life insurance benefits for any such person | |
727 | 1384 | who transferred employment shall not exceed the coverage the person | |
728 | 1385 | had at the time of such transfer. Retirees who transferred | |
729 | 1386 | employment and who participate pu rsuant to this paragraph shall pay | |
730 | 1387 | the premium for elected benefits less any amounts paid by a state | |
731 | 1388 | retirement system pursuant to this section. | |
732 | - | ||
733 | 1389 | SECTION 6. AMENDATORY 74 O .S. 2021, Section 1321, is | |
734 | 1390 | amended to read as follows: | |
735 | - | ||
736 | 1391 | Section 1321. A. The Office of Management and Enterprise | |
737 | 1392 | Services shall have the authority to determine all rates and life, | |
738 | 1393 | dental and health benefits. All rates shall be compiled in a | |
739 | 1394 | comprehensive Schedule of Benefits. The Schedule of Benefits shall | |
740 | 1395 | be available for inspection during regular business hours at the | |
741 | 1396 | Office of Management and Enterprise Services. The Office shall have | |
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742 | 1424 | the authority to annually adjust the rates and benefits based on | |
743 | 1425 | claim experience. | |
744 | - | ||
745 | 1426 | B. The premiums for such insurance plans offered for the next | |
746 | 1427 | plan year shall be established as follows: | |
747 | - | ||
748 | 1428 | 1. For active employees and their dependents, the Office's | |
749 | 1429 | premium determination shall be made no later than the bid submission | |
750 | 1430 | date for health maintenance organizations set by the Oklahoma State | |
751 | 1431 | Employees Benefits Council Oklahoma Employees Insurance and Benefits | |
752 | 1432 | Board, which shall be set in August no later than the third Friday | |
753 | 1433 | of that month; and | |
754 | - | ||
755 | 1434 | 2. For all other covered members and dependents, the Office's | |
756 | 1435 | and the health maintenance organizations' premium determinations | |
757 | 1436 | shall be no later than the fourth Friday of September. | |
758 | - | ||
759 | 1437 | C. The Office may approve a mid -year adjustment provided the | |
760 | 1438 | need for an adjustment is substantiated by an act uarial | |
761 | 1439 | determination or more current experience rating. Th e only | |
762 | - | publication or notice requirements that shall apply | |
1440 | + | publication or notice requirements that shall apply to the Schedule | |
763 | 1441 | of Benefits shall be those requirements provided in the Oklahoma | |
764 | 1442 | Open Meeting Act. It is the intent of the Legislature th at the | |
765 | 1443 | benefits provided not include cosmetic dental procedures except for | |
766 | 1444 | certain orthodontic procedures as adopted by the Director. | |
767 | - | ||
768 | 1445 | SECTION 7. AMENDATORY 74 O.S. 2021, Section 1332, is | |
769 | 1446 | amended to read as follows: | |
1447 | + | ||
1448 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 29 | |
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770 | 1473 | ||
771 | 1474 | Section 1332. A. The State and Education Employees Group | |
772 | 1475 | Insurance Oklahoma Employees Insurance and Benefits Board shall | |
773 | 1476 | establish a Disability Insurance Program for state employees. The | |
774 | 1477 | program shall consist of a long -term disability plan and a short - | |
775 | 1478 | term disability plan. Participation in the program shall be limited | |
776 | 1479 | to state employees who have been state employees for a period of not | |
777 | 1480 | less than one (1) month and who are eligible for enrollment in the | |
778 | 1481 | Health Insurance Plan administered by the Board. No state employee | |
779 | 1482 | shall be eligible to receive any benefits from the long -term | |
780 | 1483 | disability program unless the state employee has used all of the | |
781 | 1484 | sick leave of the employee. The Board shall promulgate such rules | |
782 | 1485 | as are necessary for adoption and administration of the Disabi lity | |
783 | 1486 | Insurance Program, including but not limited to benefit eligibility | |
784 | 1487 | requirements, methods for computing benefit amounts, benefits | |
