1 | A bill to be entitled |
2 | An act relating to group insurance for public |
3 | employees; amending s. 112.08, F.S.; requiring that |
4 | school districts procure certain types of insurance |
5 | for their officers and employees through interlocal |
6 | agreements; providing an exception; requiring each |
7 | school district to enter into an interlocal agreement |
8 | and establish the School District Insurance Consortium |
9 | governed by a board of directors; providing for |
10 | membership and specifying terms of office for board |
11 | members; authorizing the board to employ staff or |
12 | contract for staffing services to be provided to the |
13 | consortium; requiring the Department of Management |
14 | Services to provide technical services to the |
15 | consortium; requiring the consortium to advertise for |
16 | competitive bids for insurance; authorizing the |
17 | awarding of bids on a statewide or regional basis and |
18 | the selection of multiple insurance providers; |
19 | requiring that school districts engage in collective |
20 | bargaining with certified bargaining agents; providing |
21 | an effective date. |
22 |
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23 | Be It Enacted by the Legislature of the State of Florida: |
24 |
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25 | Section 1. Subsection (2) of section 112.08, Florida |
26 | Statutes, is amended to read: |
27 | 112.08 Group insurance for public officers, employees, and |
28 | certain volunteers; physical examinations.- |
29 | (2)(a) Notwithstanding any general law or special act to |
30 | the contrary and except as provided under paragraph (c), every |
31 | local governmental unit may is authorized to provide and pay out |
32 | of its available funds for all or part of the premium for life, |
33 | health, accident, hospitalization, legal expense, or annuity |
34 | insurance, or all or any kinds of such insurance, for the |
35 | officers and employees of the local governmental unit and for |
36 | health, accident, hospitalization, and legal expense insurance |
37 | for the dependents of such officers and employees upon a group |
38 | insurance plan and, to that end, to enter into contracts with |
39 | insurance companies or professional administrators to provide |
40 | such insurance. |
41 | (a) Before entering any contract for insurance, the local |
42 | governmental unit shall advertise for competitive bids,; and |
43 | such contract shall be let upon the basis of such bids. If a |
44 | contracting health insurance provider becomes financially |
45 | impaired as determined by the Office of Insurance Regulation of |
46 | the Financial Services Commission or otherwise fails or refuses |
47 | to provide the contracted-for coverage or coverages, the local |
48 | government may purchase insurance, enter into risk management |
49 | programs, or contract with third-party administrators and may |
50 | make such acquisitions by advertising for competitive bids or by |
51 | direct negotiations and contract. The local governmental unit |
52 | may undertake simultaneous negotiations with those companies |
53 | that which have submitted reasonable and timely bids and are |
54 | found by the local governmental unit to be fully qualified and |
55 | capable of meeting all servicing requirements. Each local |
56 | governmental unit may self-insure any plan for health, accident, |
57 | and hospitalization coverage or enter into a risk management |
58 | consortium to provide such coverage, subject to approval based |
59 | on actuarial soundness by the Office of Insurance Regulation; |
60 | and each shall contract with an insurance company or |
61 | professional administrator qualified and approved by the office |
62 | to administer such a plan. |
63 | (b) In order to obtain approval from the Office of |
64 | Insurance Regulation of any self-insured plan for health, |
65 | accident, and hospitalization coverage, each local governmental |
66 | unit or consortium shall submit its plan along with a |
67 | certification as to the actuarial soundness of the plan, which |
68 | certification is prepared by an actuary who is a member of the |
69 | Society of Actuaries or the American Academy of Actuaries. The |
70 | Office of Insurance Regulation may shall not approve the plan |
71 | unless it determines that the plan is designed to provide |
72 | sufficient revenues to pay current and future liabilities, as |
73 | determined according to generally accepted actuarial principles. |
74 | After implementation of an approved plan, each local |
75 | governmental unit or consortium shall annually submit to the |
76 | Office of Insurance Regulation a report that which includes a |
77 | statement prepared by an actuary who is a member of the Society |
78 | of Actuaries or the American Academy of Actuaries as to the |
79 | actuarial soundness of the plan. The report is due 90 days after |
80 | the close of the fiscal year of the plan. The report must |
81 | include shall consist of, but need is not be limited to: |
82 | 1. The adequacy of contribution rates in meeting the level |
83 | of benefits provided and the changes, if any, needed in the |
