HOUSE OF REPRESENTATIVES

H.B. NO.

1041

TWENTY-SIXTH LEGISLATURE, 2011

H.D. 1

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO THE HAWAII EMPLOYER‑UNION HEALTH BENEFITS TRUST FUND.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  Section 87A‑23, Hawaii Revised Statutes, is amended to read as follows:

     "§87A‑23  Health benefits plan supplemental to medicare.  (a) The board shall establish a health benefits plan, which takes into account benefits available to an employee-beneficiary and spouse under medicare, subject to the following conditions:

     (1)  There shall be no duplication of benefits payable under medicare.  The plan under this section, which shall be secondary to medicare, when combined with medicare and any other plan to which the health benefits plan is subordinate under the National Association of Insurance Commissioners' coordination of benefit rules, shall provide benefits that approximate those provided to a similarly situated beneficiary not eligible for medicare;

     (2)  The State, through the department of budget and finance, and the counties, through their respective departments of finance, shall pay to the fund a contribution equal to an amount not less than the medicare part B premium, for each of the following who are enrolled in the medicare part B medical insurance plan:  (A) an employee‑beneficiary who is a retired employee, (B) an employee‑beneficiary's spouse while the employee‑beneficiary is living, and (C) an employee‑beneficiary's spouse, after the death of the employee‑beneficiary, if the spouse qualifies as an employee‑beneficiary.  For purposes of this section, a "retired employee" means retired members of the employees' retirement system; county pension system; or a police, firefighters, or bandsmen pension system of the State or a county as set forth in chapter 88.  If the amount reimbursed by the fund under this section is less than the actual cost of the medicare part B medical insurance plan due to an increase in the medicare part B medical insurance plan rate, the fund shall reimburse each employee‑beneficiary and employee‑beneficiary's spouse for the cost increase within thirty days of the rate change.  Each employee‑beneficiary and employee‑beneficiary's spouse who becomes entitled to reimbursement from the fund for medicare part B premiums after July 1, 2006, shall designate a financial institution account into which the fund shall be authorized to deposit reimbursements.  This method of payment may be waived by the fund if another method is determined to be more appropriate;

     (3)  The benefits available under this plan, when combined with benefits available under medicare or any other coverage or plan to which this plan is subordinate under the National Association of Insurance Commissioners' coordination of benefit rules, shall approximate the benefits that would be provided to a similarly situated employee‑beneficiary not eligible for medicare;

     (4)  All employee‑beneficiaries or dependent‑beneficiaries who are eligible to enroll in the medicare part B medical insurance plan shall enroll in that plan as a condition of receiving contributions and participating in benefits plans under this chapter.  This paragraph shall apply to retired employees, their spouses, and the surviving spouses of deceased retirees and employees killed in the performance of duty; and

     (5)  The board shall determine which of the employee‑beneficiaries and dependent‑beneficiaries, who are not enrolled in the medicare part B medical insurance plan, may participate in the plans offered by the fund.

     (b)  Subsection (a)(2) and(3) shall not apply to an employee-beneficiary hired after June 30, 2011, or the spouse of an employee-beneficiary hired after June 30, 2011.

     (c)  Upon retirement, an employee-beneficiary with at least one year, but less than two years, of credited service on June 30, 2011, shall be entitled to a ten per cent reimbursement from the fund under subsection (a)(2) for medicare part B premiums.  Upon retirement, employee-beneficiaries with more than one year of credited service on June 30, 2011, shall be entitled to reimbursements from the fund under subsection (a)(2) for medicare part B premiums, as follows:

     (1)  An employee-beneficiary with at least two years, but less than three years, of credited service shall receive twenty per cent reimbursement;

     (2)  An employee-beneficiary with at least three years, but less than four years, of credited service shall receive thirty per cent reimbursement;

     (3)  An employee-beneficiary with at least four years, but less than five years, of credited service shall receive forty per cent reimbursement;

     (4)  An employee-beneficiary with at least five years, but less than six years, of credited service shall receive fifty per cent reimbursement;

     (5)  An employee-beneficiary with at least six years, but less than seven years, of credited service shall receive sixty per cent reimbursement;

     (6)  An employee-beneficiary with at least seven years, but less than eight years, of credited service shall receive seventy per cent reimbursement;

     (7)  An employee-beneficiary with at least eight years, but less than nine years, of credited service shall receive eighty per cent reimbursement; and

     (8)  An employee-beneficiary with at least nine years, but less than ten years, of credited service shall receive ninety per cent reimbursement;

provided that to qualify for reimbursement under subsection (a)(2), an employee shall have at least ten years of credited service; and provided further that subsection (a)(3) shall not apply to employee-beneficiaries under this subsection."

     SECTION 2.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 3.  This Act shall take effect on July 1, 2011.


 


 

Report Title:

Hawaii Employer‑Union Health Benefits Trust Fund; Medicare Part B Reimbursements

 

Description:

Eliminates medicare part B reimbursements for employee-beneficiaries and spouses of employee-beneficiaries hired after June 30, 2011.  Provides that an employee-beneficiary would be entitled to receive up to ninety percent of medicare part B reimbursements, based on the employee-beneficiary's year or years of credited service on June 30, 2011.  Effective July 1, 2011.  (HB1041 HD1)

 

 

 

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