785 | 1488 | amounts, and verification of medical and health status of employees | |
786 | 1489 | applying for or receiving benefits. | |
787 | - | ||
788 | 1490 | B. The Disability Insurance Program shall be funded from | |
789 | 1491 | appropriations made by the Legislature. Employees shall not be | |
790 | 1492 | required to make contributions to participate in the program. | |
791 | - | ||
792 | 1493 | C. Employee disability insurance coverage shall begin on March | |
793 | 1494 | 1, 1986. | |
794 | - | ||
795 | 1495 | D. The Board shall establish a grievance procedure by which a | |
796 | 1496 | three-member grievance panel established in the same manner as | |
797 | 1497 | specified in paragraph 6 of Section 1306 Section 1304.1 of this | |
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1499 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 30 | |
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798 | 1525 | title shall act as an appeals body for complaints regarding the | |
799 | 1526 | allowance and payment of claims, eligibility, and other matters. | |
800 | 1527 | The grievance procedure provided by this subsection shall be the | |
801 | 1528 | exclusive remedy available to persons having complaints against the | |
802 | 1529 | insurer. Such grievance procedure shall be subject to the Oklahoma | |
803 | 1530 | Administrative Procedures Act, including provisions for the review | |
804 | 1531 | of agency decisions by the district court. The grievance panel | |
805 | 1532 | shall schedule a hearing regarding the allowance and payment of | |
806 | 1533 | claims, eligibility and other matters within sixty (60) days from | |
807 | - | the date the grievance | |
1534 | + | the date the grievance panel receives a written request for a | |
808 | 1535 | hearing. Upon written request to the grievance panel received not | |
809 | 1536 | less than ten (10) days before the hearing date, the grievance panel | |
810 | 1537 | shall cause a full stenographic record of the proceedings to be made | |
811 | 1538 | by a licensed or certified court reporter at the insured employee's | |
812 | 1539 | expense. | |
813 | - | ||
814 | 1540 | E. The Board may establish a claim processing division for | |
815 | 1541 | claims administration or may contract for claims administration | |
816 | 1542 | services with a private insurance carrier or a company that | |
817 | 1543 | specializes in claims administration of any i nsurance that the Board | |
818 | 1544 | may be directed to offer. | |
819 | - | ||
820 | 1545 | SECTION 8. AMENDATORY 74 O.S. 2021, Section 1332.1, is | |
821 | 1546 | amended to read as follows: | |
822 | - | ||
823 | 1547 | Section 1332.1 A. The State and Education Employees Group | |
824 | 1548 | Insurance The Oklahoma Employees Insurance and Benefits Board shall | |
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825 | 1576 | collect from state agencies each month, the premium amount, as | |
826 | 1577 | determined by the Board, for each employee of a state agency that | |
827 | 1578 | participates in the Disability Insura nce Program. Said sum shall be | |
828 | 1579 | deposited in the State Empl oyees Disability Insurance Reserve Fund | |
829 | 1580 | for use in accordance with law. | |
830 | - | ||
831 | 1581 | B. The State and Education Employees Group Insurance Oklahoma | |
832 | 1582 | Employees Insurance and Benefits Board shall submit a monthly | |
833 | 1583 | statement of the revenues and disbursements of the Disability | |
834 | 1584 | Insurance Program to the Governor, the Speaker of the House of | |
835 | 1585 | Representatives, the President Pro Tempore of the Senate and the | |
836 | 1586 | Legislative Service Bureau. The Legislative Service Bureau shall | |
837 | 1587 | distribute copies of such monthly statements to the fiscal staff of | |
838 | 1588 | the House of Representatives and the State Senate. | |
839 | - | ||
840 | 1589 | C. On or before March 1 of each year, the State and Education | |
841 | 1590 | Employees Group Insurance Oklahoma Employees Insurance and Benefits | |
842 | 1591 | Board shall submit a report of the actuarially -determined future | |
843 | 1592 | needs of the Disability Insurance Program. Said report shall be | |
