| 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. |