CODING: Words stricken are deletions; words underlined are additions.





                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Burt moved the following amendment:

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13         Senate Amendment (with title amendment) 

14         On page 6, line 13, through page 10, line 29, delete

15  those lines

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17  and insert:

18         Section 2.  Section 110.1227, Florida Statutes, 1998

19  Supplement, is amended to read:

20         110.1227  Florida Employee Long-Term-Care Plan Act.--

21         (1)  The Legislature finds that state expenditures for

22  long-term-care services continue to increase at a rapid rate

23  and that the state faces increasing pressure in its efforts to

24  meet the long-term-care needs of the public.

25         (2)(a)  It is the intent of the Legislature that the

26  Department of Management Services Division of State Group

27  Insurance and the Department of Elderly Affairs provide an

28  opportunity for public employees to purchase implement a

29  self-funded or fully insured, voluntary, long-term-care

30  insurance by means of payroll deduction plan for public

31  employees and their families.

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1         (3)(b)  The Department of Elderly Affairs and the

 2  Department of Management Services Division of State Group

 3  Insurance shall jointly review design the plan to provide

 4  long-term-care insurance offerings to identify those that

 5  represent the best value coverage for public employees, and

 6  family members of public employees, and retirees. The

 7  Department of Management Services shall review all fully

 8  insured proposals submitted to it by qualified vendors who

 9  have submitted responses to ITN #102A prior to February 23,

10  1999. Upon review of the proposals, the Department of

11  Management Services may award a contract to the vendor that

12  the department deems to represent the best value to public

13  employees, family members of public employees, and retirees.

14  The Division of State Group Insurance and the Department of

15  Elderly Affairs shall enter into an interagency agreement

16  defining their roles with regard to plan development and

17  design. Joint planning expenses shall be shared to the extent

18  that funded planning activities are consistent with the goals

19  of the department and the division. Eligible plan participants

20  must include active and retired officers and employees of all

21  branches and agencies of state and local government and their

22  spouses, children, stepchildren, parents, and parents-in-law;

23  active and retired federal employees residing in the state and

24  their spouses, children, stepchildren, parents, and

25  parents-in-law residing in the state; and the surviving

26  spouses, children, stepchildren, parents, and parents-in-law

27  of such deceased officers and employees, whether active or

28  retired at the time of death.

29         (c)  This act in no way affects the Division of State

30  Group Insurance's authority pursuant to s. 110.123.

31         (2)  As used in this section, the term:

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1         (a)  "Department" means the Department of Elderly

 2  Affairs.

 3         (b)  "Division" means the Division of State Group

 4  Insurance.

 5         (c)  "Self-funded" means that plan benefits and costs

 6  are funded from contributions made by or on behalf of

 7  participants and trust fund investment revenue.

 8         (d)  "Plan" means the Florida Employee Long-Term-Care

 9  Plan.

10         (3)  The division and the department shall, in

11  consultation with public employers and employees and

12  representatives from unions and associations representing

13  state, university, local government, and other public

14  employees, establish and supervise the implementation and

15  administration of a self-funded or fully insured

16  long-term-care plan entitled "Florida Employee Long-Term-Care

17  Plan."

18         (a)  The division and the department shall, in

19  consultation with the department, the Department of Management

20  Services, and the Department of Insurance, contract for

21  actuarial, professional-administrator, and other services for

22  the Florida Employee Long-Term-Care Plan.

23         (b)  When contracting for a professional administrator,

24  the division shall consider, at a minimum, the entity's

25  previous experience and expertise in administering group

26  long-term-care self-funded plans or long-term-care insurance

27  programs; the entity's demonstrated ability to perform its

28  contractual obligations in the state and in other

29  jurisdictions; the entity's projected administrative costs;

30  the entity's capability to adequately provide service

31  coverage, including a sufficient number of experienced and

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1  qualified personnel in the areas of marketing, claims

 2  processing, recordkeeping, and underwriting; the entity's

 3  accessibility to public employees and other qualified

 4  participants; and the entity's financial soundness and

 5  solvency.

 6         (c)  Any contract with a professional administrator

 7  entered into by the division must require that the state be

 8  held harmless and indemnified for any financial loss caused by

 9  the failure of the professional administrator to comply with

10  the terms of the contract.

11         (d)  The division shall explore innovations in

12  long-term-care financing and service delivery with regard to

13  possible future inclusion in the plan. Such innovative

14  financing and service-delivery mechanisms may include managed

15  long-term care and plans that set aside assets with regard to

16  eligibility for Medicaid-funded long-term-care services in the

17  same proportion that private long-term-care insurance benefits

18  are used to pay for long-term care.

19         (4)  The division and the department shall coordinate,

20  directly or through contract, marketing of the plan. Expenses

21  related to such marketing shall be reimbursed from funds of

22  the plan.

23         (5)  The division shall contract with the State Board

24  of Administration for the investment of funds in the Florida

25  Employee Long-Term-Care Plan reserve fund. Plan funds are not

26  state funds. The moneys shall be held by the State Board of

27  Administration on behalf of enrollees and invested and

28  disbursed in accordance with a trust agreement approved by the

29  division and the State Board of Administration and in

30  accordance with the provisions of ss. 215.44-215.53. Moneys in

31  the reserve fund may be used only for the purposes specified

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1  in the agreement.

 2         (6)  A Florida Employee Long-Term-Care Plan Board of

 3  Directors is created, composed of seven members who shall

 4  serve 2-year terms, to be appointed as follows:

 5         (a)  The secretary of the Department of Elderly Affairs

 6  shall appoint a member who is a plan participant.

 7         (b)  The Insurance Commissioner shall appoint an

 8  actuary.

 9         (c)  The Attorney General shall appoint an attorney

10  licensed to practice law in this state.

11         (d)  The Governor shall appoint three members from a

12  broad cross-section of the residents of this state.

13         (e)  The division shall appoint a member.

14         (7)  The board of directors of the Florida

15  Long-Term-Care Plan shall:

16         (a)  Prepare an annual report of the plan, with the

17  assistance of an actuarial consultant, to be submitted to the

18  Speaker of the House of Representatives, the President of the

19  Senate, the Governor, and the Minority Leaders of the Senate

20  and the House of Representatives.

21         (b)  Approve the appointment of an executive director

22  jointly recommended by the division and the department to

23  serve as the chief administrative and operational officer of

24  the Florida Employee Long-Term-Care Plan.

25         (c)  Approve the terms of the division's third-party

26  administrator contract.

27         (d)  Implement such other policies and procedures as

28  necessary to assure the soundness and efficient operation of

29  the plan.

30         (8)  Members of the board may not receive a salary, but

31  may be reimbursed for travel, per diem, and administrative

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                                                  SENATE AMENDMENT

    Bill No. CS for SB 2280

    Amendment No.    





 1  expenses related to their duties. Board expenses and costs for

 2  the annual report and other administrative expenses must be

 3  borne by the plan. State funds may not be contributed toward

 4  costs associated with board members or their activities

 5  conducted on behalf of and for the benefit of plan

 6  beneficiaries.

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 8

 9  ================ T I T L E   A M E N D M E N T ===============

10  And the title is amended as follows:

11         On page 1, line 29, after the semicolon,

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13  insert:

14         revising the Florida Employee Long-Term-Care

15         Plan Act; requiring the Department of

16         Management Services and the Department of

17         Elderly Affairs to provide for long-term-care

18         insurance through payroll deduction; requiring

19         the Department of Management Services to review

20         proposals; authorizing the department to award

21         a contract;

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