844 | 1593 | submitted and distributed as provided for in subsection B of this | |
845 | 1594 | section. | |
846 | - | ||
847 | 1595 | D. The Board shall provide for the continuation of depen dent | |
848 | 1596 | health coverage to disability recipients for that peri od of time | |
849 | 1597 | when the employee is qualified as disabled but not yet received | |
850 | 1598 | disability benefit income. | |
851 | - | ENR. H. B. NO. 3586 Page 20 | |
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852 | 1626 | E. The Board shall deduct all dependent health coverage | |
853 | 1627 | premiums due and owing from the first retroactive disability payment | |
854 | 1628 | and each payment thereafter. | |
855 | - | ||
856 | 1629 | SECTION 9. AMENDATORY 74 O.S. 2021, Section 1346, is | |
857 | 1630 | amended to read as follows: | |
858 | - | ||
859 | 1631 | Section 1346. There is hereby created in the State Treasury a | |
860 | 1632 | revolving fund for the State and Education Employees Group Insurance | |
861 | 1633 | Oklahoma Employees Insurance and Benefits Board to be designated the | |
862 | 1634 | "Flexible Benefit Revolving Fund". The fund shall be a continuing | |
863 | 1635 | fund, not subject to fiscal year limitations, and shall consist of | |
864 | 1636 | employee payroll deductions and contributions for flexible spending | |
865 | 1637 | accounts. All monies accruing to the credit of said fund are hereby | |
866 | 1638 | appropriated and may be budgeted and expended by the State and | |
867 | 1639 | Education Employees Group Insurance Oklahoma Employees Insurance a nd | |
868 | 1640 | Benefits Board for expenses of the state employees flexi ble benefits | |
869 | 1641 | plan and for expenses authorized by law. The State and Education | |
870 | 1642 | Employees Group Insurance Oklahoma Employees Insurance and Benefits | |
871 | 1643 | Board is authorized to pay employee claim costs as sociated with the | |
872 | 1644 | state employees flexible benefits plan from monies accrued for said | |
873 | 1645 | purpose. Expenditures from said funds shall be pursuant to the laws | |
874 | 1646 | of the state and statutes relating to the state employees flexible | |
875 | 1647 | benefits plan. | |
876 | - | ||
877 | 1648 | SECTION 10. AMENDATORY 74 O.S. 2021, Section 1370, is | |
878 | 1649 | amended to read as follows: | |
1650 | + | ||
1651 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 33 | |
1652 | + | (Bold face denotes Committee Amendments) 1 | |
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879 | 1676 | ||
880 | 1677 | Section 1370. A. Subject to the requirement that a participant | |
881 | 1678 | must elect the default benefits, the basic plan, or is a person who | |
882 | 1679 | has retired from a branch of the Un ited States military and has been | |
883 | 1680 | provided with health care through a federal plan, to the extent that | |
884 | 1681 | it is consistent with federal law, or is an active employee who is | |
885 | 1682 | eligible to participate and who is a participant who has opted out | |
886 | 1683 | of the state's basic plan according to the provisions of Section | |
887 | 1684 | 1308.3 of this title, and provides proof of this coverage, flexible | |
888 | 1685 | benefit dollars may be used to purchase any of the benefits offered | |
889 | 1686 | by the Oklahoma State Employees Benefits Council Oklahoma Employees | |
890 | 1687 | Insurance and Benefits Board under the flexible benefits plan. A | |
891 | 1688 | participant who has opted out of the state's basic plan and provided | |
892 | 1689 | proof of other coverage as described in this subsection shall | |
893 | 1690 | receive One Hundred Fifty Dollars ($150.00) in lieu of the flexib le | |
894 | 1691 | benefit monthly. A participant's flexible benefit dolla rs for a | |
895 | - | plan year shall consist of the sum of (1) flexible benefit allowance | |
1692 | + | plan year shall consist of the sum of (1) flexible benefit allowance | |
896 | 1693 | credited to a participant by the participating employer, and (2) pay | |
897 | 1694 | conversion dollars elected by a participant. | |
898 | - | ||
899 | 1695 | B. Each participant shall be credited annually with a specified | |
