AN ACT TO, FOR THE STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES, WHICH COVERS RETIREES WITHIN THE RETIREMENT SYSTEM, (1) AMEND THE DEFINITION OF "DEPENDENT CHILD" IN ORDER TO COMPLY WITH THE AFFORDABLE CARE ACT, (2) LIMIT ENROLLMENT WITHOUT A QUALIFYING EVENT TO THE ANNUAL ENROLLMENT PERIOD, (3) REPEAL THE OPTIONAL PROGRAM OF LONG-TERM CARE BENEFITS, AND (4) MAKE A CLARIFYING CHANGE RELATED TO COINSURANCE. Summarized in Daily Bulletin 5/23/12, 6/6/12, and 6/12/12. Enacted July 12, 2012. Sections 3(a)–(d) and 3(f) are effective January 1, 2013. The remainder is effective July 1, 2012.
Bill Summaries: H1085 STATE HEALTH PLAN/STATUTORY CHANGES.
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Summary date: Jul 17 2012 - View Summary
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Bill H 1085 (2011-2012)Summary date: Jun 12 2012 - View Summary
House amendment makes the following changes to 2nd edition.
Clarifies that the changes repealing the optional program of long-term care benefits, and requiring transfer of administrative fees to the Public Employee Health Benefit Fund are effective January 1, 2013 (was, July 1, 2012).
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Bill H 1085 (2011-2012)Summary date: Jun 6 2012 - View Summary
House committee substitute makes the following changes to 2nd edition. Amends GS 135-48.3 to reserve the General Assembly’s right to alter, amend, or repeal Article 3B (State Health Plan for Teachers and State Employees; Long term Care Benefits) [the right is limited to Parts 2 (Administrative Structure) and 3 (Plan Operation) under current law].
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Bill H 1085 (2011-2012)Summary date: May 23 2012 - View Summary
Amends GS 135-48.1(9), defining “dependent child,” as the title indicates.
Amends GS 135-48.41(g), 135-48.42, and 135-48.43 with regards to limiting health plan enrollment by eligible employees and eligible dependents to the annual enrollment period unless there is a qualifying event. Permits eligible employees to change their elections, including adding or removing dependents, during the Plan year only if there is a qualifying event as defined under federal law.
Repeals GS 135-48.5(c), subdivisions (a5) and (16) of GS 135-48.30, and Part 6 of Article 3B of GS Chapter 135 to remove the optional program of long-term care benefits. Makes conforming changes. Provides that any employee, retired employee, or dependent enrolled under long-term care at the time of the repeal of Part 6 of Article 3B of GS Chapter 136 (Part 6) is entitled to a nongroup plan of long-term care benefits. Authorizes the Executive Administrator and the Board of Trustees of the Plan to decide how the conversion rights are to be administered. Directs that any unencumbered administrative fees collected by the Plan under Part 6 be transferred to the Public Health Benefit Fund created under GS 135-48.5(a).
Amends GS 135-48.22(2) and 135-48.30(2) to make a clarifying change related to coinsurance as the title indicates.
Effective July 1, 2012.