SB 1004 — AN ACT CONCERNING PUBLIC INSURANCE OPTIONS FOR SMALL BUSINESS EMPLOYEES.

(a) The Comptroller, with the approval of the Attorney General and of the Insurance Commissioner, shall arrange and procure a group hospitalization and medical and surgical insurance plan or plans for (1) state employees, (2) members of the General Assembly who elect coverage under such plan or plans, (3) participants in an alternate retirement program who meet the service requirements of section 5- 162 or subsection (a) of section 5-166, (4) anyone receiving benefits under section 5-144 or from any state-sponsored retirement system, except the teachers' retirement system and the municipal employees retirement system, (5) judges of probate and Probate Court employees, (6) the surviving spouse, and any dependent children of a state police officer, a member of an organized local police department, a firefighter or a constable who performs criminal law enforcement duties who dies LCO 5179 \\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-01004-R1 of 12 SB.docx Raised Bill No.

51791004 1 of 13 Raised Bill No.1004 before, on or after June 26, 2003, as the result of injuries received while acting within the scope of such officer's or firefighter's or constable's employment and not as the result of illness or natural causes, and whose surviving spouse and dependent children are not otherwise eligible for a group hospitalization and medical and surgical insurance plan.

The state shall pay for each such employee and each member of the General Assembly covered by such plan or plans the portion of the premium charged for such member's or employee's individual coverage and seventy per cent of the additional LCO 5179 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0102 of 12 R01-SB.docx } Raised Bill No.

51791004 2 of 13 Raised Bill No.1004 employee's individual coverage and seventy per cent of the additional cost of the form of coverage and such amount shall be credited to the total premiums owed by such employee or member of the General Assembly for the form of such member's or employee's coverage under such plan or plans.

(c) On October 1, 1972, the Comptroller shall continue to afford payroll deduction services for employees participating in existing LCO 5179 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0103 of 12 R01-SB.docx } Raised Bill No.

51791004 3 of 13 Raised Bill No.1004 payroll deduction services for employees participating in existing authorized plans covering state employees until such time as the employee elects in writing to be covered by the plan authorized by subsection (a) of this section.

(f) The Comptroller, with the approval of the Attorney General and of the Insurance Commissioner, shall arrange and procure a group hospitalization and medical and surgical insurance plan or plans for any person who adopts a child from the state foster care system, any person who has been a foster parent for the Department of Children and Families for six months or more, and any dependent of such LCOadoptive No.parent or foster parent who elects coverage under such plan or plans.

5179The 4Comptroller ofmay 13also Raisedarrange Billfor No.1004inclusion adoptiveof parentsuch orLCO foster5179 parent{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0104 whoof elects12 coverageR01-SB.docx under} suchRaised planBill orNo. plans.

The1004 Comptroller may also arrange for inclusion of such person and any such dependent in an existing group hospitalization and medical and surgical insurance plan offered by the state.

The Probate Court Administrator shall issue regulations governing group LCOhospitalization No.and medical and surgical insurance pursuant to subsection (b) of section 45a-77.

LCO 5179 5{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0105 of 1312 R01-SB.docx } Raised Bill No.1004No. hospitalization and medical and surgical insurance pursuant to subsection (b) of section 45a-77.

1004 (h) For the purpose of subsection (g) of this section, "probate judge" or "judge" means a duly elected probate judge who works in such judge's capacity as a probate judge at least twenty hours per week, on average, on a quarterly basis and certifies to that fact on forms provided by and filed with the Probate Court Administrator, on or before the fifteenth day of April, July, October and January, for the preceding calendar quarter;

[(5)] (E) administrative costs to the plan or plans provided under this LCO[subsection] No.subdivision shall not be paid by the state;

5179[(6)] 6(F) ofparticipation 13in Raisedthe Billplan No.1004or [subsection]plans subdivisionin shallan notamount determined by the state shall be paidfor bythe duration of the state;period of the plan or plans, or for such LCO 5179 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0106 of 12 R01-SB.docx } Raised Bill No.

[(6)]1004 (F) participation in the plan or plans in an amount determined by the state shall be for the duration of the period of the plan or plans, or for such other period as mutually agreed by the municipality, nonprofit corporation, community action agency, [small employer,] retired member or association for personal care assistants and the Comptroller;

[(D)] (iv) LCO"small No.employer" means a small employer, as defined in section 38a- 564;

5179[(E)] 7(v) of"eligible 13individuals" Raisedor Bill"individuals No.1004eligible "smallfor employer"a health coverage tax credit" means aindividuals smallwho employer,are aseligible definedfor inthe sectioncredit 38a-for 564;health insurance costs under Section 35 of the Internal Revenue LCO 5179 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0107 of 12 R01-SB.docx } Raised Bill No.

