HB 281 — AN ACT TO AMEND TITLE 29 OF THE DELAWARE CODE RELATING TO STATE HEALTH CARE INSURANCE.

Baumbach HOUSE& OFRep. REPRESENTATIVES 152nd GENERAL ASSEMBLY HOUSE AMENDMENT NO.

3Minor-Brown TO& HOUSERep. BILL NO.

281Carson AMEND& HouseRep. Bill No.

281Dorsey onWalker line& 39Rep. by inserting “(1)” between “(b)” and “The” therein.

FURTHERRamone AMEND& HouseRep. Bill No.

281Harris on& lineSen. 40 by deleting “(1)” before “Regular” and inserting in lieu thereof “a.”.

FURTHERTownsend AMEND& HouseSen. Bill No.

281Pettyjohn onReps. line 41 by deleting “(2)” before “Employees” and inserting in lieu thereof “b.”.

FURTHERBolden, AMENDBush, HouseChukwuocha, BillCooke, No.Dukes, Gray, Griffith, Heffernan, Hensley, Hilovsky, Jones Giltner, Lambert, Longhurst, Lynn, Morris, Morrison, Neal, Parker Selby, Phillips, Postles, Romer, Michael Smith, Spiegelman, Vanderwende, Wilson-Anton;

281Sens. on line 44 by deleting “(3)” before “A” and inserting in lieu thereof “c.”.

FURTHERBuckson, AMENDGay, HouseHocker, BillHoffner, No.Huxtable, Lawson, Lockman, Mantzavinos, S.

281McBride, betweenParadee, linesPinkney, 45Poore, andRichardson, 46Sokola, bySturgeon, insertingWilson theHOUSE following:OF REPRESENTATIVES 152nd GENERAL ASSEMBLY HOUSE BILL NO.

“(2)281 InAN additionACT toTO aAMEND planTITLE under29 paragraphOF (b)(1)c.THE DELAWARE CODE RELATING TO STATE HEALTH CARE INSURANCE.

ofBE thisIT section,ENACTED theBY coverageTHE mayGENERAL includeASSEMBLY aOF planTHE underSTATE MedicareOF partDELAWARE: C for eligible pensioners entitled to services, rights, or benefits under the federal Medicare Program if all of the following apply to the plan:

a.Section 1.

TheAmend plan§ is5202, onlyTitle for29 eligibleof pensionersthe firstDelaware hiredCode onby ormaking afterdeletions Januaryas 1,shown 2025.by strike through and insertions as shown by underline as follows:

§ 5202.

Payment of premium or subscription charge.

(d) For the purposes of this chapter, eligible employees who were each first employed as a regular officer or employee by the State on or before December 31, 2011, a husband and wife and legally married on or before December 31, 2011, may each qualify as a regular officer, employee employee, or eligible pensioner of the State.

In the case where 2 members of a family qualify, the following options are set forth:

as follows:

(4) Effective July 1, 2012, to December 31, 2017, if the 2 employees enroll under an employee and spouse or family contract, there shall be a $25 per month charge to the employee who enrolls for the coverage.

If the employees choose to enroll in separate plans, employee only and employee and children contracts, either the employee cost share premium or a $25 per month charge shall apply to both contracts, whichever is less.

If employee and spouse are eligible pensioners where 1 or both retire on or after July 1, 2012, and before July 1, 2017, only 1 $25 per month charge shall apply when separate contracts are required for a Medicare Advantage Supplement Plan.

(5) Effective January 1, 2018, if the 2 employees or non-Medicare pensioners enroll under an employee and spouse or family contract, the employee or non-Medicare pensioner who enrolls for the coverage shall be charged 50 percent 50% of the employee or non-Medicare pensioner cost share premium per month, or $25 per month, whichever is greater.

If the employees or non-Medicare pensioners choose to enroll in separate plans, employee only and employee and children contracts, each employee or non-Medicare pensioner shall be charged 50 percent 50% of the employee or non-Medicare cost share premium per month, or $25 per month, whichever is greater for the plans chosen.

LC :

DIG :

CM Page 1 of 3 Released:

01/03/2024 04:20 PM a.

If both spouses are eligible pensioners and 1 is not yet Medicare eligible, the non-Medicare pensioner will enroll under a pensioner only or pensioner and children contract and the Medicare pensioner will enroll in the Medicare Advantage Supplement Plan.

The non-Medicare pensioner shall be charged 50 percent 50% of the cost share premium, or $25 per month, whichever is greater.

EachIf eligible1 pensionerspouse canis choosea whetherregular toofficer enrollor inemployee and 1 spouse is a planMedicare undereligible paragraphpensioner, (b)(1)c.the regular officer or employee who enrolls for employee and spouse or family coverage shall be charged 50 percent 50% of the employee cost share premium.

If the employee and Medicare eligible spouse choose to enroll in separate plans, each employee and Medicare eligible pensioner shall be charged 50 percent 50% of thisthe sectionemployee and Medicare Advantage Supplement Plan cost share premium per month, or the$25 planper undermonth, thiswhichever paragraphis (b)(2).greater for the plans chosen.

If theboth existingspouses coverageare underMedicare thiseligible sectionand does1 notor includeboth aretired Medicareon partor Cafter plan,July the1, State2017, Employeeonly Benefits1 Committee50 mustpercent selectpensioner andonly, adoptone the50% plancost asshare apremium regulationor under$25 theper Administrativemonth Procedurespremium, Act,month, Chapterwhichever 101is ofgreater, thisshall title.”.apply when separate contracts are required for a Medicare Advantage Supplement Plan.

FURTHERd. AMEND House Bill No.

281If both spouses are Medicare eligible and both retired after lineJuly 461, by2012, insertingand thebefore following:July 1, 2017, each Medicare eligible pensioner shall be charged $25 per month premium when separate contracts are required for a Medicare Advantage Supplement Plan.

“SectionSection 4.2.

“(2)(b) InThe additionplan toshall abe planfor underregular paragraphall (b)(1)c.of the following:

of(1) thisRegular section,employees theand coverage may include a plan under Medicare part C for eligible pensioners entitled to services, rights, or benefits under the65 federalyears Medicare Program if all of theage followingand applyfor toemployees theage. plan: