(REPRINTED WITH ADOPTED AMENDMENTS)
SECOND REPRINT A.B. 564
Assembly Bill No. 564–Committee on Government Affairs
March 26, 2001
____________
Referred to Committee on Government Affairs
SUMMARY—Makes various changes relating to public employees’ benefits program. (BDR 23‑1346)
FISCAL NOTE: Effect on Local Government: No.
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EXPLANATION
– Matter in bolded italics is new; matter
between brackets [omitted material] is material to be omitted.
Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).
AN ACT relating to programs for public employees; requiring the commingling of the claims experience of active and retired state employees to determine rates and coverage; prohibiting the board of the public employees’ benefits program from entering into certain contracts; requiring the board to provide an annual report regarding the administration and operation of the program to the director of the legislative counsel bureau; and providing other matters properly relating thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1 Section 1. NRS 287.043 is hereby amended to read as follows:
1-2 287.043 1. The board shall:
1-3 (a) Establish and carry out a program to be known as the public
1-4 employees’ benefits program which:
1-5 (1) Must include a program relating to group life, accident or health
1-6 insurance, or any combination of these; and
1-7 (2) May include a program to reduce taxable compensation or other
1-8 forms of compensation other than deferred compensation,
1-9 for the benefit of all state officers and employees and other persons who
1-10 participate in the program.
1-11 (b) Ensure that the program is funded on an actuarially sound basis and
1-12 operated in accordance with sound insurance and business practices.
1-13 2. In establishing and carrying out the program, the board shall:
1-14 (a) For the purpose of establishing actuarial data to determine rates
1-15 and coverage for active and retired state officers and employees and their
1-16 dependents, commingle the claims experience of such active and retired
1-17 officers and employees and their dependents.
1-18 (b) Except as otherwise provided in this paragraph, negotiate and
1-19 contract with the governing body of any public agency enumerated in NRS
1-20 287.010 which is desirous of obtaining group insurance for its officers,
2-1 employees and retired employees by participation in the program. The
2-2 board shall establish separate rates and coverage for those officers,
2-3 employees and retired employees based on actuarial reports.
2-4 [(b)] (c) Give public notice in writing of proposed changes in rates or
2-5 coverage to each participating public employer who may be affected by the
2-6 changes. Notice must be provided at least 30 days before the effective date
2-7 of the changes.
2-8 [(c)] (d) Purchase policies of life, accident or health insurance, or any
2-9 combination of these, or, if applicable, a program to reduce the amount of
2-10 taxable compensation pursuant to 26 U.S.C. § 125, from any company
2-11 qualified to do business in this state or provide similar coverage through a
2-12 plan of self-insurance established pursuant to NRS 287.0433 for the benefit
2-13 of all eligible public officers, employees and retired employees who
2-14 participate in the program.
2-15 [(d)] (e) Except as otherwise provided in this Title, develop and
2-16 establish other employee benefits as necessary.
2-17 [(e)] (f) Investigate and approve or disapprove any contract proposed
2-18 pursuant to NRS 287.0479.
2-19 [(f)] (g) Adopt such regulations and perform such other duties as are
2-20 necessary to carry out the provisions of NRS 287.0402 to 287.049,
2-21 inclusive, including, without limitation, the establishment of:
2-22 (1) Fees for applications for participation in the program and for the
2-23 late payment of premiums or contributions;
2-24 (2) Conditions for entry and reentry into the program by public
2-25 agencies enumerated in NRS 287.010;
2-26 (3) The levels of participation in the program required for employees
2-27 of participating public agencies;
2-28 (4) Procedures by which a group of participants in the program may
2-29 leave the program pursuant to NRS 287.0479 and conditions and
2-30 procedures for reentry into the program by such participants; and
2-31 (5) Specific procedures for the determination of contested claims.
2-32 [(g)] (h) Appoint an independent certified public accountant. The
2-33 accountant shall provide:
2-34 (1) An annual audit of the program; and
2-35 (2) A biennial audit of the program to determine whether the program
2-36 complies with federal and state laws relating to taxes and employee
2-37 benefits.
2-38 The accountant shall report to the board and the interim retirement and
2-39 benefits committee of the legislature created pursuant to NRS 218.5373.
2-40 3. The board shall submit an annual report regarding the
2-41 administration and operation of the program to the director of the
2-42 legislative counsel bureau not more than 6 months before the board
2-43 establishes rates and coverage for members for the following calendar
2-44 year. The report must include, without limitation:
2-45 (a) The amount paid by the program in the preceding calendar year
2-46 for the claims of active and retired state officers and employees; and
2-47 (b) The amount paid by the program in the preceding calendar year
2-48 for the claims of retired members of the program who were provided
2-49 coverage for medical or hospital service, or both, by the Health
3-1 Insurance for the Aged Act, 42 U.S.C. §§ 1395 et seq., or a plan that
3-2 provides similar coverage.
3-3 4. The board may use any services provided to state agencies and shall
3-4 use the services of the purchasing division of the department of
3-5 administration to establish and carry out the program.
3-6 [4.] 5. The board may make recommendations to the legislature
3-7 concerning legislation that it deems necessary and appropriate regarding
3-8 the program.
3-9 [5.] 6. The state and any other public employers that participate in the
3-10 program are not liable for any obligation of the program other than
3-11 indemnification of the board and its employees against liability relating to
3-12 the administration of the program, subject to the limitations specified in
3-13 NRS 41.0349.
3-14 [6.] 7. As used in this section, “employee benefits” includes any form
3-15 of compensation provided to a state employee pursuant to this Title except
3-16 federal benefits, wages earned, legal holidays, deferred compensation and
3-17 benefits available pursuant to chapter 286 of NRS.
3-18 Sec. 2. NRS 287.0434 is hereby amended to read as follows:
3-19 287.0434 The board may:
3-20 1. Use its assets to pay the expenses of health care for its members and
3-21 covered dependents, to pay its employees’ salaries and to pay
3-22 administrative and other expenses.
3-23 2. Enter into contracts relating to the administration of the program,
3-24 including, without limitation, contracts with licensed administrators and
3-25 qualified actuaries. Each such contract with a licensed administrator:
3-26 (a) Must be submitted to the commissioner of insurance not less than 30
3-27 days before the date on which the contract is to become effective for
3-28 approval as to the reasonableness of administrative charges in relation to
3-29 contributions collected and benefits provided.
3-30 (b) Does not become effective unless approved by the commissioner.
3-31 (c) Shall be deemed to be approved if not disapproved by the
3-32 commissioner of insurance within 30 days after its submission.
3-33 3. Enter into contracts with physicians, surgeons, hospitals, health
3-34 maintenance organizations and rehabilitative facilities for medical, surgical
3-35 and rehabilitative care and the evaluation, treatment and nursing care of
3-36 members and covered dependents. The board shall not enter into a
3-37 contract pursuant to this subsection unless provision is made by the
3-38 board to offer all the services specified in the request for proposals, either
3-39 by a health maintenance organization or through separate action of the
3-40 board.
3-41 4. Enter into contracts for the services of other experts and specialists
3-42 as required by the program.
3-43 5. Charge and collect from an insurer, health maintenance
3-44 organization, organization for dental care or nonprofit medical service
3-45 corporation, a fee for the actual expenses incurred by the board, the state or
3-46 a participating public employer in administering a plan of insurance offered
3-47 by that insurer, organization or corporation.
3-48 Sec. 3. On or after January 1, 2002, the board of the public
3-49 employees’ benefits program shall not enter into or renew any contract that
4-1 does not comply with subsection 3 of NRS 287.0434, as amended by this
4-2 act.
4-3 Sec. 4. This act becomes effective on January 1, 2002.
4-4 H