900 | 1696 | amount as a flexible benefit allowance which shall be available for | |
901 | 1697 | the purchase of benefits. For participants on a biweekly payroll | |
902 | 1698 | system the disbursement of the flexible benefit allowance shal l be | |
903 | 1699 | credited over twenty -four pay periods resulting in two pay periods | |
904 | 1700 | that do not reflect a credit. The amount of the flexible benefit | |
1701 | + | ||
1702 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 34 | |
1703 | + | (Bold face denotes Committee Amendments) 1 | |
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1727 | + | ||
905 | 1728 | allowance credited to each participant shall be communicated to him | |
906 | 1729 | or her prior to the enrollment period for each pla n year. | |
907 | - | ||
908 | 1730 | C. Except as provided in subsection D of this section, for the | |
909 | 1731 | plan year beginning January 1, 2013, the benefit allowance shall not | |
910 | 1732 | be less than the Plan Year 2012 benefit allowance amounts, and each | |
911 | 1733 | plan year thereafter, the amount of a participa nt's benefit | |
912 | 1734 | allowance, which shall be the total amount the employer contributes | |
913 | 1735 | for the payment of insurance premiums or other benefits, shall be: | |
914 | - | ||
915 | 1736 | 1. The greater of the amount of benefit which the participant | |
916 | 1737 | would have qualified for as of plan year 2021 , or an amount equal to | |
917 | 1738 | the monthly premium of the HealthChoice High Option plan, the | |
918 | 1739 | average monthly premiums of the dental plans, the monthly premium of | |
919 | 1740 | the disability plan, and the monthly premium of the basic life | |
920 | 1741 | insurance plan offered to state employ ees or the amount determined | |
921 | 1742 | by the Council based on a form ula for determining a participant's | |
922 | 1743 | benefit credits consistent with the requirements of 26 U.S.C., | |
923 | 1744 | Section 125(g)(2) and regulations thereunder; | |
924 | - | ||
925 | 1745 | 2. The greater of the amount of benefit which the p articipant | |
926 | 1746 | would have qualified for as of plan year 2021 or an amount equal to | |
927 | 1747 | the monthly premium of the HealthChoice High Option plan, the | |
928 | 1748 | average monthly premiums of the dental plans, the monthly premium of | |
929 | 1749 | the disability plan, and the monthly premium o f the basic life | |
930 | 1750 | insurance plan offered to state employees plus one of the additional | |
1751 | + | ||
1752 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 35 | |
1753 | + | (Bold face denotes Committee Amendments) 1 | |
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931 | 1778 | amounts as follows for participants who elect to include one or more | |
932 | 1779 | dependents: | |
933 | - | ||
934 | 1780 | a. for a spouse, seventy -five percent (75%) of the | |
935 | 1781 | HealthChoice High Option plan, availab le for coverage | |
936 | 1782 | of a spouse, | |
937 | - | ||
938 | 1783 | b. for one child, seventy -five percent (75%) of the | |
939 | 1784 | HealthChoice High Option plan, for coverage of one | |
940 | - | child, ENR. H. B. NO. 3586 Page 22 | |
941 | - | ||
1785 | + | child, | |
942 | 1786 | c. for two or more children, seventy -five percent (75%) | |
943 | 1787 | of the HealthChoice High Option plan, for coverage of | |
944 | 1788 | two or more children, | |
945 | - | ||
946 | 1789 | d. for a spouse and one child, seventy -five percent (75%) | |
947 | 1790 | of the HealthChoice High Option plan, for coverage of | |
948 | 1791 | a spouse and one child, or | |
949 | - | ||
950 | 1792 | e. for a spouse and two or more children, seventy -five | |
951 | 1793 | percent (75%) of the HealthChoice High Option p lan, | |
952 | 1794 | for coverage of a spouse and two or more children; | |
953 | - | ||
954 | 1795 | 3. For the plan year beginning January 1, 2022, the amount of a | |
955 | 1796 | participant's benefit allowance shall be increased by two percent | |
956 | 1797 | (2%) from the amount provided in the previous year; | |
957 | - | ||
958 | 1798 | 4. For the plan year beginning January 1, 2023, the amount of a | |
959 | 1799 | participant's benefit allowance shall be increased by two percent | |