[(E)]1004 (v) "eligible individuals" or "individuals eligible for a health coverage tax credit" means individuals who are eligible for the credit for health insurance costs under Section 35 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as from time to time amended, in accordance with the Pension Benefit Guaranty Corporation;

(E) administrative costs attributable to LCOcoverage No.provided pursuant to this subdivision shall not be paid by the state;

5179 8 of 13 Raised Bill No.1004 coverage provided pursuant to this subdivision shall not be paid by the state;

For the purposes of this subdivision, "smallLCO employer"5179 means{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0108 a small employer, as defined in section 38a- 564, and "dependent" means a spouse or dependent child of an12 employeeR01-SB.docx unless} suchRaised childBill hasNo. attained the age of twenty-six or is covered under a group health plan through such child's own employer.

1004 "small employer" means a small employer, as defined in section 38a- 564, and "dependent" means a spouse or dependent child of an employee unless such child has attained the age of twenty-six or is covered under a group health plan through such child's own employer.

[employees] (1) Employees of municipalities, nonprofit corporations, community action agencies [, small employers under subsection (i) of this section] and eligible LCOindividuals No.under subdivision (1) of subsection (i) of this section beginning February 1, 2004;

5179 9 of 13 Raised Bill No.1004 individuals under subdivision (1) of subsection (i) of this section beginning February 1, 2004;

(l) (1) Effective July 1, 1996, any deputies or special deputies appointedLCO pursuant5179 to{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0109 section 6-37 of the12 generalR01-SB.docx statutes,} revisionRaised ofBill 1958,No. revised to 1999, or section 6-43, shall be allowed to participate in the plan or plans procured by the Comptroller pursuant to subsection (a) of this section.

1004 appointed pursuant to section 6-37 of the general statutes, revision of 1958, revised to 1999, or section 6-43, shall be allowed to participate in the plan or plans procured by the Comptroller pursuant to subsection (a) of this section.

(2) The Comptroller may enter into contracts with third-party LCOadministrators No.to provide administrative services only for the self- insured plans set forth in subdivision (1) of this subsection.

5179 10 of 13 Raised Bill No.1004 administrators to provide administrative services only for the self- insured plans set forth in subdivision (1) of this subsection.

(3)LCO (A)5179 (i){\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-01010 The Comptroller shall offer nonstate public employers the option to purchase prescription drugs for their employees, employees' dependents and retirees under the purchasing authority of the12 stateR01-SB.docx pursuant} toRaised sectionBill 1No. of public act 09-206, subject to the provisions of subparagraph (E) of this subdivision.

1004 (3) (A) (i) The Comptroller shall offer nonstate public employers the option to purchase prescription drugs for their employees, employees' dependents and retirees under the purchasing authority of the state pursuant to section 1 of public act 09-206, subject to the provisions of subparagraph (E) of this subdivision.

(E) (i) The Comptroller shall offer nonstate public employers the option to purchase prescription drugs through the plan set forth in the State Employees' Bargaining Agent Coalition's collective bargaining agreement with the state only if the Health Care Cost Containment Committee, established in accordance with the ratified agreement between the state and said coalition pursuant to subsection (f) of LCO 5179 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-010011 of 12 R01-SB.docx } Raised Bill No.

51791004 11 of 13 Raised Bill No.1004 (E) (i) The Comptroller shall offer nonstate public employers the option to purchase prescription drugs through the plan set forth in the State Employees' Bargaining Agent Coalition's collective bargaining agreement with the state only if the Health Care Cost Containment Committee, established in accordance with the ratified agreement between the state and said coalition pursuant to subsection (f) of section 5-278, has indicated in writing to the Comptroller that allowing such nonstate public employers such option is consistent with said coalition's collective bargaining agreement.

LCOThis No.act shall take effect as follows and shall amend the following sections:

5179Section 121 ofOctober 131, Raised2019 Bill5-259 No.October 1, 2019 Sec.

10042 This38a-556a(b) actLAB shallJoint takeFavorable effectLCO as5179 follows{\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-010012 andof shall12 amendR01-SB.docx the} following sections:

Section 1 October 1, 2019 5-259 Sec.

2 October 1, 2019 38a-556a(b) Statement of Purpose:

To enable small businesses and small business employees to participate in the state employee health plan.

[Proposed deletions are enclosed in brackets.

Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] LCO No.