84 | contribution rates to achieve or preserve a level of funding |
85 | deemed adequate to enable payment of the benefit amounts |
86 | provided under the plan and a valuation of present assets, based |
87 | on statement value, and prospective assets and liabilities of |
88 | the plan and the extent of any unfunded accrued liabilities. |
89 | 2. A plan to amortize any unfunded liabilities and a |
90 | description of actions taken to reduce unfunded liabilities. |
91 | 3. A description and explanation of actuarial assumptions. |
92 | 4. A schedule illustrating the amortization of any |
93 | unfunded liabilities. |
94 | 5. A comparative review illustrating the level of funds |
95 | available to the plan from rates, investment income, and other |
96 | sources realized over the period covered by the report with the |
97 | assumptions used. |
98 | 6. A statement by the actuary that the report is complete |
99 | and accurate and that in the actuary's opinion the techniques |
100 | and assumptions used are reasonable and meet the requirements |
101 | and intent of this subsection. |
102 | 7. Other factors or statements as required by the office |
103 | in order to determine the actuarial soundness of the plan. |
104 |
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105 | All assumptions used in the report must shall be based on |
106 | recognized actuarial principles acceptable to the Office of |
107 | Insurance Regulation. The office shall review the report and |
108 | shall notify the administrator of the plan and each entity |
109 | participating in the plan, as identified by the administrator, |
110 | of any actuarial deficiencies. Each local governmental unit is |
111 | responsible for payment of valid claims of its employees which |
112 | that are not paid within 60 days after receipt by the plan |
113 | administrator or consortium. |
114 | (c) Beginning July 1, 2013, or upon the expiration or |
115 | renewal date of any existing contract, whichever occurs later, |
116 | school districts shall procure health, accident, and |
117 | hospitalization insurance through a purchasing interlocal |
118 | agreement unless the school board at a duly noticed public |
119 | meeting determines that purchasing insurance outside the plan |
120 | procured through the interlocal agreement, as provided under |
121 | paragraphs (a) and (b), is financially advantageous to the |
122 | school district. |
123 | 1. Each school district shall enter into an interlocal |
124 | agreement as provided in s. 163.01 in order to establish the |
125 | School District Insurance Consortium through which such |
126 | insurance shall be procured for officers and employees of the |
127 | school district and their dependents. |
128 | 2. The consortium shall be governed by a board of |
129 | directors comprised of nine members, three of whom shall be |
130 | elected school board members appointed by the Florida School |
131 | Boards Association, Inc., three of whom shall be elected or |
132 | appointed superintendents of schools appointed by the Florida |
133 | Association of District School Superintendents, Inc., two of |
134 | whom shall be public school teachers or support personnel |
135 | appointed by the Florida Education Association, and one of whom |
136 | shall have experience in running employee-benefit systems, to be |
137 | appointed by the other members of the consortium. Consortium |
138 | board members shall be appointed to 2-year terms. The board may |
139 | employ staff or contract for staffing services to be provided to |
140 | the consortium. The Department of Management Services shall |
141 | provide technical services to the consortium as requested by the |
142 | board. |
143 | 3. Notwithstanding any other provision of law, the |
144 | consortium shall advertise for competitive bids for such |
145 | insurance, and the contracts for such insurance shall be let |
146 | upon the basis of such bids. The consortium shall advertise for |
147 | proposals for a statewide insurance plan as well as plans |
148 | providing coverage on a regional basis. In determining |
149 | appropriate regions, the consortium shall group school districts |
150 | geographically in a manner that includes school districts of |
151 | varying sizes for the purpose of ensuring the availability of |
152 | coverage for all districts in the region. Contracts may be |
153 | awarded on a statewide or regional basis, and more than one |
154 | provider may be selected to provide insurance. School districts |
155 | shall engage in collective bargaining with the certified |
156 | bargaining agent for any unit of employees for which health, |
157 | accident, or hospitalization insurance is provided, as required |
158 | by part II of chapter 447, with regard to coverage offered, cost |
159 | for dependent coverage, deductibles, optional coverage, and |
160 | other matters that are subject to collective bargaining as |
161 | required by state law. |
162 | (d)(c) Every local governmental unit may is authorized to |
163 | expend funds for preemployment physical examinations and |
164 | postemployment physical examinations. |
165 | Section 2. This act shall take effect July 1, 2012. |