960 | 1800 | (2%) from the amount provided in the previous year; or | |
1801 | + | ||
1802 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 36 | |
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961 | 1827 | ||
962 | 1828 | 5. The greater of the amount of benefit which the participant | |
963 | 1829 | would have qualified for as of plan year 2023, or an amount equal to | |
964 | 1830 | the monthly premium of the HealthChoice High Option plan, the | |
965 | 1831 | average monthly premiums of the dental plans, the monthly premium of | |
966 | 1832 | the disability plan and the monthly premium of the basic life | |
967 | 1833 | insurance plan offered to state employees plus one of the additional | |
968 | 1834 | amounts as follows for participants who elect to include one or more | |
969 | 1835 | dependents: | |
970 | - | ||
971 | 1836 | a. for a spouse, seventy -five percent (75%) of the | |
972 | 1837 | HealthChoice High Option plan, available for coverage | |
973 | 1838 | of a spouse, | |
974 | - | ||
975 | 1839 | b. for one child, seventy-five percent (75%) of the | |
976 | 1840 | HealthChoice High Option plan, for coverage of one | |
977 | 1841 | child, | |
978 | - | ||
979 | 1842 | c. for two or more children, seventy -five percent (75%) | |
980 | 1843 | of the HealthChoice High Option plan, for coverage of | |
981 | 1844 | two or more children, | |
982 | - | ||
983 | 1845 | d. for a spouse and one child, seventy-five percent (75%) | |
984 | 1846 | of the HealthChoice H igh Option plan, for coverage of | |
985 | - | a spouse and one child, or ENR. H. B. NO. 3586 Page 23 | |
986 | - | ||
1847 | + | a spouse and one child, or | |
987 | 1848 | e. for a spouse and two or more children, seventy -five | |
988 | 1849 | percent (75%) of the HealthChoice High Option plan, | |
989 | 1850 | for coverage of a spouse and t wo or more children. | |
1851 | + | ||
1852 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 37 | |
1853 | + | (Bold face denotes Committee Amendments) 1 | |
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990 | 1877 | ||
991 | 1878 | D. To the extent that it is consistent with federal laws and | |
992 | 1879 | regulations, and in particular the regulations set forth by the | |
993 | 1880 | Secretary of Defense in 32 C.F.R. Section 199.8(d)(6), a benefit may | |
994 | 1881 | be provided to an employee who is an eli gible TRICARE beneficiary | |
995 | 1882 | whereby he or she may purchase a group TRICARE Supplemental product | |
996 | 1883 | under a qualifying cafeteria plan consistent with the requirements | |
997 | 1884 | of 26 U.S.C., Section 125, provided that: | |
998 | - | ||
999 | 1885 | 1. The state, as employer, may not provide any payme nt for nor | |
1000 | 1886 | receive any consideration or compensation for offering the benefit; | |
1001 | - | ||
1002 | 1887 | 2. The employer's only involvement is in providing the | |
1003 | 1888 | administrative support for the benefit under the cafeteria plan; and | |
1004 | - | ||
1005 | 1889 | 3. The employee's participation in the plan is comp letely | |
1006 | 1890 | voluntary. | |
1007 | - | ||
1008 | 1891 | The benefit allowance under paragraph 2 o f subsection C of this | |
1009 | 1892 | section of an employee whose plan participation includes a group | |
1010 | 1893 | TRICARE Supplemental benefit shall not include any allowance or | |
1011 | 1894 | portion thereof for such TRICARE Supplemental benefit. | |
1012 | - | ||
1013 | 1895 | E. This section shall not prohibit payments for supplemental | |
1014 | 1896 | health insurance coverage made pursuant to Section 1314.4 of this | |
1015 | 1897 | title or payments for the cost of providing health insurance | |
1016 | 1898 | coverage for dependents of employees of the Grand River D am | |
1017 | 1899 | Authority. | |
1018 | - | ||
1019 | 1900 | F. If a participant desires to buy benefits whose sum total of | |
1020 | 1901 | benefit prices is in excess of his or her flexible benefit | |
1902 | + | ||
1903 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 38 | |
1904 | + | (Bold face denotes Committee Amendments) 1 | |
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1928 | + | ||
1021 | 1929 | allowance, the participant may elect to use pay conversion dollars | |
1022 | 1930 | to purchase such excess benefits. Pay conversion do llars may be | |
1023 | 1931 | elected through a salary reduction agreement made pursuant to the | |
1024 | 1932 | election procedures of Section 1371 of this title. The elected | |
1025 | 1933 | amount shall be deducted from the participant's compensation in | |
1026 | 1934 | equal amounts each pay period, with the exception of participants on | |
1027 | 1935 | a biweekly payroll system, where such d eduction shall occur over | |
1028 | 1936 | twenty-four pay periods over the plan year. On termination of | |
1029 | 1937 | employment during a plan year, a participant shall have no | |
1030 | - | obligation to pay the participating employer any pay conversion | |
1938 | + | obligation to pay the participating employer any pay conversion | |
1031 | 1939 | dollars allocated to the portion of the plan year after the | |
1032 | 1940 | participant's termination of employment. | |
1033 | - | ||
1034 | 1941 | G. If a participant elects benefits whose sum total of benefit | |
1035 | 1942 | prices is less than his or her flexible benefit allowance, he or she | |
1036 | 1943 | shall receive any excess flexible benefit allowance as taxable | |
1037 | 1944 | compensation. Such taxable compensation will be paid in | |
1038 | 1945 | substantially equal amounts each pay period, with the exception of | |
1039 | 1946 | participants on a biweekly payroll system, where such deduction | |
1040 | 1947 | shall occur over twenty-four pay periods over the plan year. On | |
1041 | 1948 | termination during a plan year, a participant shall have no right to | |
1042 | 1949 | receive any such taxable cash compensation allocated to the portion | |
1043 | 1950 | of the plan year after the participant's termination. Nothing | |
1044 | 1951 | herein shall affect a participant's obligation to elect the mi nimum | |
1045 | 1952 | benefits or to accept the default benefits of the plan with | |
1953 | + | ||
1954 | + | SENATE FLOOR VERSION - HB3586 SFLR Page 39 | |
1955 | + | (Bold face denotes Committee Amendments) 1 | |
1956 | + | 2 | |
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1979 | + | ||
1046 | 1980 | corresponding reduction in the sum of his or her flexible benefit | |
1047 | 1981 | allowance equal to the sum total benefit price of such minimum | |
1048 | 1982 | benefits or default benefits. | |
1049 | - | ||
1050 | 1983 | SECTION 11. REPEALER 74 O.S. 2021, Section 1329.1, is | |
1051 | 1984 | hereby repealed. | |
1052 | - | ||
1053 | 1985 | SECTION 12. REPEALER 74 O.S. 2021, Sections 1381, 1382, | |
1054 | 1986 | 1383, and 1384, are hereby repealed. | |
1055 | - | ||
1056 | 1987 | SECTION 13. This act shall become effective November 1, 2024. | |
1057 | - | ENR. H. B. NO. 3586 Page 25 | |
1058 | - | Passed the House of Representatives the 6th day of March, 2024. | |
1059 | - | ||
1060 | - | ||
1061 | - | ||
1062 | - | ||
1063 | - | Presiding Officer of the House | |
1064 | - | of Representatives | |
1065 | - | ||
1066 | - | ||
1067 | - | ||
1068 | - | Passed the Senate the 25th day of April, 2024. | |
1069 | - | ||
1070 | - | ||
1071 | - | ||
1072 | - | ||
1073 | - | Presiding Officer of the Senate | |
1074 | - | ||
1075 | - | ||
1076 | - | OFFICE OF THE GOVERNOR | |
1077 | - | Received by the Office of the Governor this ____________________ | |
1078 | - | day of ___________________, 20 _______, at _______ o'clock _______ M. | |
1079 | - | By: _________________________________ | |
1080 | - | Approved by the Governor of the State of Oklahoma this _____ ____ | |
1081 | - | day of ___________________, 20_______, at _______ o'clock _______ M. | |
1082 | - | ||
1083 | - | ||
1084 | - | _________________________________ | |
1085 | - | Governor of the State of Oklahoma | |
1086 | - | ||
1087 | - | OFFICE OF THE SECRETARY OF STATE | |
1088 | - | Received by the Office of the Secretary of State this __________ | |
1089 | - | day of ___________________, 20_______, at _______ o'clock _______ M. | |
1090 | - | By: _________________________________ | |
1091 | - | ||
1988 | + | COMMITTEE REPORT BY: COMMITTEE ON RETIREMENT AND INSURANCE | |
1989 | + | April 2, 2024 - DO PASS |